Providers, Payers Largely Favor PPACA Decision

Cheryl Clark, for HealthLeaders Media , June 29, 2012

Most of the many-faceted segments of the healthcare industry appeared pleased with Thursday's majority Supreme Court decision to uphold most provisions of the Patient Protection and Affordable Care Act, even as they vowed to work toward the repeal of pieces they still find objectionable.

"Today's ruling does give clarity to hospitals as they move forward to transform the way they provide care and work with patients and communities as well," American Hospital Association president and CEO Rich Umbdenstock said in a media teleconference. But the ruling "opens up new questions as well," one of which is the impact on hospitals in those states that opt not to implement the expansion of Medicaid to patients earning up to 133% of the federal poverty level.

The court determined that states could choose not to enroll those patients without suffering reduced federal subsidies under the Medicaid program.

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Additionally, he said, hospitals still have concerns about the Independent Payment Advisory Board, which PPACA empowered to take over from Congress the responsibility of making payment decisions affecting providers. "We have concerns about IPAB and its existence ...and we're on record there thinking that Congress should maintain that decision-making authority," Umbdenstock said.

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1 comments on "Providers, Payers Largely Favor PPACA Decision"

R Daniel King (6/29/2012 at 4:33 PM)
First, how does an inefficient, quality challenged government agency provide the leadership in designing a path to an efficient, quality-driven health care delivery system? ObamaCare is a coffin not vehicle to the Golden Age of Medicine and it appears some are blinded by the idea that there will be more patients paying $7 for a service costing $100. What the Supremes have upheld is the right for government to limit freedoms, limit profits and dictate what medical services will be given for free. Today it is only health insurers, tomorrow everything else. Once government claims everyone has "government" insurance and cost shifting is something in the past, nothing stops CMS from limiting hospital CEO salaries based on a factor times the average nurses salary because "it's fair" and all his hospital patients now pay. How about creating profit ceilings to" make it fair" by controlling the profit range between specialist and primary care physicians? Or say that a hospital that exceeds a 5% profit threshold has to give the excess to a competing hospital that is not close to the threshold to "make it fair." We are knee deep in an entitlement culture that wants governmen to "make it fair." Which is exactly what health care leadership is presently doing, waiting for government. Remember, four Supremes found the WHOLE law unconstitutional. Roberts had to import a reference to taxes which is unprecedented. Now, there is nothing stopping government from adding the "tax" to FICA for subsidizing the uninsured poor so all your patients can pay. Remember, Democrats stated during the ObamaCare debate, "it would be so much easier if we could just tax like we do Medicare." Robert's has granted their wish. With profit controls and mandated free services on private insurers, how many do you think will be left in five years? What will be left will be "Medicare" for everyone with universal price controls, hundreds of oversight agencies and hundreds of thousands of regulations, all freedom killers, quality killers and inflation builders. The Democrats are presently on a full court press to attach anyone who makes reference to "the tax" and mandate in the same sentence, because they do not want the voters to connect the dots before November. I do not feel the tingle up my leg that the individuals in this article are feeling.




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