Monday, October 7, 2013

Top 10 myths on the federal health law



See full article for list of panel members and myths


Myth no. 8. The government through the health law will control the doctors I see, and medications and services I buy.

Haubrock: FALSE. The control will still lie with the insurance carrier, or the exchange, and is based on the level of coverage you elect to buy.

Sweeney: FALSE. The plan you choose coverage through will have networks of doctors/hospitals/other providers, as well as prescription programs, just like you have a choice of plans now. Some will be more restrictive than others to keep the price down. All must cover the “essential benefits,” which most plans already cover. Be prepared to take more responsibility for taking care of yourself, by the choices you make in smoking or not, eating and drinking in moderation, keeping physically fit.

Myth 9. The law establishes government “death panels” that encourage the elderly to opt-out of life extending treatment as a way to reduce Medicare expenses.

Hoeflinger: FALSE. Plans are not incented to withhold care under ACA. In fact, they are encouraged to reduce spending by coordinating care to prevent avoidable hospitalizations.

Streator: FALSE. The Independent Payment Advisory Board or the “death panel” is tasked with reducing growth rate (not spending) by improving quality. The Patient Outcome Research Institute, which is an independent nonprofit, non-government entity whose purpose is to advance the quality and relevance of medical evidence for informed decisions, states that this board is tasked with making recommendations around slowing net growth in Medicare spending. It can’t ration health care, raise premiums or revenues.
Any proposal to reduce expenses must contain key considerations around improving healthoutcomes, protect access and beneficiaries, and consider effects and needs of consumers.

10. Appointments and wait times will be longer to see a doctor in the future due to healt  reform.
LeRoy FALSE. There is currently a shortage of primary care physicians. There are provisions in the ACA to encourage more medical students to go into primary care specialties (family medicine, primary care internal medicine and pediatrics). There is also a modest financial reimbursement (a 10 percent fee increase for preventative primary care services through 2014) for primary care services under the ACA.
If your doctor’s daily schedule is already full the ACA cannot mandate that he/she see more patients. True, there will be many more people seeking primary care services, and the pipeline of primary care professionals has not been filled enough to accommodate the anticipated national need. This will certainly be a challenge for the system for the next several years. We will need to become more aware of these system limits, more efficient in providing service, and utilize more of the talents of physician extenders, such as physician assistants and advance practice nurses.

No comments:

Post a Comment