The College Football season pre-empted us for a week, but we were back at it once again this week with a two hour episode of America’s Healthcare Challenge. This week was unique as we cover a little bit of everything. We talk politics with special guest of the week, professor John McAdams from Marquette University. Dr. McAdams is an expert in public opinion and voter behavior. He also teaches courses on American Pubic Policy. We discuss the politics behind the Affordable Care Act, and two scenarios we may see after the election in November.
Many employers will soon be seeing compliance requirements with fines of up to $1,000 per day per enrollee beginning this year, and other fines of up to $3,000 per employee looming in 2014. We talk about some of these issues and help the audience understand how smaller businesses might be impacted under the legislation. Many people may be facing new taxes including a new payroll tax on high income wage earners on unearned income. This is a progressive from a first piece of move made under the legislation and many people do not yet understand the Affordable Care Act was the first piece of American public policy to do this.
The second issue deals with an issue many believe should have been included in a health reform effort. That issue is medical malpractice reform or tort reform. We were joined by Dr. Pete Whitted who is on the Board of Directors of the Nebraska Medical Association and the Colorado Physician Insurance Company which sells malpractice insurance to doctors. The ACA did not include much other than a few meager demonstration projects addressing medical liability, and this is something many believe may reduce defensive medicine and therefore cost. Defensive medicine is extra tests, procedures and other costs to the system through physicians ordering extra tests to cover all of their bases. Many believe that up to $200 billion a year is spent on defensive medicine.
Also included in the program this week is our live call segment, answers to questions and plenty of information you need to know about the health reform legislation, and how it will impact your employer through provisions like section 1302 essential benefits for example. Maybe your family will see an impact for better or worse beginning soon. If you are concerned how this legislation impacts you, stream the podcast here, and follow me on the social media sites below for on this timely topic.