The past year has seen several significant events overhang the health care industry. The first, the much-anticipated U.S. Supreme Court decision in June, upheld the constitutionality of the individual mandate of the Patient Protection and Affordable Care Act (ACA, or Obamacare). The second, and equally important, was the presidential and congressional elections in which President Barack Obama was reelected to a new four-year term, the Senate remained in Democratic control with a slight increase in their majority, and the House of Representatives remained in Republican control.
However, since the passage of the ACA in 2010, the health care industry and state governments have been reacting to the sweeping legislation, albeit some more quickly than others, as well as to forces in the marketplace calling for change in the way patient care is delivered and efforts to reign in the costs of health care in the United States. This article will address several initiatives that New York state and the federal government are implementing, which they believe will increase efficiency, lower costs, and better coordinate the delivery of care to patients. Whether these initiatives will produce the expected results or create unintended by-products remains to be seen.
Managed Long-Term Care
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