While health exchanges and the Medicaid expansion grab most of the headlines, media outlets explore other, lesser-known provisions soon to take effect.
CQ HealthBeat: Health Law In The New Year: It's Not Just Exchanges And Medicaid
There's a lot happening in coming weeks to implement the health care law that has nothing to do with what everyone has been talking about in recent days -; standing up health insurance exchanges, expanding Medicaid and establishing a new regulatory structure for the insurance market. Just consider the changes that occur starting Jan. 1. That day marks the start of the Medicare bundled payment pilot. It's a form of reimbursement that policy analysts hope will help bend down the upward curve in health care spending, together with other strategies. Hospitals, doctors and nursing facilities taking part in the Bundled Payments for Care Improvement Initiative will get one payment for multiple services a patient receives during an episode of care (Reichard, 11/28).
Politico: ACA Boosts 'Shared Decision-Making'
What can they do when everyone seems to be trying to push aggressive, expensive treatments on them? One solution -; or a partial solution -; is known as shared decision making, in which patients are given specific tools, such as easy-to-understand videos laying out the pros and cons of treatment choices, to help them make decisions along with their doctors (Kenen, 11/29).
Bloomberg: Unaffordable Costs Seen For Some Under Affordable Care Act
To Megan Hildebrandt, President Barack Obama's Affordable Care Act means she can no longer be denied health insurance because of her lymphatic cancer. There's a big catch: Coverage for the 28-year-old artist and many other Americans without insurance will come at a potentially unaffordable cost. ... The landmark health-care law, which survived the threats of repeal and a Supreme Court review, now confronts another hurdle: living up to expectations. As the administration spells out the details, many uninsured will be surprised at how much they will have to pay (Faler, 11/28).