Top 12 Uncertainties Hovering Over Healthcare

If ever there was a year in which "anything could happen" in healthcare, 2012 just might be it. Numerous major decisions, regulations, and policy rollouts loom, including how severely physicians' pay will be cut and whether the Affordable Care Act itself is a constitutional document. We look at a dozen potential game changers.

6 comments on "Top 12 Uncertainties Hovering Over Healthcare"
Janice (11/30/2011 at 1:52 PM)

I agree with Lanay - having coded and reviewed thousands of records in my career, patient non-compliance is a major reason especially for CHF readmissions. Patients are adequately trained during the admission but it is too easy to slip back into old habits when they go home. What makes non-compliance easy is that many of the CHF patients may be on low incomes, and eating appropriately, which is a major player in CHF, may be next to impossible. Patient non-compliance should be excluded from the readmissions for CHF (there is a ICD-9-CM code for it).
Kandi O'Brien (11/29/2011 at 10:59 PM)

It is great to see that the government wants to [INVALID] measures to prevent harm. However, the affects of some of these measures excludes a lot of common situations. Ex: 30 day rule. Most of these PTA have multiple chronic issues and they have totally separate issues that land them in the hospital. The entire visit /week stay shouldn't be denied when there was no wrong doing in relation to the initial treatment. There also should be more regulation on insurance companies. They are making money every year while everyone else faces cuts. Increases for our tax rates have to be approved, maybe the increase for premiums should have a similar plan. Having worked on both sides I am confident that there is a middle ground, however, the wrong people aren't usually at the table to make those decisions.
Lanay (11/29/2011 at 5:48 PM)

In addition to that which is listed regarding readmission for selected illnesses they need to consider patient non-compliance with treatment that directly leads to the readmission.
Lucy Casimir (11/24/2011 at 10:25 AM)

You can see one doctor for everything. They are called general practitioners/internalists/family docs. They can diagnose almost any problem, but refer to specialists if something is beyond their scope. If people would use a general practitioner for their day to day health needs and only use specialists when absolutely necessary, their healthcare costs would stabilize. And anyway, are their really people who would go to a cardiovascular specialist without consulting a family doc first? How do you know you don't just have bad reflux (that cause angina) or something else minor that can be treated cheaply by a family doc. All too often people try to diagnose their issues themselves and then pick a specialist out of a phonebook to go to immediately. Let the doctors do the diagnosing please.
George (11/24/2011 at 9:04 AM)

Sounds good in theory Linda but not in reality. Trust me you wouldn't want your family DR to give your anesthesia.. leave that up to the Nurse Anesthetist who delivers anesthesia daily. Would you want your ortho guy perfoming brain surgery?? Not...its like asking the plumber to do electrical. Maybe he can get thru but not very well and the house burns. Healthcare is a beast and it takes all the players. How about we stop all foreign aid and pay our healthcare.
linda cogar (11/23/2011 at 9:20 AM)

Why can't we have a doctor that takes care of the whole person. I think it is a waste of time and money to go to a different doctor for each part of you. Medicare could same a lot if that was the rule. I think it would be safer for the patient too.


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