Trends in cancer care with the Affordable Care Act.

2016 ◽  
Vol 34 (7_suppl) ◽  
pp. 46-46
Author(s):  
Tasneem Kaleem ◽  
Robert Clell Miller
Keyword(s):  
Health Care ◽  
Affordable Care Act ◽  
Large Scale ◽  
Primary Care Providers ◽  
The United States ◽  
Outcome Data ◽  
Fee For Service ◽  
Care Providers ◽  
The Affordable Care Act ◽  
Set Up

46 Background: Accountable Care Organizations (ACO), as proposed by the Affordable Care Act, will change the delivery of health care in the United States. ACO serve as a network of providers with primary care providers (PCP) set up as gate-keepers for referrals to specialists. Within the next several years, many trends will emerge and drive progress of change, requiring oncologist to take a lead role to adapt to the evolving landscape of health care. Methods: Literature search of internet-based and academic sources for oncology and the Affordable Care, with a focus on ACO formation. Results: Four main expected trends and strategies to adapt to changes were formulated. Trend 1: Changes in referral patterns towards oncologists. Referral will be based on outcome data and ACO membership. Strategy: Increase communication and education to PCP and other providers. Endorse multidisciplinary clinics, which have shown to improve guideline compliance, coordination, and communication. Trend 2: Formation of large scale oncology provider groups collaborating with PCP/ACO. Physicians will be able to provide around the clock care to patients with the goal of reducing hospital visits. Strategy: Establish oncology homes with goal of reducing inpatient and ED visits by providing telephone symptom management, daily questionnaires and opportunities for end of life discussions. Trend 3: Reimbursement reform to oncologists based on quality measures. ACO can bill fee for service basis and eligibility for bonus payments based on outcomes. Strategy:Adherence to evidence based guidelines chosen by evaluating efficacy, toxicity and cost have been proven to increase quality of patient care. Trend 4: Development to pathway driven medicine.ACO structure lends to a centralized governance committee responsible in choosing guidelines for treatment within an ACO. Strategy: Oncologists should provide a voice for the field and patients when different guidelines are chosen. Conclusions: In the context of the Affordable Care Act, oncology specialists are encouraged to participate in the new organization model to ensure best outcomes for both physicians and patients. Awareness of future trends and ways to contribute will be the first step in adapting to implementation of the Affordable Care Act.

scholarly journals The Affordable Care Act: Where Are We Now? An NCCN Roundtable

2014 ◽  
Vol 12 (5S) ◽  
pp. 745-747 ◽  
Author(s):  
Christian G. Downs ◽  
Liz Fowler ◽  
Michael Kolodziej ◽  
Lee H. Newcomer ◽  
Mohammed S. Ogaily ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Affordable Care Act ◽  
The United States ◽  
Annual Conference ◽  
Care Providers ◽  
Future Challenges ◽  
The Affordable Care Act ◽  
Oncology Practice ◽  
The Impact

The Affordable Care Act (ACA) is a transformational event for health care in the United States, with multiple impacts on health care, the economy, and society. Oncologists and other health care providers are already experiencing many changes—direct and indirect, anticipated and unanticipated. A distinguished and diverse panel assembled at the NCCN 19th Annual Conference to discuss the early phase of implementation of the ACA. The roundtable touched on early successes and stumbling blocks; the impact of the ACA on contemporary oncology practice and the new risk pool facing providers, payers, and patients; and some of the current and future challenges that lie ahead for all.

Insurance Type and Access to Health Care Providers and Appointments Under the Affordable Care Act

Medical Care ◽  
2018 ◽  
Vol 56 (2) ◽  
pp. 186-192 ◽  
Author(s):  
Héctor E. Alcalá ◽  
Dylan H. Roby ◽  
David T. Grande ◽  
Ryan M. McKenna ◽  
Alexander N. Ortega
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Affordable Care Act ◽  
Access To Health Care ◽  
Care Providers ◽  
Insurance Type ◽  
Access To Health ◽  
The Affordable Care Act

What Is the Affordable Care Act a Case of? Understanding the ACA through the Comparative Method

2020 ◽  
Vol 45 (4) ◽  
pp. 677-691
Author(s):  
Holly Jarman ◽  
Scott L. Greer
Keyword(s):  
United States ◽  
Health Care ◽  
Welfare State ◽  
Affordable Care Act ◽  
Strong Support ◽  
The United States ◽  
The Us ◽  
The Affordable Care Act ◽  
Shed Light ◽  
The Welfare State

Abstract International comparisons of US health care are common but mostly focus on comparing its performance to peers or asking why the United States remains so far from universal coverage. Here the authors ask how other comparative research could shed light on the unusual politics and structure of US health care and how the US experience could bring more to international conversations about health care and the welfare state. After introducing the concept of casing—asking what the Affordable Care Act (ACA) might be a case of—the authors discuss different “casings” of the ACA: complex legislation, path dependency, demos-constraining institutions, deep social cleavages, segmentalism, or the persistence of the welfare state. Each of these pictures of the ACA has strong support in the US-focused literature. Each also cases the ACA as part of a different experience shared with other countries, with different implications for how to analyze it and what we can learn from it. The final section discusses the implications for selecting cases that might shed light on the US experience and that make the United States look less exceptional and more tractable as an object of research.

scholarly journals Clinical Diabetes Centers of Excellence: A Model for Future Adult Diabetes Care

2018 ◽  
Vol 103 (3) ◽  
pp. 809-812 ◽  
Author(s):  
Boris Draznin ◽  
Peter A Kahn ◽  
Nicole Wagner ◽  
Irl B Hirsch ◽  
Mary Korytkowski ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Diabetes Care ◽  
The United States ◽  
Clinical Diabetes ◽  
Diabetes Research ◽  
Fee For Service ◽  
Care Providers ◽  
Centers Of Excellence ◽  
Care Experience

Abstract Although diabetes research centers are well defined by National Institutes of Health, there is no clear definition for clinical Diabetes Centers of Excellence (DCOEs). There are multiple clinical diabetes centers across the United States, some established with philanthropic funding; however, it is not clear what defines a DCOE from a clinical perspective and what the future will be for these centers. In this Perspective we propose a framework to guide advancement for DCOEs. With the shift toward value-based purchasing and reimbursement and away from fee for service, defining the procedures for broader implementation of DCOEs as a way to improve population health and patient care experience (including quality and satisfaction) and reduce health care costs becomes critically important. It is prudent to implement new financial systems for compensating diabetes care that may not be provided by fiscally constrained private and academic medical centers. We envision that future clinical DCOEs would be composed of a well-defined infrastructure and six domains or pillars serving as the general guiding principles for developing expertise in diabetes care that can be readily demonstrated to stakeholders, including health care providers, patients, payers, and government agencies.

Bridging the Gulf on Health Care Policy Beyond the Affordable Care Act

2022 ◽  
Vol 7 (1) ◽  
pp. 0-0
Keyword(s):  
United States ◽  
Health Care ◽  
Health Care System ◽  
Affordable Care Act ◽  
Health Care Policy ◽  
The United States ◽  
Care Policy ◽  
Democratic System ◽  
The Affordable Care Act ◽  
Sustainable Health

This article presents a brief overview of the Affordable Care Act (ACA) and changes ushered into the health care system by the Act. The overview is followed by arguments for and against the ACA, integrating and situating the divergent arguments within the context of both democratic and conservative standpoints on health care policy. Furthermore, the article explores the possibility of identifying factors responsible for the seeming difficulty in transiting policy from agenda status to adoption in a democratic system of governance. The article concludes with suggestions on ways and strategies that can help in bridging the ostensible gap between divergent positions, with the hope of charting the course to the desired destination of an equitable and sustainable health care policy for the United States.

scholarly journals HIV Screening and the Affordable Care Act

2016 ◽  
Vol 11 (2) ◽  
pp. 233-239 ◽  
Author(s):  
Greg Carter ◽  
Christopher Owens ◽  
Hsien-Chang Lin
Keyword(s):  
Primary Care ◽  
Affordable Care Act ◽  
Health Care Disparities ◽  
Primary Care Providers ◽  
Future Research ◽  
Hiv Screening ◽  
Health Providers ◽  
Care Providers ◽  
Increased Risk ◽  
The Affordable Care Act

Men continue to bear disproportionate accounts of HIV diagnoses. The Patient Protection and Affordable Care act aims to address health care disparities by recommending preventative services, including HIV screening, expanding community health centers, and increasing the healthcare workforce. This study examined the decision making of physician and primary care health providers to provide HIV screenings. A quasi-experimental design was used to estimate the effects of the Affordable Care Act on provider-initiated HIV screening. The National Ambulatory Medical Care Survey was used to examine HIV screening characteristic from two time periods: 2009 and 2012. Logistic regression indicated that patient and provider characteristics were associated with likelihood of being prescribed HIV screening. Non-Hispanic Black men were more likely to be prescribed HIV screening compared to non-Hispanic White men (odds ratio [OR] = 12.33, 95% confidence interval [CI; 4.42, 34.46]). Men who see primary care providers were more likely to be prescribed HIV screening compared to men not seeing a primary care provider (OR = 5.94, 95% CI [2.15, 16.39]). Men between the ages of 19 and 22 were more likely to be prescribed HIV screening compared to men between the ages of 15 and 18 (OR = 6.59, 95% CI [2.16, 20.14]). Men between the ages of 23 and 25 were more likely to be prescribed HIV screening compared with men between the ages of 15 and 18 (OR = 10.13, 95% CI [3.34, 30.69]). Health education programs identifying men at increased risk for contracting HIV may account for the increased screening rates in certain populations. Future research should examine age disparities surrounding adolescent and young men HIV screening.

scholarly journals The Facts About Applying: Health Care Coverage and the Affordable Care Act

EDIS ◽  
2013 ◽  
Vol 2013 (10) ◽  
Author(s):  
Meg McAlpine ◽  
Martie Gillen
Keyword(s):  
Health Care ◽  
Health Insurance ◽  
Affordable Care Act ◽  
The United States ◽  
Health Coverage ◽  
President Obama ◽  
Health Care Coverage ◽  
The Affordable Care Act ◽  
Health Care Law ◽  
Current Plan

President Obama signed the Affordable Care Act into law in March 2010, putting in place a set of reforms to health coverage in the United States. For Americans who have health insurance, they do not have to change their current plan under the health care law. However, those who do not have coverage will have the chance to shop for health insurance starting October 1 using the new Health Insurance Marketplace. This publication reviews some common questions about the new health care law and how it will affect citizens. This 3-page fact sheet was written by Meg McAlpine and Martie Gillen, and published by the UF Department of Family Youth and Community Sciences, October 2013. http://edis.ifas.ufl.edu/fy1394

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