SECOND OPINION

Impact of the Affordable Care Act

In your opinion, what has been the most significant impact of the Affordable Care Act on your practice so far? What do you expect to change in the coming year?

3 Responses
Amy L. Dunn, MD
January 6, 2016

There are really two major impacts of the ACA for persons with bleeding disorders. The first is lifting lifetime caps. Because the cost of products to treat bleeding disorders is very high, it was not uncommon for even young children to reach life-time caps.

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Charles Elmaraghy, MD
January 6, 2016

The most significant impact on our practice at Nationwide Children’s Hospital is the emphasis on quality-based practice. We always strive for the highest possible quality and outcomes and the Affordable Care Act (ACA) has overlapped with several initiatives at Nationwide Children’s to ensure we are delivering care at a level that coincides with the initiatives in the ACA. In addition, the emphasis on evidence-based medicine and the justification of devices and/or treatments that have higher cost has prompted our practice to look carefully at our choices for our patients. In the coming year, we may see more competitive pricing from drug and device companies in order to stay consistent with the ACA. From a surgeon’s perspective, we will continue to look critically at areas for improvement in quality and cost-efficiency.

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Anup Patel, MD
January 6, 2016

Thus far, we have not had a major impact as we are fairly cost effective in epilepsy management here at Nationwide Children’s Hospital. Since I am the associate medical director for Partner for Kids, we have been working on projects that serve the Triple Aim of Healthcare.

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