Since the Affordable Care Act (ACA) signed into law in March 2010, a few things have changed in the provision of physical therapy services, in specific productivity standards and reimbursement in outpatient physical therapy clinics. The Affordable Care Act has resulted in an increased demand for physical therapy services primarily due to the construction of the Health Insurance Marketplace. This created new health insurance options to help Americans acquire health insurance, who previously were not able to afford it. Although the ACA is a very extensive and complex piece of legislation, it has ultimately resulted in more individuals who are eligible for physical therapy services. This increased demand not only comes from the ACA but also from reimbursement cuts from insurance companies, subsequently causing physical therapists to overload their schedules as a means to offset these cuts. These demands are without factoring in the aging baby boomer population, which is expected to increased the physical therapist need by 30% from 2008 to 2018 (cite). Physical therapy is about providing the best patient care, however patient care is also a business and businesses are centered on revenue. Below are some of the current proposed solutions along with personal solutions and insight on the productivity issue. Historically, payment in the outpatient physical therapy setting has been based on billed therapy units (BTUs), billing that is based on minutes and correlated with a Current
The Affordable Care Act of 2010 (ACA) is commonly referred to as Obamacare. This pseudo name or nickname initially assigned to the program as a criticism of now former President Obama's efforts to stabilize healthcare at a national level, but it has since become the most widely accepted for the ACA. There are many cited reasons for opposition to the program, including the concern it presents the US government with an unnecessary control of public healthcare benefits.
One of the primary goals of the Affordable Care Act (ACA) was to provide affordable health care coverage and increase access to affordable health care to the community. Unfortunately, since the passage of the ACA, while there has been an increase in the number of people with health care coverage, those same people do not necessarily have access to affordable health care. Currently, the public views the Emergency Department (ED) as a safety net by the community it serves; as demonstrated by the increasing number of people who continue to seek treatment in the ED for non-urgent problems. Utilization of the ED for non-urgent care contributes to the rising costs of healthcare as treatment in this setting can be upwards of three times the cost
DN is a growing area of physical therapy with research to support its efficacy. Currently the APTA considers DN to be a manual technique when performing in the clinic. However, when it comes to billing the technique as a modality, they do not suggest billing it under manual therapy. The APTA stance is to consult with insurance companies to determine if DN will be covered, and under what code it should then be billed. The stance identifies that due to the complexity of how to bill DN, many PTs may opt to provide DN as a cash-based program.1 There are many types of
The Affordable Care Act is one of the new policy that provides Americans with better health security by putting in place comprehensive health insurance reforms. It allows people to have expand coverage. Now a child can stay under his parents insurance until age 26. The ACA holds insurance responsible by dropping health care while guarantees more choices and enhance the quality of care. The ACA facilitates long-term care services to help people whom such care need receive it and to find ways to help make such care available not only in organizations but also in the public. They try to eliminate non-discrimination language that will restrict health insurance companies from discriminating against any health care provider. The ACA includes policies
For this reaction paper, I have chosen the topic of whether or not I believe that the Affordable Care Act (Obama Care) should be repealed, replaced with something else, or stay in its current form. I believe that Obama Care should be fully repealed. However, I don’t believe that just repealing this legislation is enough. I believe that there should be a series of reforms ready for implementation that follow free market principles and that will restore economic freedom.
The primary social problem that the Affordable Care Act (ACA) was enacted to address was for everyone to have insurance. The goal was to make insurance accessible to everyone and decrease the number of people without health insurance. The most important provisions of the law were preventive care, birth control, and prohibit exclusion of an individual with preexisting conditions, and Medicaid expansion. They addressed these problems by covering all well visits, making birth control free, allowing people with preexisting conditions get the help they need, and expanding Medicaid for the childless adults that are poor. According to Sanger-Katz and Bui (2016), the uninsured rate has gone down but there have been some difficulties with the Medicaid
The subject of insurance and how heavily the government can mandate it or not mandate it is a constant struggle in politics. There is always the question of “what kind of relationship should the government have with its people and what role should it play with businesses?” Currently, a popular subject is the Affordable Care Act (Obamacare) and it is challenging the boundaries by requiring people to have health insurance and requiring businesses to offer health insurance to everyone and anyone. Mandating insurance is a hot button subject in other areas too that we will discuss like auto insurance, workers’ compensation insurance, and professional malpractice insurance.
Christmas Eve 2009 marked an important date for the beginning of the Affordable Care Act Bill (ACA). It was on this day that the bill was passed through the Senate where the majority democratic party voted yes on this historically altering bill. While the main provision of the bill is to provide health care benefits for all American citizens the bill is a lot more than just that. With provisions that have nothing to do with health care reform, new taxes that will affect the businesses that have to follow the new regulations, and the questions raising the constitutionality of the bill the ACA is a very intriguing topic. Small businesses account for a large portion of job growth in America and there are fears that the ACA will squander this
The Affordable Care Act (ACA) was created by President Obama back in March 2010 to help reduce healthcare costs and improve healthcare quality for uninsured Americans. The ACA was implemented to reduce the cost that was growing with Medicare and Medicaid because they have increased over the years threatening the entire federal budget (Amadeo, 2017). People who are not working and are unable to cover their healthcare expenses usually end up on Medicaid which is paid for by the government. The others who are over the age of 65 are on Medicare and have their premiums supported by the federal government. However, people who make too much money or who are too young to qualify for either
The Affordable Care Act (ACA) became law on March 23, 2010. The act has been the most significant change to the U.S. health care system since the creation of Medicare and Medicaid in 1965 (French et al., 2016). ACA created new requirements for individuals, employers, healthcare providers, and insurance organizations to follow in hopes to better serve individuals in America with access to health insurance, health care cost, and the delivery of care (French et al., 2016). Since the launch of the ACA, there has been an effect Medicare spending.
The Affordable Care Act (ACA), also known as Obamacare, was officially signed into legislation in March 2010. The ACA was a major step in achieving a system of universal healthcare, which essentially means all citizens are provided with healthcare and financial protection. In the 1960’s America introduced the Medicare and Medicaid programs, which helped guarantee some type of medical insurance cover for the very poor (Medicaid) and elderly (Medicare). Even though programs like these assisted in covering the most vulnerable groups of people, many Americans still did not have healthcare insurance. The goal of the ACA reform is to ensure that all Americans are covered by some form of health insurance. The ACA promises healthcare access to
As you know my situation is messy here in Texas. As a single, young male I do not qualify for Medicaid and with the ACA expansion more people are qualifying for Medicaid depending on their state. Sadly, that is not the case for me. I live in the state of Texas which is one of nearly 20 states yet to expand its Medicaid program under the Affordable Care Act (ACA), and is home to the largest number of uninsured Americans of any state in the country. I do not meet the Medicaid requirements in Texas, available only to people with disabilities who have incomes below 75 percent of the federal poverty level; pregnant women with incomes less than 200 percent of poverty; and parents with incomes less than 19 percent of poverty. I will continue to be uninsured and as a freelance construction worker I should have coverage in case of a mishap at work. Therefore, I strongly support the idea of adding a public option to the U.S healthcare system for individuals like myself that do not qualify for Medicaid and do not have the financial means to buy health insurance on the private market.
The highest court in all of America is the Supreme Court. They decide and uphold
The Affordable Care Act (ACA) has been a primary debate topic since it was enacted in 2010. The conservatives completely disagree with the Affordable Care Act and believe that “Democrats used it as an assertion of power than they used it to improve health care conditions” (“Republican Views on Health Care”, 2014). They believe that the act was a waste of taxpayer’s dollars and would inevitably ruin our health care system. In contrast, the liberals supported the ACA and “pride themselves on the fact that health care costs are growing at the slowest rate since 1960” (“Democratic View on Health Care”, 2014). The liberals believe that every American should have access to health care by making premiums affordable. However, in order to do so
In 2010 the Affordable Care Act (ACA), also known as Obamacare, was signed into act to help reform healthcare in the United States. Before and after the act was effective, many people were concerned with how it would affect our country as a whole and on an individual basis. Many people say that the ACA is helping our country and others are not so sure. The goal of the act is to give millions of uninsured Americans access to quality health care and by also making it more affordable. Although there seems to be many positives from this act, not everyone agrees that it was the greatest idea to obtain optimal health status. As many people know, children are now allowed to stay on their parents insurance until they are twenty-six years old.