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Boom or bust?
Pain Medicine Post-Obama-care?
- Thread starter drusso
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Great question. Can't imagine there's anything in the bill to help with what has made pain so miserable...pre-auths, peer to peers and less $ per injection.
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I'm willing to bet regardless that somehow this will turned by insurance companies as a reason to raise rates, deny more, and pay less.
A leopard can't changes its spots.
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I can't imagine it will change much other than all of us will get a small tax cut and the medical device makers will get a big tax cut.
we will pay a little less on our personal taxes. i imagine that the PP docs might see a little kick up in their revenue if they have a heavy commercial base for their insurances and hospital based docs may be forced to see more free care/indigent. overall, not much change however. this isnt the final bill, however, so we wil see what we get.
as an aside, is there any other way to interpret Trumpcare other than it is good for the rich and bad for the poor?
as an aside, is there any other way to interpret Trumpcare other than it is good for the rich and bad for the poor?
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This bill will lower taxes for doctors and wealthy patients and result in a lot of lower-income people with pre-existing conditions losing coverage either because they can't afford it or because they can't fulfill the work requirements. If your practice includes a lot of people getting care from the exchanges, that it will effect you.
But I don't think it's worrying about at this point, it's only passed the House. Whatever passes the Senate, will be unrecognizable.
But I don't think it's worrying about at this point, it's only passed the House. Whatever passes the Senate, will be unrecognizable.
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Hard to say. Final version will be much more moderate than the house bill.
Medicaid rationing like what's going on in Oregon will continue, or accelerate as funding decreases.
Was at a NASS town hall recently, and they don't think MIPS is going anywhere. They're focusing efforts on making it more tolerable. Apparently, they're able to get face-to-face time with Price at HHS.
Krauthammer thinks there will be single payer in less than 7 years, regardless of what bill gets passed.
I still think transition to boutique is the way to go, with some independent contractor work/corporate contracts mixed in.
Medicaid rationing like what's going on in Oregon will continue, or accelerate as funding decreases.
Was at a NASS town hall recently, and they don't think MIPS is going anywhere. They're focusing efforts on making it more tolerable. Apparently, they're able to get face-to-face time with Price at HHS.
Krauthammer thinks there will be single payer in less than 7 years, regardless of what bill gets passed.
I still think transition to boutique is the way to go, with some independent contractor work/corporate contracts mixed in.
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obama knew obamacare would be a failure...but what the heck, let's destroy what was there in a more free market healthcare insurance system years ago with obamacare. So that everyone is sick and tired of this current state of affair...heck, let's just fold back to single payer system and be done with it.
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Whats going to happen to Anesthesiology post Obamacare?
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It's going to become the highest paid nursing specialty in the country...
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What's the play for a single player system? In the UK, private practice is "allowed" provided that the private practitioner provides X percentage of time seeing NHS patients.
So, I guess pain specialists be running around the county hospital in the AM writing PCA orders and seeing our private pay patients in the afternoon?
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Damn. Can't even fall back on Anesthesiology then!
It seems like either way, salaries are going to fall down.
How does an MBA sound now?
Sounds like you'd be becoming part of the problem.
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I would think this would require the Democrats to regain the presidency and house/senate (with a substantial majority) which I suppose is possible
I anticipate this is a very real possibility as trump has a very poor approval rating right now. The concern is that the next administration will be extremely progressive ala Bernie.
Single payor huh...so what happens to these large corporate practices that rely on their contracts with private insurers to pay for their exorbitant overhead?
Single payor huh...so what happens to these large corporate practices that rely on their contracts with private insurers to pay for their exorbitant overhead?
complete nonsense.
what obama passed and what he wanted to pass are distinct entities.
i dont love obamacare. dont really love trumcare, for that matter
there are a lot of financial concerns that wont just sit down for a single payer (commercial insurances, pharma, device manufacturers, etc). if it does happen, it will be a slow transition over decades
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Whatever happens to Obamacare, which will probably end up being a minor tweak, I doubt will affect us professionally. Even "single payer", which I agree is inevitable, I doubt will have much effect. There will certainly still be supplemental plans and probably medicare advantage plans which will easily out-market traditional medicare. There will still be regional MACs that will have various pre-auth requirements that we'll have to deal with. Probably eventually there will be one goliath MAC that will provide basic, communist-level, care to all. The wealthy will always have their supplementals. Basically I think what we're seeing is just a gradual shift of Medicaid from state to federal and the irreversible lack of accountability that comes with that.
