As healthcare reform expands coverage, nonphysician providers are seeking to expand their portfolio of licensed services and are facing intense opposition from doctors to their efforts.
In California, three bills before the Legislature propose to expand the scope of practice for nurse practitioners, optometrists and pharmacists, with one bill advancing and two bills being stalled.
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Lee
Some of California’s top insurers, including Kaiser Permanente, are protesting the state’s plans to drop quality ratings from insurance listings when its exchange goes public on Oct. 1.
Covered California executive director Peter Lee told the Los Angeles Times that the data behind existing quality ratings were too out of date. He also fears the plans sold on the exchanges will be very different from the individual policies that formed the basis for the star-based grades (this is movie-land).
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The not-for-profit group responsible for educating Americans about the healthcare reform law's coverage options provided a status check of its efforts on Monday, but remained vague about how much it is spending on the massive endeavor.
Throughout 2014, Enroll America will spend “tens of millions” of dollars on the “Get Covered” campaign that it launched in late June, Anne Filipic, the group's president, told reporters in a phone call.
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Boehner
The New York Times ran a quietly subversive news story Wednesday about how members of Congress and their aides will receive health coverage under the Office of Personnel Management's new proposed rule interpreting a controversial Obamacare provision.
During the drafting of the Patient Protection and Affordable Care Act, Sen. Charles Grassley (R-Iowa), an opponent of the legislation, insisted that members of Congress and their staffers should have to buy their coverage from the state health insurance exchanges the same way millions of other Americans would get it—rather than getting it through the Federal Employees Health Benefit Program as they do now. It was a commendable idea that few members of Congress probably thought through.
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Most Massachusetts residents are satisfied with their healthcare under the state's Obamacare-like system, and despite occasional long waits to see a physician, cost appears to be their main concern, according to a survey conducted by the Massachusetts Medical Society.
Seven years into the Massachusetts's so-called Romneycare reform model—the inspiration for the federal healthcare law—Massachusetts is often seen as a harbinger of things to come for the national reform experience.
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Supporters of the healthcare reform law got some good news from a survey just released by the healthcare policy briefing website The Morning Consult.
Nearly half of registered voters polled in the survey—47%—said they would be less likely to vote for a member of Congress in 2014 if the member tried to defund Obamacare as part of a federal budget package, compared with 28% who said they would be more likely to vote for the member.
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The Obama administration's recent decision to delay the 2010 healthcare reform law's employer mandate by a year is estimated to increase the law's net cost to the federal government by $12 billion over 10 years, the nonpartisan Congressional Budget Office and Joint Committee on Taxation announced Tuesday. A relatively modest cost increase was predicted when the mandate delay was announced.
House Budget Committee Chairman Paul Ryan (R-Wis.) had requested that the CBO and JCT assess the effects of the July decision to postpone for one year the law's provision that employers provide insurance to their workers or else pay a penalty. In a six-page report, the CBO noted that its May 2013 baseline projections had estimated the Patient Protection and Affordable Care Act's insurance provisions would cost the federal government about $1.36 billion between 2014 and 2023. After the Treasury department's recent announcement, the CBO recalculated those projections and now estimates the insurance coverage measures in the law will cost the federal government about $1.375 billion over that same 10-year period.
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Dr. Ezekiel Emanuel, the University of Pennsylvania bioethicist and oncologist who helped the White House draft the healthcare reform law, aims fire in today's Wall Street Journal at U.S. News & World Report's "Best Hospitals" rankings. Calling the methodology behind the rankings "flawed to the point of being useless," he blasts their overreliance on reputation and a failure to take into account quality criteria such as hospital-acquired infections and incidence of preventable falls and bed sores.
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Home-care workers are growing inpatient with the White House's delay in publishing a regulation that would bring them overtime pay and the federal minimum wage.
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Doctors asked to assess options for reducing healthcare costs were not exactly enthusiastic about replacing the system that pays them based on the volume of tests, exams and procedures they perform.
Granted, cuts to Medicare physician pay proved even less popular among the nearly 3,000 doctors surveyed on their opinions for strategies to blunt the nation's high and rising healthcare costs. Just 1% of the polled physicians described their attitude toward this option as “very enthusiastic.”
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Doctors asked to assess options for reducing healthcare costs were not exactly enthusiastic about replacing the system that pays them based on the volume of tests, exams and procedures they perform.
Granted, cuts to Medicare physician pay proved even less popular among the nearly 3,000 doctors surveyed on their opinions for strategies to blunt the nation's high and rising healthcare costs. Just 1% of the polled physicians described their attitude toward this option as “very enthusiastic.”
Read more »
