President-elect Donald Trump has repeatedly vowed to “repeal and replace Obamacare.” A logical question is: With what? The announcement of Rep. Tom Price (R-Ga) as Trump’s nominee for secretary of health and human services provides some answers. Unlike other Republican critics of the Affordable Care Act (ACA), Price, an orthopedic surgeon, has offered many replacement plans of unmatched detail. His Empowering Patients First Act was 242 pages ...

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It used to be that hospitals billed Medicare for the services they provided, and Medicare -- I know this is crazy! - simply paid the bills. Those days are rapidly receding into history. Soon, a significant chunk of hospital revenue will be at risk, under a series of Medicare pay-for-performance programs. The idea behind P4P (as the cool kids call it) is simple. Third-party payers, like insurance companies or the Medicare ...

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acp new logoA guest column by the American College of Physicians, exclusive to KevinMD.com. When the Trump Administration takes office, health reform as we now know it will not go away, but it will take a different form. I don’t think the changes will be as easy as opponents of the Affordable Care Act make them appear to be. ...

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The Affordable Care Act (ACA), often called Obamacare, has come under sharp criticism. Now, with the nomination of Rep. Tom Price (R-Ga.) for secretary of health and human services, there are concerns about whether it will be repealed or changed. Price, a physician, has been a long-time critic of the law and has devised proposals of his own to replace it. While Price may have alternative proposals that may be easier ...

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Dear President-elect Trump, You have stated that one of the first things you will do in office is to overturn Obamacare. You state that you will keep coverage for pre-existing conditions and children to age 26 but beyond that is unclear. Speaker Ryan said it would be "patient centered" but what that means remains to be seen. You now have a former surgeon as head of HHS. If I may, I would ...

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american medical associationThe AMA supports the nomination of Dr. Tom Price based on decades of interactions with him as a member of the AMA House of Delegates, Georgia state senator and as a member of the House of Representatives since 2005.  Over these years, there have been important policy issues on which we agreed (medical liability reform) and others on which we ...

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According to many conservative pundits, Obamacare is a job killer. Five days before Obama signed the law, in fact, speaker John Boehner declared that the president was pushing “his job-killing government takeover of health care that will hurt small businesses.” Years after the law was passed, critics continued trumpeting this theme, Ted Cruz calling Obamacare “the biggest job-killer in this country,” and even claiming that “millions ...

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Tom is a forty-three-year-old self-employed painter and father of two. He’s currently in remission from lung cancer, having been first diagnosed five years ago. At the time of his diagnosis, he did not have health insurance. Thankfully, for him, American law had finally made it illegal for health insurance companies to discriminate against individuals with preexisting conditions. Tom had to be offered insurance at community rates. And, this was a good thing ...

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Supporters of the health care status quo are outraged, predictably, over what they see as Donald Trump’s search-and-destroy mission on Obamacare. They cite all of the newly insured people under the Affordable Care Act -- then turn to gloom-and-doom scenarios, insisting everyone will lose insurance, especially those who are low-income and on Medicaid. Change is never easy, and it can sometimes be scary when facts aren’t known. So will millions of ...

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We are at a watershed moment for health care, both nationally and in Massachusetts. Massachusetts, the state that first piloted the model, "Romneycare" in 2006, that was disseminated to the nation as "Obamacare" is now going full steam ahead with ACO models under the newly approved 1115 waiver, that received the CMS green light in early November. Having expanded to near universal coverage in 2006, now, at the end of 2016, we are taking on ...

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