Posts Tagged ‘PPACA’
Posted by Warm Southern Breeze on Saturday, March 11, 2017
The Patient Protection and Affordable Care Act (PPACA, aka ACA, or more often as “ObamaCare”) might be analogized to an onion, insofar as:
1.) It has many layers, and;
2.) Peeling back the layers may cause tears.
Enacted in 2010, it has been decried primarily by Republicans, none of whom voted for the bill’s passage, either in the House, which approved it 219-212 with 34 Democrats voting “NO” – or in the Senate, which approved it 60-39 along party lines, with 1 Republican (Jim Bunning, KY) “Not Voting.”
The Patient Protection and Affordable Care Act contains nine titles, each addressing an essential component of reform:
1.) Quality, Affordable Health Care For All Americans
2.) The Role Of Public Programs
3.) Improving The Quality And Efficiency Of Health Care
4.) Prevention Of Chronic Disease And Improving Public Health
5.) Health Care Workforce
6.) Transparency And Program Integrity
7.) Improving Access To Innovative Medical Therapies
8.) Community Living Assistance Services And Supports
9.) Revenue Provisions
Immediate improvements through reform included:
• Eliminate lifetime and unreasonable annual limits on benefits
• Prohibit rescissions of health insurance policies
• Provide assistance for those who are uninsured because of a pre-existing condition
• Require coverage of preventive services and immunizations
• Extend dependent coverage up to age 26
• Develop uniform coverage documents so consumers can make apples to apples comparisons when shopping for health insurance
• Cap insurance company non-medical, administrative expenditures
• Ensure consumers have access to an effective appeals process and provide consumers a place to turn for assistance navigating the appeals process and accessing their coverage
• Create a temporary re-insurance program to support coverage for early retirees
• Establish an Internet portal to assist Americans in identifying coverage options
• Facilitate administrative simplification to lower health system costs
While no law is perfect – and the ACA is not perfect – there are provisions within it which many think worthy of keeping, notable among them, provisions for guaranteed coverage, prohibiting cancellation, extending dependent’s coverage, removing annual & lifetime limits, Read the rest of this entry »
Posted in - Do you feel like we do, Dr. Who?, - My Hometown is the sweetest place I know, - Politics... that "dirty" little "game" that first begins in the home. | Tagged: ACA, Adiministrative Code, Affordable Care Act, AL, Alabama, Centers for Medicare and Medicaid Services, Children's Health Insurance Program, CHIP, CMS, Code of Alabama, Congress, GOP, health, health insurance, healthcare, House, insurance, law, Medicaid, Medicare, Obama, Obamacare, Patient Protection and Affordable Care Act, politicians, politics, PPACA, public health, reform, Republicans, senate, sunshine laws | Leave a Comment »
Posted by Warm Southern Breeze on Tuesday, December 6, 2016
Fact is, “ObamaCare” – which is properly known as the Patient Protection and Affordable Care Act, or ACA for short – though it’s monikered with POTUS Obama’s name, was largely a Republican brainchild from the über-conservative Heritage Institution.
The cornerstone of the act is predicated upon two items which are the very heart of the act: 1.) Guaranteed Coverage, and; 2.) Community Rating.
In was, in essence Read the rest of this entry »
Posted in - Business... None of yours, - Do you feel like we do, Dr. Who? | Tagged: ACA, Affordable Care Act, avarice, Big Pharma, business, competition, costs, enterprise, Free Market, greed, health, health insurance, healthcare, hospital, insurance, market, Medicare, Medicare for All, medicine, money, monopoly, Obama, Obamacare, oligopoly, power, PPACA, premiums, profit, rates, Return On Investment, ROI, shareholder, single payer, Wall Street, wealth | Leave a Comment »
Posted by Warm Southern Breeze on Sunday, November 13, 2016
November 12, 2016
Day 4: The shit’s starting to hit the fam… er, fan
Donald Trump, the GOP Presidential nominee who appears to have won the 2016 General Election, has reportedly made remarks that he might not, after all, as he proclaimed in his “Contract with the American Voter” that he would “5.) Repeal and Replace Obamacare Act. Fully repeals Obamacare and replaces it with Health Savings Accounts, the ability to purchase health insurance across state lines…”
According to his first post-election interview, which was exclusive to the Wall Street Journal, “President-elect Donald Trump said he would consider leaving in place certain parts of the Affordable Care Act,” and that “Mr. Trump said he favors keeping the prohibition against insurers denying coverage because of patients’ existing conditions, and a provision that allows parents to provide years of additional coverage for children [up to age 26] on their insurance policies.”
Regular readers will recall that yesterday I had made the same observation, that portions of the law are worth keeping.
President-elect Donald Trump leaves a meeting with Senate Majority Leader Mitch McConnell (R-KY), at the U.S. Capitol November 10, 2016 in Washington, DC Zach Gibson/Getty Images
Senate Majority Leader Mitch McConnell (KY, R) has pointedly said he opposes and will refuse Trump’s first order of business in his Contract with the American Voter which is “Constitutional Amendment for Congressional Term Limits.” The Senator, who has been in office since 1984 (32 years), said, “I would say we have term limits now. They’re called elections. And it will not be on the agenda in the Senate.”
Furthermore, McConnnell has also said that he’s opposed to Read the rest of this entry »
Posted in - Did they REALLY say that?, - Politics... that "dirty" little "game" that first begins in the home., - Read 'em and weep: The Daily News | Tagged: 2016, 2016 General Election, ACA, Beltway, Democrat, Donald Trump, election, General Election, GOP, government, healthcare, impeachment, Mitch McConnell, Obamacare, policy, politics, PPACA, President-elect, Republican, Trump, Wall Street Journal, WaPo, Washington D.C., Washington Post, WSJ | 1 Comment »
Posted by Warm Southern Breeze on Monday, October 31, 2016
Some have accurately, and justifiably observed that the Affordable Care Act, also colloquially known as “ObamaCare,” is a big fat, sloppy wet kiss to the Big Insurance industry and their for-profit, Wall $treet corporate masters, because their profits have continued to soar since it’s inception. Note that UnitedHealth Group reported a profit of $11 billion (on revenues of more than $157 billion) in 2015, up from $10.3 billion (on revenues of $131 billion) in 2014. Consider also how Anthem’s business changed in just one recent year. At the end of 2014, the majority of Anthem’s revenues still came from its Commercial Health Insurance customers. During 2015, however, revenues from their commercial operations actually declined 4.2%, to $37.6 billion, while revenues from their government operations skyrocketed 21%, to $40.1 billion. A significant reason why, is because of the big investments Insurance Companies continue to make in House and Senate campaigns. As a result, the Insurance Industry’s tentacles will likely only get deeper into both the Medicare and Medicaid programs.
Medical equipment is pictured on the wall of an examination room inside a Kaiser Permanente health clinic located inside a Target retail department store in San Diego, California November 17, 2014. Four clinics are scheduled to open to provide pediatric and adolescent care, well-woman care, family planning, and management of chronic conditions like diabetes and high blood pressure for Kaiser members and non-members. REUTERS/Mike Blake (UNITED STATES – Tags: HEALTH BUSINESS SOCIETY) Fair Use
It’s that time of year again. Insurance companies that participate in the Affordable Care Act’s state health exchanges are signaling that prices will rise dramatically this fall.
And if insurance costs aren’t enough of a crisis, researchers are highlighting deficiencies in health care quality, such as unnecessary tests and procedures that cause patient harm, medical errors bred by disjointed or fragmented care and disparities in service distribution.
While critics emphasize the ACA’s shortcomings, cost and quality issues have long plagued the U.S. health care system. As my research demonstrates, we have these problems because insurance companies are at the center of the system, where they both finance and manage medical care.
If this system is so flawed, how did we get stuck with it in the first place?
Answer: Organized physicians.
As I explain in my book, “Ensuring America’s Health: The Public Creation of the Corporate Health Care System,” from the 1930s through the 1960s, the American Medical Association, the foremost professional organization for physicians, played a leading role in implementing the insurance company model.
What existed before health insurance companies?
Between the 1900s and the 1940s, patients flocked to what were called “prepaid physician groups,” or “prepaid doctor groups.”
Prepaid groups offered inexpensive health care because Read the rest of this entry »
Posted in - Business... None of yours, - Do you feel like we do, Dr. Who?, - Politics... that "dirty" little "game" that first begins in the home. | Tagged: ACA, Affordable Care Act, Agency for Healthcare Research and Quality, business, campaign, Campaign finance, Congress, cost, exchanges, Harry Truman, health, Health Business Society, healthcare, House, insurance, law, LBJ, Lyndon B. Johnson, Medicaid, medical care, Medicare, medicine, money, Obamacare, Patient Protection and Affordable Care Act, PPACA, senate, single payer, Truman, universal healthcare | Leave a Comment »
Posted by Warm Southern Breeze on Monday, September 19, 2016
As of the date of this posting – Monday, 19 September 2016 – there are 19 states which have NOT Expanded Medicaid, and Alabama is one of those 19.
In alphabetical order, they are:
Current Condition of Medicaid Expansion
Has YOUR state expanded Medicaid?
10.) North Carolina
12.) South Carolina
13.) South Dakota
Lack Of Medicaid Expansion Hurts Rural Hospitals More Than Urban Facilities
It isn’t news that in rural parts of the country, people have a harder time accessing good health care. But new evidence suggests opposition to a key part of the 2010 health overhaul could be adding to the gap.
The finding comes from a study published Wednesday in the journal Health Affairs, which analyzes how the states’ decisions on implementing the federal health law’s expansion of Medicaid, a federal-state insurance program for low-income people, may be influencing rural hospitals’ financial stability. Nineteen states opted not to join the expansion.
Rural hospitals have long argued they were hurt by the lack of Medicaid expansion, which leaves many of their patients without insurance coverage and strains the hospitals’ ability to better serve the public. The study suggests they have a point.
Specifically, the researchers, from the University of North Carolina Chapel Hill, found that Read the rest of this entry »
Posted in - Business... None of yours, - Do you feel like we do, Dr. Who?, - My Hometown is the sweetest place I know, - Politics... that "dirty" little "game" that first begins in the home., - Read 'em and weep: The Daily News | Tagged: ACA, Affordable Care Act, Disparities, health insurance, healthcare, hospitals, law, Medicaid, Medicaid Expansion, money, Obamacare, PPACA, profitability, research, Revenue, rural, States, study | Leave a Comment »
Posted by Warm Southern Breeze on Wednesday, July 2, 2014
This just gets creepier and creepier.
In light of these recent revelations, perhaps the SCOTUS might want to vacate their decision.
Hobby Lobby Funded Disgraced Fundamentalist Christian Leader Accused of Harassing Dozens of Women
Wed Jul. 2, 2014 6:00 AM EDT
For a decade or so, Hobby Lobby and its owners, the Green family, have been generous benefactors of a Christian ministry that until recently was run by Bill Gothard, a controversial religious leader who has long promoted a strict and authoritarian version of Christianity. Gothard, a prominent champion of Christian home-schooling, has decried the evils of dating, rock music, and Cabbage Patch dolls ; claimed public education teaches children “how to commit suicide” and undermines spirituality; contended that mental illness is merely “varying degrees of irresponsibility”; and urged wives to “submit to the leadership” of their husbands. Critics of Gothard have associated him with Christian Reconstructionism , an ultrafundamentalist movement that yearns for a theocracy, and accused him of running a cultlike organization. In March, he was pressured to resign from his ministry, the Institute in Basic Life Principles, after being accused by more than 30 women of sexual harassment and molestation—a charge Gothard denies.
The Institute traces it origins to 1964, when Gothard designed a college seminar based on biblical principles to help teenagers. The ministry says it was established “for the purpose of introducing people to the Lord Jesus Christ” and to give individuals, families, businesses, and governments “clear instruction and training on how to find success by following God’s principles found in Scripture.” The group, which operates what it calls “training centers” across the United States and abroad, says more than 2.5 million people have attended its paid events, which have brought in tens of millions of dollars in revenue. Gothard and the Institute have drawn support from conservative politicians, including Mike Huckabee, Sarah Palin, and former Georgia Gov. Sonny Perdue. The Duggar family, the stars of the reality show 19 Kids and Counting, have been high-profile advocates of Gothard’s home-schooling curriculum and seminars. (One of Gothard’s alleged victims has called on the Duggars to break with Gothard and the Institute.) Don Venoit, a conservative evangelical who has long been a critic of Gothard, contends that Gothard’s approach to Christian theology emphasizing obedience to authority creates a “culture of fear.” In 1984, Ronald Allen, now a professor of Bible exposition at Dallas Theological Seminary, observed that Gothard’s teachings were “a parody of patriarchalism” and “the basest form of male chauvinism I have ever heard in a Christian context.” He added, “Gothard has lost the biblical balance of the relationship between women and men as equals in relationship. His view is basically anti-woman.”
Posted in - Did they REALLY say that?, - Faith, Religion, Goodness - What is the Soul of a man?, - Politics... that "dirty" little "game" that first begins in the home., - Read 'em and weep: The Daily News | Tagged: abuse, ACA, Affordable Care Act, AR, Arkansas, asshole, bigot, Bill Gothard, birth control, Can you smell the hypocrisy cooking?, contraception, contraceptives, creep, creepy, cult, dirtball, evangelical, fanatic, fundamentalist, fundy, geotag, geotagged, health, health insurance, Hobby Lobby, Hobby Lobby Store, Hobby Lobby Stores, hypocrit, IBLP, Institute in Basic Life Principles, insurance, lawsuit, Little Rock, millionaire, Nashville, Obamacare, oral, Patient Protection and Affordable Care Act, PPACA, Protestant, religion, reproduction, SCOTUS, scum, sexual abuse, sicko, Tennessee, TN, war on women, women | Leave a Comment »
Posted by Warm Southern Breeze on Friday, May 9, 2014
If Alabamians can’t work because they’re sick, and can’t get care because they’re poor, they can’t be productive citizens.
Should we just throw ’em to the wolves?
What will become of Alabama’s present, much less it’s future?
Alabama medical students argue for expansion of Medicaid
on May 07, 2014 at 9:39 AM, updated May 07, 2014 at 9:51 AM
By Swaroop Vitta and Davis Bradford
In medical school, our professors often show us maps of the U.S. illustrating where diseases strike hardest and where patient outcomes are the worst. Most of the time, Alabama is red, really red. Red is bad. So bad that over 600,000 Alabamians are uninsured and have limited to no access to health care.
Alabama is our home and this state’s spirit of compassion made us who we are. Every Sunday a small group of us with other medical students and volunteer physicians heads to a homeless shelter across from Regions Field that houses our free clinic. As we open our doors to many men and women that could not otherwise see a physician, we see first-hand what life without health insurance in Alabama is like.
Ms. C, a hardworking Alabamian, came into clinic with a terrible headache. It turned out that it was due to emergently high blood pressure. Ordinarily, this is easily treatable, but because Ms. C had gone without care for so long, she was now in danger of a stroke. Only the emergency room could provide relief. But for Ms. C, like so many others in Alabama, that relief was accompanied by a bill she could never pay with the risk of unsurmountable debt. Ms. C has since become our regular patient. While her health has improved, there is only so much a group of well-intentioned medical students can do.
Had Ms. C received medical care during the years before we saw her, her high blood pressure could have been controlled before it left her with permanent injuries. Despite treatment, the chronic issues from those years without care now leave her unable to work. And at 58 years of age, her options are running low.
Even when work was an option, Ms. C’s income was Read the rest of this entry »
Posted in - Do you feel like we do, Dr. Who?, - Faith, Religion, Goodness - What is the Soul of a man?, - Lost In Space: TOTALLY Discombobulated, - My Hometown is the sweetest place I know | Tagged: ACA, Affordable Care Act, Alabama, economy, governor, Governor Bentley, health, healthcare, heatlh insurance, hypocrisy, industry, insurance, jobs, law, Medicaid, medical, news, Obamacare, Patient Protection and Affordable Care Act, poor, poverty, PPACA, Robert Bentley, school, students, UAB, University of Alabama at Birmingham | Leave a Comment »
Posted by Warm Southern Breeze on Friday, December 20, 2013
Did you know? (No, you probably didn’t.)
In a report dated August 2013, the Department of Health and Human Services Office of Inspector General (HHS OIG) conducted a criminal and administrative investigation and found that Alabama claimed, and was paid millions in unallowable performance bonus payments under the Children’s Health Insurance Program Reauthorization Act (CHIRPA).
This FRAUD was because of INCOMPETENCY in Alabama governance.
The HHS OIG found that the Alabama state agency overstated its FYs 2009 and 2010 current enrollment in its requests for bonus payments. The State agency overstated its current enrollments because, rather than Read the rest of this entry »
Posted in - Business... None of yours, - My Hometown is the sweetest place I know, - Read 'em and weep: The Daily News | Tagged: abuse, ACA, Alabama, Alabama Legislature, Associated Press, Barack Obama, Bentley, budget, Centers for Medicare and Medicaid Services, children, CHIP, CHIRPA, CMS, Crimson Tide, defraud, federal, Federal government of the United States, fraud, GOP, government, governor, health, HHS, incompetence, incompetency, insurance, Medicaid, Mississippi, money, Montgomery Alabama, news, Obamacare, OIG, Patient Protection and Affordable Care Act, politics, PPACA, quiet, Republican, Robert Bentley, Robert J. Bentley, State Children's Health Insurance Program, United States, waste | 2 Comments »
Posted by Warm Southern Breeze on Thursday, June 27, 2013
If you had an option, would you rather pay $10/month, or $80/month for a prescription medication that accomplished/did the exact same thing?
Research shows that the results of the 2 differently priced medicines have never been shown to be any better in any way.
Which would you choose?
What if your doctor prescribed the more expensive medication for you based on the fact that Read the rest of this entry »
Posted in - Do you feel like we do, Dr. Who?, - Read 'em and weep: The Daily News | Tagged: $62 billion, abuse, ACA, Affordable Care Act, Archives of Internal Medicine, avarice, Big Pharma, biotech, blood pressure, cardiology, cheat, crime, DO, doctor, drug, elderly, ethics, Forest Laboratories, fraud, GPO, greed, group purchasing organizations, health, healthcare, honesty, kickback, law, lie, manufacturers, MD, Medicaid, Medical device, Medicare, medication, medicine, money, Obamacare, patient, pharmaceutical, physician, PPACA, ProPublica, steal, taxes, taxpayer, teaching hospital, Thomas Aquinas, waste | Leave a Comment »
Posted by Warm Southern Breeze on Wednesday, August 29, 2012
The truth speaks for itself.—
Is Obamacare a Government Takeover of Medicine?
Carolyn McClanahan, Contributor
Physician/Financial Planner. I discuss all things money and medicine.
8/28/2012 @ 10:32PM
The purpose of this blog is to educate non-policy wonks on the content of the Affordable Care Act, discuss the practical logistics of how the law will be implemented, and share my perspective on potential “good” and “bad” of the law. The law is far from perfect, but it is the most significant attempt our country has ever made at reforming our costly and inefficient health care system. In case you are a reader who thinks the entire law is “bad,” I implore you to learn about the ten sections of the law in this previous post.
In addition to speaking gigs, I also do “talk radio” about once a month. The questions I’m asked give some indication of where education on the ACA is lacking. One refrain I’ve heard over and over is that Obamacare is a “government takeover” of medicine. This post explores that concept.
“Government takeover” fears seem to take on several different variations.
• Medicine will be a government run entity – doctors will be employed by the government and care will be paid for by the government.
• All of the doctors will be employed by the government, but insurance companies will still exist.
• The government will dictate what doctors can and cannot do.
• The government will make it so onerous to practice medicine that everyone will quit.
• If the government has one iota of involvement in any form, it is a government takeover.
So what really happens with the Affordable Care Act? Read the rest of this entry »
Posted in - Did they REALLY say that?, - Do you feel like we do, Dr. Who?, - Politics... that "dirty" little "game" that first begins in the home. | Tagged: ACA, Affordable Care Act, health, health care, health insurance, healthcare, insurance, Medicaid, Medicare, Obamacare, Patient Protection and Affordable Care Act, PPACA, United States, Wikipedia | Leave a Comment »
Posted by Warm Southern Breeze on Sunday, January 22, 2012
Among conservatives, there’s little argument that Obamacare should be abolished. ‘It’s time to get government out of our lives,’ they say.
They make many very valid points. Those same folks have expressed concerns that instead, Read the rest of this entry »
Posted in - Did they REALLY say that?, - Faith, Religion, Goodness - What is the Soul of a man? | Tagged: business, Financial Services, health, health insurance, insurance, Medicare, Mitt Romney, Obamacare, Patient Protection and Affordable Care Act, PPACA, United States | 4 Comments »