07-17-2012, 03:00 PM
This thread makes no sense to me, what issue are we discussing?
The ACA has quality incentive payments built into to Medicare reimbursement? How is that a bad idea generally?
The ACA will dramatically reduce the number of uninsured going to hospitals for acute care. This is a major problem for hospitals everywhere. Having coverage for most everyone wil outweigh reimbursement rate issues (which actually aren't going down) by 10 to 1. The States that opt out of the Medicaid expansion are of course going to have major problems that they will be completely responsible for bringing on themselves. Their money will flow for once to the states that do expand so that will be a nice change of pace. The overwhelming pressure and obvious need will flip those states, it is just a matter of time (but yes, some of their hospitals may collapse due to the uninsured).
Malpractice lawsuits are not a major factor in overall health care spending. But States are free to adopt all the changes and restrictions they want. Malpractice is not a federal issue, that is left to the states. The States that have adopted malpractice reform haven't seen any meaningful cost reductions. But reasonable reform makes sense to me too.
The ACA has quality incentive payments built into to Medicare reimbursement? How is that a bad idea generally?
The ACA will dramatically reduce the number of uninsured going to hospitals for acute care. This is a major problem for hospitals everywhere. Having coverage for most everyone wil outweigh reimbursement rate issues (which actually aren't going down) by 10 to 1. The States that opt out of the Medicaid expansion are of course going to have major problems that they will be completely responsible for bringing on themselves. Their money will flow for once to the states that do expand so that will be a nice change of pace. The overwhelming pressure and obvious need will flip those states, it is just a matter of time (but yes, some of their hospitals may collapse due to the uninsured).
Malpractice lawsuits are not a major factor in overall health care spending. But States are free to adopt all the changes and restrictions they want. Malpractice is not a federal issue, that is left to the states. The States that have adopted malpractice reform haven't seen any meaningful cost reductions. But reasonable reform makes sense to me too.