The Patient Protection and Affordable Care Act

Bailes, Joseph S.; Kamin, Deborah Y.; Foster, Shelagh

doi:10.1097/ppo.0b013e3181ff2586

Cited by 6 publications

(5 citation statements)

References 2 publications

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“…23 With the passage of the Affordable Care Act (ACA) in 2010, some of these concerns may be magnified, particularly among hand surgeons. 3,16 Among the many provisions of the ACA that may directly affect hand surgeons are tax increases on medical devices, mandated reduction in payment for surgical services, and greater focus on funding for education of primary care physicians versus surgeons. 3 Another mandate of the ACA was the establishment of a Patient-Centered Outcomes Research Institute (PCORI).…”

Section: Discussionmentioning

confidence: 99%

“…3,16 Among the many provisions of the ACA that may directly affect hand surgeons are tax increases on medical devices, mandated reduction in payment for surgical services, and greater focus on funding for education of primary care physicians versus surgeons. 3 Another mandate of the ACA was the establishment of a Patient-Centered Outcomes Research Institute (PCORI). 3,16 A priority of the PCORI has been the increased funding of comparative effectiveness research, in an effort to promote "patient-centeredness," and is specifically prohibited from analyzing cost-effectiveness.…”

Section: Discussionmentioning

confidence: 99%

“…3 Another mandate of the ACA was the establishment of a Patient-Centered Outcomes Research Institute (PCORI). 3,16 A priority of the PCORI has been the increased funding of comparative effectiveness research, in an effort to promote "patient-centeredness," and is specifically prohibited from analyzing cost-effectiveness. 3,16 But with reimbursement tied closely to referral rates and treatment selection, it may be unfeasible to compare the efficacy of different treatment options while excluding consideration of the associated costs.…”

Section: Discussionmentioning

confidence: 99%

“…3,16 A priority of the PCORI has been the increased funding of comparative effectiveness research, in an effort to promote "patient-centeredness," and is specifically prohibited from analyzing cost-effectiveness. 3,16 But with reimbursement tied closely to referral rates and treatment selection, it may be unfeasible to compare the efficacy of different treatment options while excluding consideration of the associated costs. 12,13,17 Thus, it should be of interest for hand surgeons to understand the impact of their own demographics on reimbursement rates and not just those of their patients.…”

Section: Discussionmentioning

confidence: 99%

“…The purpose of this study was to investigate which demographic factors may have an impact on hand surgeons' reimbursement rates from Medicare. In particular, using the data provided by the CMS, we aim to illustrate how ASSHmember hand surgeons' reimbursement from Medicare HAND 11 (3) depends on their geographical location and the number of years they have been in practice.…”

Section: Introductionmentioning

confidence: 99%

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Geographic and Age-Based Variations in Medicare Reimbursement Among ASSH Members

Gaspar

Kane

Honik

et al. 2016

Hand (New York, N,Y.)

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The purpose of this study was to investigate how American Society for Surgery of the Hand (ASSH) members' Medicare reimbursement depends on their geographical location and number of years in practice. Demographic data for surgeons who were active members of the ASSH in 2012 were obtained using information publicly available through the US Centers for Medicare and Medicaid Services (CMS). "Hand-surgeons-per-capita" and average reimbursement per surgeon were calculated for each state. Regression analysis was performed to determine a relationship between (1) each state's average reimbursement versus the number of ASSH members in that state, (2) average reimbursement versus number of hand surgeons per capita, and (3) total reimbursement from Medicare versus number of years in practice. Analysis of variance (ANOVA) was used to detect a difference in reimbursement based on categorical range of years as an ASSH member. A total of 1667 ASSH members satisfied inclusion in this study. Although there was significant variation among states' average reimbursement, reimbursement was not significantly correlated with the state's hand surgeons per capita or total number of hand surgeons in that given state. Correlation between years as an ASSH member and average reimbursement was significant but non-linear; the highest reimbursements were seen in surgeons who had been ASSH members from 8 to 20 years. Peak reimbursement from Medicare for ASSH members appears to be related to the time of surgeons' peak operative volume, rather than any age-based bias for or against treating Medicare beneficiaries. In addition, though geographic variation in reimbursement does exist, this does not appear to correlate with density or availability of hand surgeons.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Geographic and Age-Based Variations in Medicare Reimbursement Among ASSH Members

Gaspar

Kane

Honik

et al. 2016

Hand (New York, N,Y.)

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The Impact of the Affordable Care Act on Cancer Survivorship

Leopold¹,

Park²,

Nekhlyudov³

2017

Cancer J

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In 2010, the Patient Protection and Affordable Care Act (ACA) was implemented with the aim of expanding access to quality, affordable care. In this review, we describe the ACA provisions that are most relevant for cancer survivors, provide available published evidence, and offer insights for future research. We found that provisions focusing on access to preventive care, access to quality and coordinated care, and coverage expansion and increased affordability suggest beneficial effects. However, we identified research gaps specifically addressing the intended and unintended consequences of the ACA on cancer survivorship care. Whether or not the ACA continues in its current form, research should address the effects of enhanced preventive services, innovative models of care, and payment structures that promote quality of care, as well as access to affordable, equitable care for a growing population of cancer survivors.

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Challenges for Cancer Care Delivery to Adolescents and Young Adults: Present and Future

Meeneghan

Wood²

2014

Acta Haematol

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Adolescents and young adults occupy a unique place within the cancer community due to the challenges they face related to disease biology, access to care, and psychosocial and socioeconomic circumstances. Efforts to define specific needs and targets for intervention in these areas are under way and evolving. This review will discuss the current and future challenges in delivering quality care to this population.

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The Patient Protection and Affordable Care Act

Abstract: The implementation of the Patient Protection and affordable care act will change oncology practice in many ways. Innovative payment models, new practice arrangements, and an increased focus on paying for quality and value will change the landscape for oncologists and people with cancer.

Cited by 6 publications

References 2 publications

Geographic and Age-Based Variations in Medicare Reimbursement Among ASSH Members

Geographic and Age-Based Variations in Medicare Reimbursement Among ASSH Members

The Impact of the Affordable Care Act on Cancer Survivorship

Challenges for Cancer Care Delivery to Adolescents and Young Adults: Present and Future

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