PPACA and affects on PT
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Transcript of PPACA and affects on PT
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PATIENT PROTECTION AND AFFORDABLE CARE ACT (PPACA) AND REHABILITATION SERVICES
By: Matthew Randel, SPT
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Presentation Overview Introduction Background Goals Familiarization of Terms Underpayment/Compensation(lack
thereof) Impact on Rehab Service Providers Questions
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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
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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
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Terminology Accountable Care Organization Bundled Payment Models Marketplaces (Exchanges) Navigators Essential Health Benefits Grace Period
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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
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Uncompensated Hospital Care Cost
Since 2000, hospitals of all types have provided more than $413 billion in uncompensated care to their patients
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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%)
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What does it mean cont.. Expected increases in efficiency,
productivity Increased computer reporting and
documentation expectations Continued decline in reimbursement
rates
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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?
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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