The Patient Protection and Affordable Care Act: What every provider of Gynecologic Oncology care should know

2013 ◽  
Vol 129 (3) ◽  
pp. 606-612 ◽  
Author(s):  
Linda R. Duska ◽  
Carolyn L. Engelhard
Keyword(s):  
Affordable Care Act ◽  
Gynecologic Oncology ◽  
Patient Protection ◽  
Oncology Care

scholarly journals Access to Gynecologic Oncologists in Ohio: The Role of Insurance Marketplaces and the Patient Protection and Affordable Care Act

2020 ◽  
Vol I (1) ◽  
pp. 22-25
Author(s):  
Bogna N. Brzezinska
Keyword(s):  
Health Insurance ◽  
Affordable Care Act ◽  
Insurance Coverage ◽  
Gynecologic Oncology ◽  
Gynecologic Oncologist ◽  
Patient Protection ◽  
Access To Health ◽  
The Affordable Care Act ◽  
Improve Access

Background The Affordable Care Act was passed in 2010, which provided a platform for states to develop insurance marketplaces. The goal of this legislation was to improve insurance coverage by providing more affordable options to patients. One metric of the Affordable Care Act was to improve access to comprehensive cancer care. Objective To identify to the effect of the Affordable Care Act on access to Gynecologic Oncologists in Ohio. Study design The Patient Protection and Affordable Health Care Act increased access to health insurance in Ohio, through Medicaid expansion and creation of a healthcare marketplace. We accessed information on access and usage of the healthcare marketplace in Ohio through Healthinsurance.org. We identified Gynecologic Oncology practices in Ohio through the Society of Gynecologic Oncology, and confirmed these practices by telephone. We communicated with each practice and identified which practices took marketplace health insurance. We also gathered information on changes in usage from 2014-2018. We then used descriptive statistics to identify access to a Gynecologic Oncologist though these exchanges. Results In 2017, there were 238,843 people enrolled in marketplace insurance (2% of the Ohio population). We identified 11 practices in Ohio with 39 Gynecologic Oncologists, and 11 marketplace insurance providers. Of these insurers, 7 could be clearly identified as providing access to 5 different Gynecologic Oncology practices. Of the 11 practices, 5 were confirmed to accept marketplace insurance (46%). Interestingly, 3 practices were unsure whether they took patients on marketplace insurance (27%), and 3 definitively did not take patients on marketplace insurance (27%). Each practice varied with how many exchanges they accepted, with 4 out of 5 accepting insurance through more than one insurer. Conclusions About half of the Gynecologic Oncology practices in Ohio accepted insurance through the insurance marketplace, which may limit patient access to a Gynecologic Oncologist.

Physician Knowledge of and Attitudes toward the Patient Protection and Affordable Care Act

2013 ◽  
Vol 150 (2) ◽  
pp. 229-234 ◽  
Author(s):  
Daniel J. Rocke ◽  
Steven Thomas ◽  
Liana Puscas ◽  
Walter T. Lee
Keyword(s):  
Affordable Care Act ◽  
Physician Knowledge ◽  
Patient Protection

Interpretative theories as roadmaps to constitutional identity: The case of the United States

2015 ◽  
Vol 4 (3) ◽  
pp. 289-327 ◽  
Author(s):  
OR BASSOK
Keyword(s):  
United States ◽  
National Identity ◽  
Affordable Care Act ◽  
Focal Point ◽  
The United States ◽  
American Identity ◽  
American Constitution ◽  
Patient Protection ◽  
American National Identity ◽  
Constitutional Identity

AbstractAs long as the American Constitution serves as the focal point of American identity, many constitutional interpretative theories also serve as roadmaps to various visions of American constitutional identity. Using the debate over the constitutionality of the Patient Protection and Affordable Care Act, I expose the identity dimension of various interpretative theories and analyse the differences between the roadmaps offered by them. I argue that according to each of these roadmaps, courts’ authority to review legislation is required in order to protect a certain vision of American constitutional identity even at the price of thwarting Americans’ freedom to pursue their current desires. The conventional framing of interpretative theories as merely techniques to decipher the constitutional text or justifications for the Supreme Court’s countermajoritarian authority to review legislation and the disregard of their identity function is perplexing in view of the centrality of the Constitution to American national identity. I argue that this conventional framing is a result of the current understanding of American constitutional identity in terms of neutrality toward the question of the good. This reading of the Constitution as lacking any form of ideology at its core makes majority preferences the best take of current American identity, leaving constitutional theorists with the mission to justify the Court’s authority to diverge from majority preferences.

scholarly journals The Affordable Care Act (2010) and its perceived impact on assisted fertility care access: Pilot data from a national sample of women’s health practitioners in USA

2017 ◽  
Vol 3 (1) ◽  
pp. 63
Author(s):  
Denis A Vaughan ◽  
Irene Dimitriadis ◽  
Eric Scott Sills ◽  
Kelly Pagidis
Keyword(s):  
Affordable Care Act ◽  
Positive Impact ◽  
Healthcare Services ◽  
National Sample ◽  
Care Access ◽  
Patient Protection ◽  
Political Preferences ◽  
Health Practitioners ◽  
Perceived Impact ◽  
The Impact

Objective: The Patient Protection & Affordable Care Act (ACA), or “Obamacare”, represents the most substantial reform of the U.S. healthcare system since the 1965 creation of Medicare and Medicaid. This investigation sought to ascertain knowledge and opinion among physicians providing women’s healthcare services about how this national health program will impact access to fertility treatments.Methods: Between May-July 2014, doctor’s perceptions of ACA were registered by anonymous questionnaire submitted to program directors and house staff at 50 accredited obstetrics & gynecology training centers in USA. Self-reported political preferences were also tabulated for each respondent.Results: Overall, 53.3% of participants (n = 114) claimed familiarity with ACA although this varied significantly by seniority (68.8% of faculty vs. 40% of trainees; p = .003). Among respondents 54.9% identified as liberal, 23% as moderate, and 19.5% as conservative. Most physicians in this sample (51.8%) anticipated a positive impact on assisted fertility care from ACA, 17.9% predicted an adverse effect, and just under one third (30.3%) either had no opinion or were unable to make a prediction.Conclusions: This study offers the first analysis of women’s healthcare physicians’ opinion about the impact of ACA on assisted fertility services. Our report finds low general familiarity of ACA among doctors. Moreover, marked divisions of opinion exist among physicians concerning the ACA in general, as well as what role the ACA should play in the provision of assisted fertility care specifically. If U.S. physicians are to provide leadership on women’s healthcare policy initiatives with a view to reach consensus (especially with respect to assisted fertility services), improved awareness of the ACA and its sequela will be crucial.

Sign in / Sign up

Export Citation Format

Share Document