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Sunday, December 30, 2012

ACA Impacts in 2013

Really liked this quick to read CNN article on PPACA impacts in 2013.  While most changes will not take affect until 2014, there are a few things to watch out for next year.  The big ones include:

1) Increase in Medicaid Provider payments - should be good news for docs
2) Health Insurance Exchanges "Go Live" in Oct. 2013
3) Insurers will have to publish easy to understand brochures describing their plans in a standard format; see sample here.

Saturday, December 29, 2012

A "Bundled" Surgery: the Perfect Christmas Gift?

Want a free trip to Florida or California from your employer?  No problem!  Just break a leg (literally).

Kroger and Wal-Mart are among employers now sending their staff on all-expenses paid trips to get medical care.  As described in this LA Times article, costs for routine operations can vary widely depending on the care provider.  For example, Kroger found that one hospital in particular can provide hip and knee replacement surgeries at up to 15% lower cost than other providers - while maintaining the same quality in care.  This savings in cost more than covers the cost of trip expenses to receive care at the hospital, which is located in Irvine, CA.  Additionally, there is the element of predictability - employers contract with each selected provider to pay a fixed-rate per surgery, or "episode" of care - the oh-so-trendy "bundled" payment.

Are bundled payments the future of healthcare?  I just can't wait to find out - I know you feel the same way!