8
2015
YEAR REVIEW
in
PERSPECTIVE
Case volume flatlining?
ASCOA can help you regain your rhythm.
If you're losing market share and surgeons to competitors, we at ASCOA can help
give you new life. And we'll make a difference. STAT.
Retain Surgeons
|
Increase Market Share
|
Protect Case Volume
(866) 982-7262 / www.ascoa.com /JointVenture Operate Better
development@ascoa.com
17 Winners and Losers Under the ACA and 10 More
Thoughts and Observations on the ACA So Far
By Scott Becker, Molly Gamble and Tamara Rosin
As we look at the evolution of the Affordable Care Act there
are clearly some positives and some negatives. By and large, we
believe the ACA is not going away aer the next election or for a
long time. us, we thought we would take a moment to reflect
on a few observations on the ACA. Some of the observations are
new, some are not.
For instance, in an Oct. 30 article, Aimee Picchi wrote in
e Fiscal Times, "Not surprisingly, Americans are split along
partisan lines on the issue, with liberal Democrats more likely
to support the law and conservative Republicans most likely to
disapprove, according to the Pew Research Center."
17 winners and losers
Winners and losers; thriving and not thriving; get-
ting rich and getting poor. e ACA, as much as any law
in the modern era, has winners and losers. We group this into
winners (6), losers (7) and neutral (4) so far. Winners, for ex-
ample, include big health systems, certain types of managed care
companies, big pharmaceutical companies, investment bankers
who earn money from mergers of hospitals and companies and
the large health IT companies. Losers, to name a few, include
smaller community hospitals, safety-net hospitals (a mixed bag
and perhaps more neutral than a loser as of now), independent
practices and perhaps the working or relatively poor, who don't
