Download - PPACA and affects on PT
PATIENT PROTECTION AND AFFORDABLE CARE ACT (PPACA) AND REHABILITATION SERVICES
By: Matthew Randel, SPT
Presentation Overview Introduction Background Goals Familiarization of Terms Underpayment/Compensation(lack
thereof) Impact on Rehab Service Providers Questions
The Patient Protection and Affordable Care Act was signed into law on March 23, 2010
Health Care and Education Reconciliation Act on March 30, 2010
Goals of the PPACA The Affordable Care Act provides
Americans with better health security by putting in place comprehensive health insurance reforms that will: Expand coverage* Hold insurance companies accountable Lower health care costs Guarantee more choice Enhance the quality of care for all Americans
Terminology Accountable Care Organization Bundled Payment Models Marketplaces (Exchanges) Navigators Essential Health Benefits Grace Period
Underpayment Hospital Care Cost
Combined underpayments were $56 billion in 2012 This includes a shortfall of $42.3 billion for
Medicare and $13.7 billion for Medicaid Medicare
86 cents for every dollar spent by hospitals Medicaid
89 cents for every dollar spent by hospitals
Uncompensated Hospital Care Cost
Since 2000, hospitals of all types have provided more than $413 billion in uncompensated care to their patients
What does it mean for us? Increased amount of insured
citizens Increased demand for
rehabilitation services Increased demand for PT,
PTA, OT, SLP Physical Therapist jobs (39%) Physical Therapy Assistant
jobs (46%) Occupational Therapy jobs
(33%) Certified Occupational
Therapy Jobs (41%) Speech Language Pathologist
Jobs (23%)
What does it mean cont.. Expected increases in efficiency,
productivity Increased computer reporting and
documentation expectations Continued decline in reimbursement
rates
Personal Lingering Questions
How will we as healthcare providers keep up with the demands?
Will the increase in demand affect our way of implementing autonomous, evidence-based practice?
What will the long-term consequences be?
References http://myptsolutions.com/the-affordable-care-act-is-here-to-
stay/ http://www.apta.org/HealthCareReform/ http://www.webpt.com/blog/post/5-ways-affordable-care-act-
impacting-physical-therapists http://www.emory.edu/ACAD_EXCHANGE/2010/fall/kapasi.html http://www.aha.org/research/policy/finfactsheets.shtml http://www.medicare.gov/about-us/affordable-care-act/
affordable-care-act.html http://www.heritage.org/research/reports/2014/03/the-impact-
of-the-affordable-care-act-on-the-health-care-workforce http://kaiserfamilyfoundation.files.wordpress.com/
2011/04/8061-021.pdf