Can We Get Back to Kansas, Toto? If the Affordable Care Act is Repealed, Then What?

Ever since the United States Supreme Court ruled in the 2012 Sebelius decision that requiring individuals to purchase health insurance was constitutional, opponents have vowed to repeal the Affordable Care Act (ACA, or, as more popularly known, Obamacare). Even after the 2015 King v Burwell decision, when the Court upheld government subsidies underwriting premiums in states that had not… Continue reading Can We Get Back to Kansas, Toto? If the Affordable Care Act is Repealed, Then What?

“And Then There’s Statistics”—The Hospital Readmissions Reduction Program

Reducing readmissions to hospitals is sound medical and administrative policy. No one who’s been admitted for surgery, illness, or injury wants to return shortly after discharge because of an infected incision or some other complication. These readmissions are also costly, and the Center for Medicare/Medicaid Services (CMS) was tasked with reducing Medicare Fee-for-Service readmission rates.… Continue reading “And Then There’s Statistics”—The Hospital Readmissions Reduction Program

Preventive Care -Don’t Assume You’re Covered

One of the selling points of the Affordable Care Act was the promise of free preventive care. Indeed, a reading of the Explanation of Benefits (EOB) from your health insurance policy most likely lists a fully-covered annual “well” visit for individuals and family members, with women usually granted an additional visit covered at 100% with… Continue reading Preventive Care -Don’t Assume You’re Covered