The recent Presidential election and subsequent Inauguration clearly had serious implications for the field of health care and ASC’s regardless of one’s political leanings. The liberal wing of the Democratic Party was concerned that a Romney administration would put an end to one of the most noteworthy pieces of social legislation in recent memory. At the same time, the Conservative arm of the Republican Party believed that a second term for President Obama would prove to be the catalyst for the implementation of a monstrous entitlement program. For those in the field of health care though, the biggest source of anxiety as Election Day drew near was the thought that this issue would leave the system in total chaos.
Some Reform but More to Come
Even though the Affordable Care Act will not be fully operational until 2014, there has already been a massive amount of money exchanged since the first phase of reform was put in place in 2010. For example, many young adults who are up to 26 years of age have been added to their parent’s health insurance policies. Another new option available was that people under the age of 65 who are covered by private health insurance have now been offered an array of free wellness benefits; and in 2012 a report from HHS showed about 54 million had taken advantage of them. Also, some states have already begun to set up consumer assistance bureaus for the benefit of consumers and to create the infrastructure for an exchange that will facilitate the purchase and sale of private health insurance options. Putting an end to what had already been set in motion would very likely have created a sense utter pandemonium.
But when the Supreme Court upheld the constitutional nature of the health reform in 2012, the challenge of legitimacy was effectively squelched. With the re-election of President Obama, Administration officials will now be in place during the full-scale implementation of the law, which should imply that patients and providers alike can expect the Affordable Care Act to be put into effect methodically in the coming years. It has also been reported recently that new regulations regarding reform were held back prior to the election to avoid added controversy. Because of this, it can be expected that a stockpile of regulations will be quickly released in the near future; with some of them possibly addressing the question of what expenses and services will be required under the new reform.
The governors of many states will now have to make the choice of whether or not they wish to create an insurance marketplace to regulate small business and individual health plans. If a state chooses not to set up such an exchange, the federal government will step in instead. Governors and legislatures on the state level will also have to decide whether they wish to allow wider eligibility for the public option insurance program. It has also been reported that some Republicans are expected to get on board with certain aspects of the law now that it has firmly been set in place.
Leaders of Ambulatory Surgery Centers across the country seem to be in agreement that the currently divided Congress should prevent any further funding by the Government. Some suggest that ASC lobby efforts should be promoted. Others ponder whether or not the new Act could be good for ASCs, since it will require that a greater number will be insured. Will a greater number of insured patients increase the volume at ASC facilities? If so, will these facilities find a way to prosper even though the reimbursement level has decreased? A majority of the leaders in the ASC world appear to agree that whatever adversities arise; they can be overcome once the rules have been fully revealed. What the rules are and how they will be carried out should become ever clearer in the near future.