PATIENT PROTECTION AND AFFORDABLE CARE ACT (PPACA) AND REHABILITATION SERVICES

By: Matthew Randel, SPT

Presentation Overview Introduction Background Goals Familiarization of Terms Underpayment/Compensation(lack

thereof) Impact on Rehab Service Providers Questions

The Patient Protection and Affordable Care Act was signed into law on March 23, 2010

Health Care and Education Reconciliation Act on March 30, 2010

Goals of the PPACA The Affordable Care Act  provides

Americans with better health security by putting in place comprehensive health insurance reforms that will: Expand coverage* Hold insurance companies accountable Lower health care costs Guarantee more choice Enhance the quality of care for all Americans

Terminology Accountable Care Organization Bundled Payment Models Marketplaces (Exchanges) Navigators Essential Health Benefits Grace Period

Underpayment Hospital Care Cost

Combined underpayments were $56 billion in 2012 This includes a shortfall of $42.3 billion for

Medicare and $13.7 billion for Medicaid Medicare

86 cents for every dollar spent by hospitals Medicaid

89 cents for every dollar spent by hospitals

Uncompensated Hospital Care Cost

Since 2000, hospitals of all types have provided more than $413 billion in uncompensated care to their patients

What does it mean for us? Increased amount of insured

citizens Increased demand for

rehabilitation services Increased demand for PT,

PTA, OT, SLP Physical Therapist jobs (39%) Physical Therapy Assistant

jobs (46%) Occupational Therapy jobs

(33%) Certified Occupational

Therapy Jobs (41%) Speech Language Pathologist

Jobs (23%)

What does it mean cont.. Expected increases in efficiency,

productivity Increased computer reporting and

documentation expectations Continued decline in reimbursement

rates

Personal Lingering Questions

How will we as healthcare providers keep up with the demands?

Will the increase in demand affect our way of implementing autonomous, evidence-based practice?

What will the long-term consequences be?

References http://myptsolutions.com/the-affordable-care-act-is-here-to-

stay/ http://www.apta.org/HealthCareReform/ http://www.webpt.com/blog/post/5-ways-affordable-care-act-

impacting-physical-therapists http://www.emory.edu/ACAD_EXCHANGE/2010/fall/kapasi.html http://www.aha.org/research/policy/finfactsheets.shtml http://www.medicare.gov/about-us/affordable-care-act/

affordable-care-act.html http://www.heritage.org/research/reports/2014/03/the-impact-

of-the-affordable-care-act-on-the-health-care-workforce http://kaiserfamilyfoundation.files.wordpress.com/

2011/04/8061-021.pdf