Is the integration of urgent, emergent, inpatient and
care of patients with
acute medical conditions.
While the rest of the country debates the political and legal ramifications of the Supreme Court’s decision to uphold the Accountable Care Act (ACA) almost in its entirety, what’s next for those of us on the front lines of providing care?
Hospitals, physicians, and other providers have had mixed strategies for responding to the ACA as we all waited for the Supreme Court’s decision. Some organizations have moved full steam ahead with implementing some of the changes required by reform, while others – already overwhelmed with other initiatives – have waited for this decision before making any moves.
There are two key provisions of the ACA concerning hospitals and physicians that will go into effect on October 1st:
Both of these initiatives are significant because they begin the transformation from ‘pay for procedures’ to ‘pay for performance.’ Hospitals will now be at risk of losing up to 2% of their Medicare reimbursement if they do not meet quality improvement guidelines – with the funding percent at risk increasing in future years.
Like others, I have long believed that this transformation would take place regardless of the outcome from the Supreme Court, but now we can use the clear roadmap outlined by the ACA – at least as far as Medicare patients go. For a clear outline of the ACA’s roadmap, the Kaiser Family Foundation has a great timeline of when various provisions go into effect.
Over the next several weeks, we will be posting reactions to the Supreme Court ruling, with a focus on the impact of the law on providers of acute care – including the institutions and individuals on the front lines of healthcare. I invite you to share your perspective as well in the comments or by emailing our editor Daniel Schmid.
Great blog. acutecarecontinuum
Access to health care varies across countries, groups and individuals, largely influenced by social and economic conditions as well as the health policies in place. Countries and jurisdictions have different policies and plans in relation to the personal and population-based health care goals within their societies. Thanks.
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I’ve seen that some hospitals and providers have been proactive in trying to improve the quality of care while reducing healthcare costs. Whatever the reform may mean to the individual hospitals and providers, I hope that all will feel empowered to take on the challenge to reshape healthcare to create a more sustainable system rather than feel powerless to the system. It’s apparent that the political and legal battles aren’t yet over, but I think we are all in agreement that change is needed regardless. I greatly respect those in the front line and believe in your ability to help move our healthcare system in the right direction. Dr. Curry, thank you for your thoughts and encouraging the transformation by focusing on the impact it may have to those in the front lines. I look forward to the future blogs.
I think the point about waiting for a decision before making a move is on-point. A lot of the providers I've talked to haven't really known what to expect with all of this. For anyone who's worked on changing behavior within a healthcare setting, you know how difficult it can be. Now, more than ever, we need to be nimble, flexible, and at the ready to adapt practice patterns.
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