Why Obamacare is already a success

Obama Care

These days it seems there is little the government can do right. From shut-downs to endless filibustering; approval ratings for Congress have never been lower. The Executive Branch has not fared well either. The implementation of Obamacare, manifested most recently in the technically flawed debut of the federal Health Insurance Exchanges, has been publically lampooned. Seizing on what was inarguably a troubled start to a key part of the Affordable Care Act (ACA), Republican congressional members are calling for the resignation of Secretary Sebelius and have deemed Obamacare a failure. After all, the administration had three and a half years to implement what most people see as “a website”- how could they have fared so poorly?

As a former fed (yes, we exist here) and part of the health reform team, I know firsthand what it is like on the other side. Though I did not work specifically on the Exchanges team, I helped set-up similar systems for our Accountable Care Organization program. I could bore you with details of the under-resourced, overworked lives of ACA staff and contractors, or with the fact that the Exchanges were one of literally hundreds of incredibly complex items being implemented from the thousand page bill, but those are all excuses. The reality is that this troubled launch, while a public relations nightmare, does not matter. I guarantee that in a few months, the Exchanges will be functional and in a few years, people will fail to remember this even happened. I can say this with certainty because this is a case of history repeating itself.

In 2006, Medicare launched a prescription drug benefit called Part D. The program was launched in a similarly aggressive timeframe and experienced severe technical issues. Computer systems weren’t talking to one another; seniors had to wait hours to get through to technical support. Approval ratings for the program plummeted. Democrats called for probationary measures against former President Bush. Sound familiar? These issues were largely resolved within a few months. Now, Part D is an essential part of the Medicare structure and is hugely popular amongst seniors. There are countless implementation stories like this.

The Exchanges will be functional. People are already using them to sign up for much needed and reasonably-priced insurance, vastly improving the challenging access issues we have in this country. Obamacare has already had successes: extending familial insurance to those under 26, implementing payments for quality of care, the launch of the accountable care program. The Exchanges will be on this list soon.

But who’s to say that these changes are permanent or won’t be technically marred in the future? No one knows for sure. What I believe is more important than this laundry list is the fundamental change Obamacare has wrought on the healthcare industry; it has shifted the conversation to value. The healthcare conversations of the past were about volume: how do we get more people into our beds, using our devices, etc. In a very real way, the abusers of our system were paid the most. Now, the changing incentive structures have pushed companies to focus on improving the patient experience and containing our skyrocketing costs. Even the most conservative companies are hedging for this change; they cannot afford to live in the past. Neither can we.

61 Comments

  1. Pingback: havlama tasmasi

  2. Pingback: office space

  3. Pingback: warehouses for rent

  4. Pingback: tree removal

  5. Pingback: CDC in Best

  6. Pingback: tawuJlBq

  7. Pingback: track workouts

  8. Pingback: Blue Coaster33

  9. Pingback: watch tv show episodes

  10. Pingback: buy stanozolol for horses

  11. Pingback: tvpackages.net

  12. Pingback: buy anabolic steroids online with credit card

  13. Pingback: car parking

  14. Pingback: laan penge her og nu

  15. Pingback: 3gp mobile porn

  16. Pingback: parking

  17. Pingback: penge laan nu

  18. Pingback: water ionizer

  19. Pingback: pay per day loans plan

  20. Pingback: alkaline water brands

  21. Pingback: electrician training books

  22. Pingback: commercial electricians in my area

  23. Pingback: locksmith rogers ar

  24. Pingback: locksmith rock hill sc

  25. Pingback: plumbing parts store

  26. Pingback: pay per day loan plans

  27. Pingback: house blue

  28. Pingback: Personal Trainer Seattle

  29. Pingback: see this here

  30. Pingback: electrician tool kit list

  31. Pingback: HD Coloring Pages

  32. Pingback: water ionizer

  33. Pingback: payment plan

  34. Pingback: Make money fast

  35. Pingback: minecraft adventure maps

  36. Pingback: water ionizer

  37. Pingback: water ionizer loans

  38. Pingback: http://www.palacevip.com

  39. Pingback: http://hamptonbayfanandlighting.com

  40. Pingback: http://hamptonbayceilingfans4u.com

  41. Pingback: rungame

  42. Pingback: http://hamptonbaylightingfans4u.com

  43. Pingback: new hindi songs

  44. Pingback: new indian songs

  45. Pingback: view more

  46. Pingback: alkaline water

  47. Pingback: alkaline water

  48. Pingback: here

  49. Pingback: visit

  50. Pingback: do you agree

  51. Pingback: do you agree

  52. Pingback: scary maze game

  53. Pingback: scary maze game online

  54. Pingback: where to buy clomid

  55. Pingback: steroids lingerie porn

  56. Pingback: Stephani Mitchel

  57. Pingback: hamptonbayceilingfanslighting.com

  58. Pingback: Greg Thmomson

  59. Pingback: www.gmail.com login

  60. Pingback: augmentin iv push insulin

  61. Pingback: hcg for sale uk

Top