discrimination against those with preexisting conditions, reducedmedication costs, free preventative care, and better quality, already ineffect for millions of Americans will not be popular, or easy. Americansknow that the quality of their lives depends on the quality of their healthand they won’t be keen on losing it.4)
3) Oh, Florida!
Not much good news from the nation’s most unpopular governor, Rick Scott. Scott’s extreme response in Florida to block thereforms and the federal money provided for health care access are a bigpolitical risk. Florida isn’t accepting federal monies to ready itself for theexchanges, isn’t working on accountable care projects, isn’t working toexpand benefits through Medicaid, and is spending its resources in delayand legal actions against the government in order to preserve industryprofit at citizen expense. The consequence: Florida isn’t ready; its citizensaren’t covered; its healthcare future is in limbo. The federal government ispoised to step in to set up the insurance exchange for its residents andhas refused its request to allow Medicaid vendors to spend less money onhealth care. What other assaults will the governor cook up this year? Staytuned.
Better Access, Affordability and Quality
:Watch the numbers and follow the money! Hard trackers will report thenumbers of private sector health care jobs created, people insured, protectedand using preventive, acute and chronic services under the ACA. Goodbyelifetime limits and discrimination against those who with preexisting conditions!Expect more savings through quality and less tolerance for fraud, waste andabuse. Thirty-two health provider organizations will roll out innovative caredelivery programs (accountable care organizations), for Medicare enrollees withpayment based on quality of care outcomes. This year some seniors will getaccess to service in their home, and get rebates for medications when they fall into the donut hole. And the pharma and insurance industries starts foot some of the bill for research to find treatments that work, while getting capped on profit atthe expense of quality. Expect reports on the cost of premiums for states,employers, and individuals as the Health Care Exchanges rev up; what its like for people who need and use care, health care professionals who provide care, andhospitals and systems that support care; and payment based on effectiveness of care and patient oriented outcomes that matter, rather than on the volume of procedures and visits.Rome wasn’t built in a day, and neither will be the ACA. This is a big law with abig agenda for a great nation. Already, it is improving access; improving qualitythrough reduced waste fraud and abuse, paying for performance; better medical