Learn These 5 ACA Changes That Could Affect Your Practice
Posted on 29. Aug, 2012 by dchandhok in Provider News
It its recent decision on the Affordable Care Act (ACA), the Supreme Court ruled the requirement that individuals must have health care coverage or face a penalty was an allowable tax (rather than a penalty). But the Court decided the federal government couldn’t require states to expand existing Medicaid programs by planning to disqualify noncompliant states from Medicaid funding.
Here are a few ACA areas to watch for hematology and oncology:
Preventive services: If patients “have a new health insurance plan or insurance policy beginning on or after September 23, 2010,” certain preventive services must be covered when delivered by a network provider. For these services, the patient is not responsible for a copayment, co-insurance, or meeting the deductible. Early detection could mean an increase in oncology and hematology patients.
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According to the preventive services fact sheet at www.healthcare.gov/news/factsheets/2010/07/preventive-services-list.html, some of the covered services that may affect your oncology/hematology practice include:
- Colorectal cancer screening for adults over 50
- BRCA counseling about genetic testing for women at higher risk
- Mammography screenings every 1 to 2 years for women over 40
- Breast cancer chemoprevention counseling for women at higher risk
- Cervical cancer screening for sexually active women
- Hemoglobinopathies or sickle cell screening for newborns
- Iron supplements for children ages 6 to 12 months at risk for anemia.
Clinical trials: “This is the first federal law mandating group health plans (including new self-funded arrangements) and state-licensed health insurance issuers to cover the standard of care costs associated with participation...
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