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2 experts to physicians: Value-based care is her to stay


Ingrid Lund, Ph.D., practice manager for the physician practice roundtable at  The Advisory Board Co.,  and Eric Cragun, senior director for health policy at the Advisory Board, agreed in a Physicians Practice podcast that value-based care is here to stay, as is much of the Affordable Care Act.

Ms. Lund said: “Certainly whatever the GOP does, whatever their next move on healthcare reform is, it will impact providers in some way, but I think we can agree there are some safer bets and ways to move strategy forward even though we’re in this point of uncertainty.”

She also said that the bi-partisan Medicare Access and CHIP Reauthorization Act (MACRA) will stick around and that physicians should continue to adapt to the move toward risk-based contracts.

Another “safe bet,” according to Ms. Lund, is to “double down on your consumerism strategy” thanks to the rise of health savings accounts and high-deductible health plans.

To hear/read more, please this link.

Trump seen good for direct primary care

“The free-market capitalism favored by the president-elect  {Trump} may be good for direct primary care (DPC). In DPC practices, patients receive a high level of primary care with longer visits and direct access to the personal physician and team, bypassing the often frustrating access of high-volume busy practices. Such patients usually have a high-deductible health plan for catastrophic care and major medical needs. Trump supports Health Savings Accounts and I speculate he would support any model of care that allows patients to directly pay for care.”

4 ways Trump could affect hospital revenue cycle


Becker’s Hospital Review presents four ways  in which President-elect Donald Trump’s proposed healthcare reforms could affect hospitals’ revenue cycle:

“1. Tax-free, inheritable health savings accounts. Mr. Trump said he would sign legislation to promote tax-advantaged HSAs to encourage consumers with high-deductible health plans to set aside money for out-of-pocket healthcare costs.

“Mr. Trump would also tie HSAs to a person’s estate, meaning an account could pass on to next of kin without facing federal taxes.”

“2. Federal mandate for provider price transparency. Mr. Trump said he would require ‘all healthcare providers, especially doctors and healthcare organizations like clinics and hospitals,’ to disclose service prices to consumers prior to treatment. This could speed the rate of price transparency adoption at hospitals across the nation.”

“3. New Medicaid funding method. Mr. Trump proposed dismantling financing for Medicaid expansion under the ACA and converting the program to a block grant to contain healthcare costs. Block grants would give states more authority over their Medicaid programs in exchange for accepting a fixed amount of funding from the federal government. This means states would not be required to cover certain groups of people, such as children, pregnant women and the elderly, to receive federal money. ”

“4. Repeal of the ACA. Mr. Trump vowed to repeal the ACA as one of his first presidential acts. Bill HR 3762, introduced into Congress October 2015, would: repeal ACA tax credits, end Medicaid expansion, repeal major taxes used to fund insurance expansion and create a two year transition period to dismantle ACA infrastructure. The Congressional Budget Office estimated 22 million people would lose insurance if HR 3762 is signed into law without a Republican replacement plan. The rise in uninsured Americans could negatively affect healthcare providers by increasing their uncompensated care and bad debt rates to pre-ACA levels.”

To read the full article, please hit this link.

Trump’s seven-point healthcare program


The Trump for president campaign offers a seven-part healthcare-reform program:

  1. “Completely repeal Obamacare. Our elected representatives must eliminate the individual mandate. No person should be required to buy insurance unless he or she wants to.
  2. “Modify existing law that inhibits the sale of health insurance across state lines. As long as the plan purchased complies with state requirements, any vendor ought to be able to offer insurance in any state. By allowing full competition in this market, insurance costs will go down and consumer satisfaction will go up.
  3. “Allow individuals to fully deduct health insurance premium payments from their tax returns under the current tax system. Businesses are allowed to take these deductions so why wouldn’t Congress allow individuals the same exemptions? As we allow the free market to provide insurance coverage opportunities to companies and individuals, we must also make sure that no one slips through the cracks simply because they cannot afford insurance. We must review basic options for Medicaid and work with states to ensure that those who want healthcare coverage can have it.
  4. “Allow individuals to use Health Savings Accounts (HSAs).  {Editor’s note: These are already allowed — and used by millions.} Contributions into HSAs should be tax-free and should be allowed to accumulate. These accounts would become part of the estate of the individual and could be passed on to heirs without fear of any death penalty. These plans should be particularly attractive to young people who are healthy and can afford high-deductible insurance plans. These funds can be used by any member of a family without penalty. The flexibility and security provided by HSAs will be of great benefit to all who participate.
  5. “Require price transparency from all healthcare providers, especially doctors and healthcare organizations like clinics and hospitals. (Editor’s note: Such transparency is already called for under the Affordable Care Act.} Individuals should be able to shop to find the best prices for procedures, exams or any other medical-related procedure.
  6. “Block-grant Medicaid to the states. Nearly every state already offers benefits beyond what is required in the current Medicaid structure. The state governments know their people best and can manage the administration of Medicaid far better without federal overhead. States will have the incentives to seek out and eliminate fraud, waste and abuse to preserve our precious resources.
  7. “Remove barriers to entry into free markets for drug providers that offer safe, reliable and cheaper products. Congress will need the courage to step away from the special interests and do what is right for America. Though the pharmaceutical industry is in the private sector, drug companies provide a public service. Allowing consumers access to imported, safe and dependable drugs from overseas will bring more options to consumers. (Editor’s note: Many  U.S. patients now get their  prescription drugs from Canada, which are generally much cheaper than American drugs.}






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