wesr_gordon Posted November 7, 2012 Share Posted November 7, 2012 How is this going to impact your field? Link to comment Share on other sites More sharing options...
RPa695 Posted November 7, 2012 Share Posted November 7, 2012 As a new graduate I am curious about this as well! Unfortunately I don't think my opinions have much to back them up, so I would like to hear what others think. Link to comment Share on other sites More sharing options...
Moderator LT_Oneal_PAC Posted November 7, 2012 Moderator Share Posted November 7, 2012 Favorably.............. Link to comment Share on other sites More sharing options...
Moderator ventana Posted November 7, 2012 Moderator Share Posted November 7, 2012 nothing but good for me changing medicare around would be bad for me.. would rather have them drop the qual age by 5 years every year till they cover everyone in the whole country and make all the insurance companies go sell additional supplemental insurnce and stay out of the basic health insurance business.... Link to comment Share on other sites More sharing options...
Hemegroup Posted November 7, 2012 Share Posted November 7, 2012 would rather have them drop the qual age by 5 years every year till they cover everyone in the whole country and make all the insurance companies go sell additional supplemental insurnce and stay out of the basic health insurance business.... oh double dutch bus yes. can you imagine? no more, "what's your insurance?" ever heard again. MRIs utilized as they should be for everyone. what a world that would be, or is, i should say, in Switzerland. ANyways, there are already a lot of geico plans popping up as i predicted there would be. i hope some type of national standard is set up for scope of coverage, besides denying pre-existing conditions. Link to comment Share on other sites More sharing options...
wesr_gordon Posted November 8, 2012 Author Share Posted November 8, 2012 But what will this do for our wage? Private hospitals and clinics? Link to comment Share on other sites More sharing options...
Gordon, PA-C Posted November 8, 2012 Share Posted November 8, 2012 Obamacare is bad for docs and PAs. What it does is force the organization of ACOs. ACOs will create giant conglomerates and buy up all of the small practices. What that means for both docs and PAs is that salaries are going down -- there will be fewer seekers of clinical services in the market as the hiring process gets consolidated. PAs trying to own their own practice are going to get pushed out by these giant ACOs. Link to comment Share on other sites More sharing options...
jmj11 Posted November 8, 2012 Share Posted November 8, 2012 Obamacare is bad for docs and PAs. What it does is force the organization of ACOs. ACOs will create giant conglomerates and buy up all of the small practices. What that means for both docs and PAs is that salaries are going down -- there will be fewer seekers of clinical services in the market as the hiring process gets consolidated. PAs trying to own their own practice are going to get pushed out by these giant ACOs. This is what I'm facing right now. However, if I can survive, the net results from Obamacare would be more insured and more patients seeking care. To compete against these big groups I have to have a niche market and a service that they don't duplicate and offer a better service. Link to comment Share on other sites More sharing options...
Cody89 Posted November 8, 2012 Share Posted November 8, 2012 As a pre-PA student, I would love some insight into this topic as well. We will all have to deal with it at this point, but some understanding would certainly help. Link to comment Share on other sites More sharing options...
Moderator EMEDPA Posted November 8, 2012 Moderator Share Posted November 8, 2012 I just watched this video for one of my courses: http://www.cato.org/multimedia/events/is-grass-really-greener-look-international-health-care-systems done by a fairly conservative think tank they still came up with the concept of extending medicare to everyone(medicare part e) who did not have private or employer paid coverage. they said it would cost 10k/yr for a family of 4. those below a certain income would get it for free(basically replacing medicaid) and those with higher incomes could choose to pay the 10k or opt for other coverage. everyone would be required to have coverage of some kind. interesting idea. I disagree with some of their concepts from the video( they don't believe the world health organization knows how to rank healthcare systems for a variety of flawed reasons) but the medicare part e concept might work. Link to comment Share on other sites More sharing options...
KCMA79 Posted November 8, 2012 Share Posted November 8, 2012 But what will this do for our wage? Private hospitals and clinics? Pay will decrease as will jobs. The bean counters will use this technique to maintain profit margins. Link to comment Share on other sites More sharing options...
CAdamsPAC Posted November 8, 2012 Share Posted November 8, 2012 BOHICA! Everyone each and all of us! Link to comment Share on other sites More sharing options...
Moderator EMEDPA Posted November 8, 2012 Moderator Share Posted November 8, 2012 Pay will decrease as will jobs. The bean counters will use this technique to maintain profit margins. wouldn't increased demand for services mean more jobs at lower wages? I think erveryone in healthcare from the docs on down will take some kind of pay cut. I don't necessarily think that is a bad thing. primary care folks are underpaid. they should make more. specialists are overpaid. they should make less. in England family medicine docs make more than surgeons because they value prevention over intervention there. Link to comment Share on other sites More sharing options...
Joelseff Posted November 8, 2012 Share Posted November 8, 2012 BOHICA! Everyone each and all of us! Lol I hope not nut had to reply just for the bohica! O haven't heard that in a while.... Sent from my myTouch_4G_Slide using Tapatalk Link to comment Share on other sites More sharing options...
Timon Posted November 8, 2012 Share Posted November 8, 2012 Let me ask then how did Medicare affect PAs when it was first introduced? I'm guessing it would be the same type of impact correct? Link to comment Share on other sites More sharing options...
Moderator EMEDPA Posted November 8, 2012 Moderator Share Posted November 8, 2012 http://en.wikipedia.org/wiki/Pareto_principle interesting concept that states that 20% of a population of almost anything is responsible for 80% of the cost or use. 20% of your wardrobe is worn 80% of the time for example or 20% of the population is responsible for 80% of the costs. that means that if you target the 20% you get more bang for your buck but in the u.s. we target the 80% of health care consumers that use only 20% of the resources to garner more political influence. kinda bass ackwards. I'm sure Physasst can add to this commentary in a productive way. Link to comment Share on other sites More sharing options...
treejay Posted November 8, 2012 Share Posted November 8, 2012 Obamacare is bad for docs and PAs. What it does is force the organization of ACOs. ACOs will create giant conglomerates and buy up all of the small practices. What that means for both docs and PAs is that salaries are going down -- there will be fewer seekers of clinical services in the market as the hiring process gets consolidated. PAs trying to own their own practice are going to get pushed out by these giant ACOs. How does Obamacare do this? What is the mechanism? This has been the trend for awhile and I am not convinced Obamacare exacerbates it in any way. One thing Obamacare does is automatically insures 33 million more people. That means a lot more jobs for PAs Link to comment Share on other sites More sharing options...
treejay Posted November 8, 2012 Share Posted November 8, 2012 Pay will decrease as will jobs. The bean counters will use this technique to maintain profit margins. How will jobs decrease if 33 million more people are insured? this is like mitt romney in that the math just doesn't add up. Link to comment Share on other sites More sharing options...
Moderator EMEDPA Posted November 8, 2012 Moderator Share Posted November 8, 2012 Let me ask then how did Medicare affect PAs when it was first introduced? I'm guessing it would be the same type of impact correct? medicare predates pa's. it was introduced by lbj in the early 60's. http://www.kff.org/medicare/timeline/pf_entire.htm Link to comment Share on other sites More sharing options...
treejay Posted November 8, 2012 Share Posted November 8, 2012 wouldn't increased demand for services mean more jobs at lower wages? I think erveryone in healthcare from the docs on down will take some kind of pay cut. I don't necessarily think that is a bad thing. primary care folks are underpaid. they should make more. specialists are overpaid. they should make less. in England family medicine docs make more than surgeons because they value prevention over intervention there. agreed re: primary care and specialties. damn right primary care should be paid more. this is how we prevent ER visits and inpatient stays which in turn will reduce spending which is the goal from a national standpoint. primary care providers need to be compensated for care coordination services and patient education, something which doesn't appear to be billable under the current system Link to comment Share on other sites More sharing options...
Moderator EMEDPA Posted November 8, 2012 Moderator Share Posted November 8, 2012 this is like mitt romney in that the math just doesn't add up. you know his real name is willard? http://en.wikipedia.org/wiki/Mitt_Romney Link to comment Share on other sites More sharing options...
Timon Posted November 8, 2012 Share Posted November 8, 2012 medicare predates pa's. it was introduced by lbj in the early 60's.http://www.kff.org/medicare/timeline/pf_entire.htm Sorry should have clarified. I remember in the 90's my father an ER Physician at the time was displeased with the changes Clinton had made. So was thinking more along that time frame. I was too young or really not educated enough to know how it impacted salaries as a result. Link to comment Share on other sites More sharing options...
treejay Posted November 8, 2012 Share Posted November 8, 2012 you know his real name is willard?http://en.wikipedia.org/wiki/Mitt_Romney and his grandfather moved to mexico so he could practice unabashed and uninhibited polygamy Link to comment Share on other sites More sharing options...
KCMA79 Posted November 8, 2012 Share Posted November 8, 2012 wouldn't increased demand for services mean more jobs at lower wages? I think erveryone in healthcare from the docs on down will take some kind of pay cut. I don't necessarily think that is a bad thing. primary care folks are underpaid. they should make more. specialists are overpaid. they should make less. in England family medicine docs make more than surgeons because they value prevention over intervention there. No, it will just mean larger patient loads and competition for resources. Patients complain now because they can't get an MRI on the same day. With the new system the wait will get longer although more utilization review will decrease the number approved but availability will be a problem. I think people are naive if they think that jobs and resources will keep pace with increased demand. Link to comment Share on other sites More sharing options...
Moderator EMEDPA Posted November 8, 2012 Moderator Share Posted November 8, 2012 I think part of the problem is that too many people get mri's who don't need them, and abx for colds, etc. some rationing is well, rational. know about this study?: http://archinte.jamanetwork.com/article.aspx?articleid=1108766 give folks what they want and their health deteriorates, they spend more days in the hospital and die sooner. bottom line, everyone shouldn't get all the healthcare they want all the time. it's bad for the system and it's bad for their health. Link to comment Share on other sites More sharing options...
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