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What Physicians Should Know About the ACA

Posted by Drew Hudson March 23, 2011 at 9:00 AM

As part of our NPA Webinar Series: Understanding the ACA, Dr. Valerie Arkoosh, NPA President offered this 15 minute presentation on the benefits of the ACA. You can view the webinar below.

Dr. David Grande, NPA Board member and Dr. Jeff Huebner, NPA Policy Committee member will be answering questions on this page for the few days on the benefits of the Patient Protection and Affordable Care Act.

Got a question about the ACA and physicians? Leave a comment here and our panel of experts will answer.

9 Responses to “What Physicians Should Know About the ACA”

  1. Rachel DeGolia says:

    How will physician reimbursement change as the ACA is implemented?

    • David Grande, MD says:

      The ACA has important provisions to make primary care more accessible by improving payment rates. First, there is a primary care “bonus” of 10% in the Medicare system. Second, Medicaid rates will rise to those of Medicare with the federal government making up the difference between what states currently pay versus Medicare rates. This second provision will require future advocacy at the state level to make sure that this remains in place beyond the 2 years promised by the federal government. Physicians may also see how they are paid change depending on the success of forming Accountable Care Organizations (ACOs). The idea behind ACOs is to create opportunities to earn bonuses if care is provided more efficiently while at the same time maintaining or improving quality. This creates opportunities for both primary care physicians as well as specialists working together as a team.

  2. Jeff Huebner, MD says:

    What are the best opportunities states have to implement ACA or improve upon it?

    • David Grande, MD says:

      States play a key role in implementing health reform because they are responsible for setting up new health insurance exchanges which is the main way that eligible people will acquire insurance under the new law. The exchanges are the new “store” where people can go to shop for insurance in the same way that Orbitz is a store for airline tickets. States have significant flexibility in how they set up an exchange. They could decide to play a very active role in what insurance is sold in the “store” or a very passive role and let all insurers sell their product in the “store.” They could also decide to join with other states to create more negotiating power with insurers. The bottom line, the states need to focus on getting insurance exchanges designed and up in running to make sure they work well for patients. Medicare Part D offers valuable lessons in how “choice” can overwhelm patients.

  3. Benjamin W Sanders says:

    Medicaid payments will increase for primary care services to the Medicare rates, starting in 2013. There will also be larger numbers of previously un-insured, or under-insured patients with insurance due to the exchanges.

  4. Benjamin Sanders MD says:

    EMR is a hot topic and many practices are currently transitioning to, or recently transitioned to electronic records. The meaningful use definitions and funding opportunities influence physicians quite a bit therefore. Anyone with comments on this?

  5. Benjamin Sanders MD says:

    Also, doctors are interested in dependable sources of information. I use information from the NPA, but I also look at the Kaiser Family Foundation ( website for excellent summaries, timelines, and even a self-quiz, all around the Patient Protection and Affordable Care Act. Our partner organizations for the webinars this week have information specific to their groups around the ACA, such as seniors and young adults. Any other suggested sources?

  6. […] This webinar has been completed, a recording available soon. To learn more or  join the discussion – click here […]

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