Showing posts with label reform. Show all posts
Showing posts with label reform. Show all posts

Monday, February 10, 2014

Sustainable Growth Rate Legislation AKA "The Doc Fix"

Sustainable Growth Rate Legislation AKA "The Doc Fix"

As a preface, the SGR has been an ongoing problem for providers serving Medicare patients and their beneficiaries. In the past, a "doc fix" has been applied to prevent massive Medicare reimbursement rate cuts, which ultimately would end up in fewer physicians available to treat Medicare patients. Congress is attempting to pass a comprehensive bill that will "fix" the problem (one that rewards quantity of services rather than quality of care) rather than doing an annual patch, which has been the practice for the last ten years.

This is a huge deal for our profession, but also the future of healthcare. Many professional PAs believe that this bill could make or break the profession, which is why it is so important that you are active in pursuing its passage. The SGR bills were both recently passed out of the House and Senate committees and will move to the floor of both chambers sometime in the first few months of 2014. AAPA has been HEAVILY engaged in the development of the bills, as well as some of the amendments which were included in the bills. PAs in the states of the relevant senators have been interviewed and have conveyed personal stories to their senators to help garner support.

Once AAPA finds out early this year what the next steps are for the SGR legislation, they will put out a call to action to AAPA members asking for their support and for them to contact members of Congress to ask them to support these PA provisions. PAFT (PAs for Tomorrow) and their many members are the best advocates they have for the profession. Additionally, other healthcare organizations with aligned interests and Congress are working with them directly on this matter.

What You Need to Know:

Monday, January 20, 2014

The Affordable Care Act and Physician Assistants

How is the ACA going to affect me as a PA? How is the ACA going to affect my patients?

By: Paul Gonzales

These two questions were posed in an article written in the september issue of PA professional. I think they're both very important questions for pre-PA students, current students, and practicing PA's. If you don't know what the ACA is - the Affordable Care Act is what people are calling ObamaCare. The terms are interchangeable, incase you were wondering. Signed into law March 23, 2010, the ACA quickly implemented changes such as the following below. In addition, the grand impact of the ACA was to decrease the number of uninsured Americans by as many as 32 million people. Highlighted in red are a few impacts that relate heavily to PA practice. I encourage you to read through all of them.

  • Cover children younger than 19 regardless of pre-existing conditions (2010)
  • Young adults can now stay on their parents insurance until they are 26 (2010)
  • Access to insurance for uninsured individuals with pre-existing conditions (2010) - some people who have be uninsured for 6+ months have trouble finding insurance because of existing conditions
  • Scholarships and loan repayment plans (2010) - primary care practitioners have access to repayment or loan forgiveness programs to increase the primary care workforce
  • Increased federal payments to providers in rural areas (2010)- this includes PA's who work in rural areas; examples are Medicare, Medicaid, Children's Health Insurance Program