Revision of Accountable Care Organization Rule

A popular provision in the health reform law with broad bi-partisan support was the concept of Accountable Care Organizations. Politico’s Tevi  Troy argues that the proposed rule should be revised as it is widely unpopular among industry representatives and is expected to have significantly higher start up costs than originally anticipated. Politico Tevi Troy (Opinion)…

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Rest Your Eyes

The health reform legislation has been pushed onto the back-burner recently.  Not to worry as action will pick up significantly when the Supreme Court issues its decision on whether or not the individual mandate, among other components, are unconstitutional.  The end of June cannot get here soon enough for many policy wonks and those in the business community who have…

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Republican Proposal

Earlier this year Representative Paul Ryan (R-WI) demonstrated two qualities that have been lacking in Washington the last decade.   These qualities, courage and leadership, are rare today inside the beltway, and a taking a stand on (Medicare) is timely because the popular program could be bankrupt in 2029. But is his approach the right one for America? His Path to Prosperity, introduced,…

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Question of the Week

What if the Supreme Court overturns the individual mandate of the Affordable Care Act (ACA), does this mean Obamacare is over?  The individual mandate is a critical piece of the law, but it is highly controversial.  Many feel that the mandate is necessary to hold the coverage pieces in place, because the Obama health reform…

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Question of the Week

      Question of the week: what happens if the U.S. goes over the fiscal cliff? A lot of pain short-term which is impossible to completely quantify right now, but we do know there will be some direct and indirect consequences on millions of Americans next year. Some will not see much of an…

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Primary Care Problem

Many areas all over the country qualified as Health Provider Shortage Areas (HPSAs), meaning there are is not an adequate clinicians to provide care. As more and more individuals become insured under the Affordable Care Act there will likely be an increased shortage of primary care physicians.  This happened in Massachussetts after they passed their…

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Previewing the Veep Stakes

If you are feeling short on time, it is because your universe is expanding.  I feel the same way.  Perhaps smart phones are making people over-commit as we shift from a post industrial managerial to an information society.  Others believe the economy in stagnation forcing is companies to do more with less, which translates to…

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Previewing the Presidential Debate

For a policy wonk like me, tonight’s presidential debate is the Super Bowl, and my team is playing because a whole segment is on health policy.  Finally, an opportunity to see both candidates unfiltered.  Expect tough questions for both candidates on this issue, and I would like to see the obvious contrasts laid out to…

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Previewing AHC

FOR IMMEDIATE RELEASE: February 08, 2013

30 year old business with 100 employees considers every option including downsizing due to Affordable Care Act.

(Omaha, NE) Sean McGuire, Omaha, NE and host of Radio’s only show on the Affordable Care Act “America’s Healthcare Challenge” announced today that on Saturday’s show he will be interviewing the owners of a 30 year old family owned business who are considering all their options including a cutting employees as a result of provisions in the healthcare reform law.

SeanMcGuire

Sean McGuire was working for the U.S. Senate Finance Committee when the thoughts of health reform began. He is the founder of E.D. Bellis a healthcare consultancy and host of America's Healthcare Challenge. To hear Sean speak contact info@edbellisinc.com.

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Planes Trains and Automobiles

Jeffrey Toobin from CNN nailed it when he told his audience yesterday was a train wreck for the Obama Administration.  Today he said it was more like a plane wreck.   I amuse myself sometimes, and I could not resist thinking of the classic comedy Planes Trains and Automobiles starring John Candy and Steve Martin.  My…

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