HCR Monthly Blog

The IRS: Healthcare Reform “Enforcers” and More…

January 17th, 2012 Tom Norton

So it’s 2012 and a year of consequence for healthcare reform is ahead of us.  Aside from the ten key elements of the law that are scheduled to kick in this year (http://tinyurl.com/5u2f8e6), a slew of ongoing HCR programs and actions are about to become very important to all Americans in 2012.  Here’s a quick list of some key HCR Developments for the next twelve months… Read More…

 

The ‘S’ Word in Healthcare Reform

December 20th, 2011 Tom Norton

In little more than two years, the main elements of the HCR will take hold across the nation. As implementation continues to ramp up, one of the more intriguing questions surrounding its activation is, is the “S” word being realized?…That is, “S” as in “savings.” Are the much publicized “savings” that were projected in early 2010 actually occurring as we head towards January 1, 2014?

The savings, according to the final 2010 CBO estimate, would provide a “net reduction in federal deficits of $143 billion…over the 2010–2019 period as result of changes in direct spending and revenues.”

Further, in August 2010, an NEJM article co-authored by Peter Orzag and Ezekiel Emanuel, MD, estimated that by 2030, total HCR savings would be up to $1 trillion.

Now, however, as various HCR elements meet the real world, many of the “savings” have proved illusory, if not completely unachievable.

To illustrate these difficulties, let’s take a look at the current status of “savings” in three key programs — Medicare Advantage, the CLASS Act, and ACOs. Read More…

 

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