Sunday, June 30, 2013

Health Care: A Year in Review

Hello from sunny San Diego!

Since Saturday evening, I have been attending various meetings and lectures at the American Health Lawyers Association (AHLA) Annual Meeting.  Yesterday I sat alongside in-house counsel from around the country learning about how the ACA, Mobile Health, ACOs, and HIPAA are affecting generals counsel of health care organizations.



Today, the AHLA Annual Meeting kicks off with a "Year in Review." Here are some highlights from the past year in healthcare law:

     - More U.S. Supreme Court cases than ever before in the area of health care.

     - An avalanche of regulations in every area of health care.

     - Americans are dead last, because they are dead first:
          -- Americans have the shortest life expectancy in the developed world.
          -- US men rank last and women rank next to last.

     - Unnecessary medical services add up to $210 billion, an amount that would cover all 
        uninsured Americans. (Institute of Medicine)

     - "[T]he American health care market has transformed tax-exempt 'nonprofit' hospitals into the 
        towns' most profitable businesses and largest employers, often presided over by the regions'  
        most richly compensated executives." (Steven Brill, The Bitter Pill)

     - Under Medicare, a procedure is billed 3x more if the doctor is a hospital employee, than if the  
       hospital is independent.

     - Computers out-perform doctors in treating patients. (ModernHealthcare.com, 2/14/13)

     - Miracle of the Year: 20 y.o. Canadian woman delivers baby is 3 degree weather before she can    
       get to the hospital. The baby is pronounced dead and covered up by a sheet until the coroner can 
       get there...only to realize later that the sheet was moving and the baby was actually alive!

     - Patient Dumping: Nevada buses 1,500 mental patients out of state since 2008. (USA Today, 
       4/26/13)

     - People hated more than lawyers: Congress!  A poll has shown that Congress is less favorably 
       liked than cockroaches, brussel spouts, colonoscopies, and NFL replacement reps (but they did 
       better than Lindsay Lohan). 

     - The House has voted to repeal Obamacare 37 times, to no avail. (Washington Post, 5/17/13)
          -- Most ACA challenges in the courts have failed.

     - Some Health Reform changes over the past year:
          -- Young adults are on their parents' policies to age 26.
          -- 17 states and DC are establishing exchanges.
          -- Medicaid expansion is supported in 27 states (expanded to adults in 7 states).
          -- Health home has been option adopted by 10 states.
          -- Access to Primary Care: increased Medicare and Medicaid payments to primary care 
             providers, increased state health center patient capacity.
    
     - The contraceptive mandate debate: under the ACA, health plans must cover women's 
       preventative care services, including all contraceptive methods (with an exception for religious 
       employers).

That's all for now! I will continue to blog from the conference over the next few days, so check back in for the latest summaries of meeting and break-out sessions.

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