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Kathryn Punch – One of the best experts on this subject based on the ideXlab platform.

Mary Moore – One of the best experts on this subject based on the ideXlab platform.

Jonathan Gruber – One of the best experts on this subject based on the ideXlab platform.

  • The Affordable Care Act is constitutional.
    Annals of internal medicine, 2012
    Co-Authors: David M. Cutler, Jonathan Gruber

    The individual mandate, the centerpiece of the Patient Protection and Affordable Care Act, is constitutional. DetrActors contend that compelling the purchase of health insurance will be the first s…

  • Will the Affordable Care Act make health insurance Affordable
    Issue brief (Commonwealth Fund), 2011
    Co-Authors: Jonathan Gruber

    Using a budget-based approach to measuring affordability, this issue brief explores whether the subsidies available through the Affordable Care Act are enough to make health insurance Affordable for low-income families. Drawing from the Consumer Expenditure Survey, the authors assess how much “room” people have in their budget, after paying for other necessities, to pay for health Care needs. The results show that an overwhelming majority of households have room in their budgets for the necessities, health insurance premiums, and moderate levels of out-of-pocket costs established by the Affordable Care Act. Fewer than 10 percent of families above the federal poverty level do not have the resources to pay for premiums and typical out-of-pocket costs, even with the subsidies provided by the health reform law. Affordability remains a concern for some families with high out-of-pocket spending, suggesting that this is the major risk to insurance affordability.

David Blumenthal – One of the best experts on this subject based on the ideXlab platform.

Gregory D. Pearson – One of the best experts on this subject based on the ideXlab platform.

  • Surgeon Reimbursements in Maxillofacial Trauma Surgery: Effect of the Affordable Care Act in Ohio.
    Plastic and reconstructive surgery, 2016
    Co-Authors: Ibrahim Khansa, Lara Khansa, Gregory D. Pearson

    BACKGROUND Surgical treatment of maxillofacial injuries has historically been associated with low reimbursements, mainly because of the high proportion of uninsured patients. The Affordable Care Act, implemented in January of 2014, aimed to reduce the number of uninsured. If the Affordable Care Act achieves this goal, surgeons may benefit from improved reimbursement rates. The authors’ purpose was to evaluate the effects of the Affordable Care Act on payor distribution and surgeon reimbursements for maxillofacial trauma surgery at their institution. METHODS A review of all patients undergoing surgery for maxillofacial trauma between January of 2012 and December of 2014 was conducted. Insurance status, and amounts billed and collected by the surgeon, were recorded. Patients treated before implementation of the Affordable Care Act were compared to those treated after. RESULTS Five hundred twenty-three patients were analyzed. Three hundred thirty-four underwent surgery before implementation of the Affordable Care Act, and 189 patients underwent surgery after. After implementation of the Affordable Care Act, the proportion of uninsured decreased (27.2 percent to 11.1 percent; p < 0.001) and the proportion of patients on Medicaid increased (7.8 percent to 25.4 percent; p < 0.001). Overall surgeon reimbursement rate increased from 14.3 percent to 19.8 percent (p < 0.001). CONCLUSIONS After implementation of the Affordable Care Act, we observed a significant reduction in the proportion of maxillofacial trauma patients who were uninsured. Surgeons’ overall reimbursement rate increased. These trends should be followed over a longer term to determine the full effect of the Affordable Care Act.