Dr. Colin Cooke Highlights Healthcare Reform's Effects on Pulmonary Medicine
Colin Cooke, MD, MSc, Assistant Professor of Medicine, University of Michigan, Ann Arbor, MI, says that hospitals with higher readmission rates that treat patients with acute myocardial infarction, congestive heart failure, and pneumonia will be penalized due to healthcare reform. In 2015, chronic obtrusive pulmonary disease (COPD) will be added to the list of conditions measured. However, there is less evidence underlying readmissions in COPD. Dr Cooke notes that more research is needed regarding readmissions in COPD since it will be affected by the Affordable Care Act.
This video was taken on May 19, 2013, at the ATS 2013 International Conference in Philadelphia, PA.
A study of 8 states that chose to expand Medicaid coverage under the Affordable Care Act found budget savings of $1.8 billion as well as revenue gains by the end of 2015, just one-and-a-half years into expansion.
Missouri already spends $1.2 billion on Medicaid managed care in less than half its counties. The new plan would extend managed care to all Medicaid clients except the blind, disabled, and elderly. Meanwhile, in North Carolina, the CEO of the Medical Society argued against moving Medicaid to managed care, citing problems in other states.
Health insurance policies with high deductibles, high coinsurance rates, and high maximum out-of-pocket limits have become de rigueur under employment-based health insurance in the US. They also are de rigueur for the health insurance coverage sold by private health plans on the insurance exchanges under Obamacare.
Studies have shown that income is tied to most matters of health, including life expectancy, prevalence of diseases, and health behaviors. The Urban Institute and the Center on Society and Health have analyzed emerging evidence and prospects of income-related policies that work to improve population health.