Healthcare Valuation: The Four Pillars of Healthcare Value, Volume 1

CHAPTER 6

Healthcare Reform

6.1 Overview

6.2 Initiatives Leading to Healthcare Reform

6.3 Drivers of Healthcare Reform

6.3.1 Rising Healthcare Costs

6.3.2 Physician Manpower and Workforce Changes

6.3.3 Changing Patient Populations

6.3.4 Shifting Reimbursement Trends

6.3.5 Demand for Quality Improvements

6.4 Patient Protection and Affordable Care Act (ACA)

6.4.1 Impact on Individuals

6.4.2 Impact on Employers

6.4.3 Impact on Insurers

6.4.4 Impact on Providers

6.4.5 Fraud and Abuse Initiatives

6.5 Paying for Healthcare Reform

6.5.1 Tax Revenues

6.5.2 Public Programs

6.6 Future of the ACA

6.7 Conclusion: Future of U.S. Healthcare Delivery in an Era of Reform

6.8 Key Sources

6.1 OVERVIEW

In the last century, U.S. healthcare reform has historically been driven by complex, polar, and potentially conflicting sociopolitical, economic, demographic, and market factors, manifested by increased spending, a growing and aging population, workforce disruptions, increased prevalence and incidence of chronic and acute medical condition, and inefficient delivery and shortcomings in translating emerging technologies into the delivery of quality and affordable care. While the passage of President Barack Obama's signature healthcare reform initiatives (often referred to as “Obamacare”), through the March 23, 2010, enactment of the Patient Protection and Affordable Care Act and the March 25, 2010, passage of the Health Care and Education Reconciliation Act of 2010 (hereinafter referred to as the “ACA”), ...