The ACA and What It Means for You
Posted by crougeauComment

Now that the Supreme Court has ruled on the healthcare law, what does it mean for you?
1. As an American and voter, it means that –

    – You will be hearing a lot of rhetoric both pro and con on the merits of the law throughout the 2012 congressional and presidential campaigns.
    – Depending on the outcome of the elections, you will see increased momentum in the Administration’s implementation of the law and/or attempted repeal of the law in Congress.
    The next battleground for healthcare reform will be in the states.

2. As a PA, it means that you will be –

    – Recognized as one of three primary healthcare professionals in the U.S. today.
    – Valued as a vital and growing component of the nation’s healthcare workforce as medical practices and healthcare systems look to become more cost efficient, while maintaining quality in the delivery of services.
    – Eligible for 10% bonus for primary care codes through Medicare.
    – Allowed to order skilled nursing facility care for Medicare beneficiaries.
    – Embraced as a favored healthcare professional in patient-centered, primary care medical homes, Independence at Home models of care, chronic care management, and other new models of care designed to better coordinate care through team-based practice and to promote value to the healthcare delivery system.

3. As a PA student, it means that you will be –

    – Viewed as a valued professional in the nation’s future healthcare workforce.
    – Eligible for increased financial support though the National Health Service Corp’s scholarship and loan repayment programs.

4. As a PA educator, it means that you will be –

    – Eligible for increased funding support through the Public Health Service Act’ Title VII Health Professions Program.
    – Additionally, eligible for faculty loan repayment programs through the Title VII program.

5. As a parent, it means that you can now –

    – Extend health insurance coverage for adult children up to age 26 through your family health insurance plan.
    – Be assured that your child cannot be denied coverage based on a pre-existing condition.

6. As healthcare consumers, it means that you and the patients you serve will continue to benefit from –

    – Selective preventive services without cost sharing.
    – High risk pools for those who are uninsured with pre-existing conditions.
    – Choice of primary care provider, OB/GYN, and pediatrician.
    – Use of the nearest emergency room, without penalty.
    – Prescription drug support for Medicare beneficiaries.

7. In 2014, it means that you and the patients you serve will no longer be subject to –

    – Denial of health insurance coverage based on a pre-existing condition.
    – An annual limit or lifetime limits on health insurance coverage.
    – Gender discrimination in healthcare premiums.

8. Additionally, it means that you will benefit from protections that prevent insurers from –

    – Cancelling a policy without proving fraud.
    – Denying claims without an appeal.
    – Charging premiums that build more than 20% administrative costs (and less than 80% healthcare costs) into the fee.

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