What should we expect with PPACA (Obamacare)?

[katizzle]

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I will be starting my first year of medical school when PPACA, also known as Obamacare, fully goes into effect.

What should we expect as far as pay, number of physicians (also is relation to the number of patients), and doctor-patient relationship?
(or any other effects you think of)

Also, will resident pay be affected by PPACA?

 

[Spinach Dip]

Nobody knows all the answers--even though plenty of people CLAIM to know the answers.

A lot of it is partisan politics and empty rhetoric. 👎 Just realize that we can't see into the future a few days from now. Who knows what could happen over years.

 

[Radon XP]

I honestly don't think the ACA will have much impact on the medical profession as far as pay and what not goes. The real tragedy, though, is that it will have no positive impact on increasing accessibility to healthcare on the part of the American public since it isn't true universal health care.

 

[inycepoo]

A mod please lock this thread before it turns into a partisan ****show again. I beg you.

OP, use a search engine.

 

[deleted393595]

Prepare to be a government slave and get ready to embrace a new awesome cultural paradigm where patients are no longer responsible for their outcomes! Better call them up every day to remind them to take medications! It'll be so exciting!

a partisan ****show again. I beg you.

OP, use a search engine.

It's not partisan but rather the different outlooks people have towards the role of government and on postmodern discourse*.

*I think that this the right label for it.

 

[deleted393595]

.

 

[jdfamily]

I see primary care physicians getting paid similarly. I see specialists getting paid less, but not by much. We all know there are going to be more physicians, as seen by the number of slots at medical schools increasing. I just hope that the residency slots can keep up with the increasing number of physicians.

On a side note I see the number of PA's and nurses increasing as well. I would almost say the responsibilities and expectations of PA's will increase as the demands in health care increases.

These thoughts are based on what I have researched over the past couple of years and speaking with other people. Please feel free to correct anything I have said as I wish to learn more in this process as well.
Also, I would highly recommend people posting web sites and other threads with valuable information to make it more accessible for us all.

 

[katizzle]

Since more patients (19.6 million) will be added to Medicaid by 2016, do you think that there will be an adequate supply of physicians?

 

[ChineseKid]

Interested as well!

 

[IslandStyle808]

I will be starting my first year of medical school when PPACA, also known as Obamacare, fully goes into effect.

What should we expect as far as pay, number of physicians (also is relation to the number of patients), and doctor-patient relationship?
(or any other effects you think of)

Also, will resident pay be affected by PPACA?

My answer to the questions (opinion)

Question 1: Pay for physicians will decrease slightly to fund the system
Question 2: More patients need to be seen thus less time to spend with them
Question 3: Don't think so

 

[deleted407021]

I agree. We need more information about this thing. At the clinic I work for, we were collecting patient household income to determine their eligibility for the program when it rolls around. I have no idea how it works though.

 

[Lya]

http://forums.studentdoctor.net/showthread.php?p=14300524

 

[ChineseKid]

Darn
Should like private clinics are going down.

Sent from my SGH-T889V using Tapatalk 2

 

[Mt Kilimanjaro]

http://www.kevinmd.com/blog/2013/08/patients-pay-dumbed-american-medicine.html

 

[Kal EI]

I will be starting my first year of medical school when PPACA, also known as Obamacare, fully goes into effect.

What should we expect as far as pay, number of physicians (also is relation to the number of patients), and doctor-patient relationship?
(or any other effects you think of)

Also, will resident pay be affected by PPACA?

There are going to be tons of new patients. Doctors will not be able to keep up.

This means more doctors or more midlevels to handle the increased demand.

Doctor's pay will either remain the same or go down in most fields.

Likely, midlevels will get increased scope of practice and this will possibly drive down physician pay. There are very few scenarios people can play out to increase physician pay. Private practice physicians are diminishing and many will work for corporations, which means more profit for the hungry hospitals.

Medicine used to be a path to wealth, it may still be for a small percentage. Today, it's solid job security and upper-middle class lifestyle. Obamacare doesn't really hurt that bad, but I don't know that many physicians excited about it. Government intervention and regulations frustrate most doctors.

In the end, the United States healthcare system is overly fragmented with tons of people able to game the system and get rich. All of the inefficiencies and gaming have caught up to us and now it's a huge unaffordable system that costs enormously more per person than any other system in the world. Our system survives because there are excellent physicians in America, but it's going to have some sort of huge collapse in our lifetime (<30 years).

 

[mimelim]

There are going to be tons of new patients. Doctors will not be able to keep up.

This means more doctors or more midlevels to handle the increased demand.

Doctor's pay will either remain the same or go down in most fields.

Likely, midlevels will get increased scope of practice and this will possibly drive down physician pay. There are very few scenarios people can play out to increase physician pay. Private practice physicians are diminishing and many will work for corporations, which means more profit for the hungry hospitals.

Not going to get into this into details, but this seems to be a little confusing...

Number of insured patients goes up, demand goes up, fewer doctors per patient and pay goes down? How does that make any economic sense?

 

[TheWeeIceMan]

Not going to get into this into details, but this seems to be a little confusing...

Number of insured patients goes up, demand goes up, fewer doctors per patient and pay goes down? How does that make any economic sense?

Wouldn't it make sense if you figure that a pretty sizable group of the newly insured will be Medicaid patients? Combine that with more people shifting to Medicare as the boomers start hitting 65 en masse.

 

[Status Sciaticus]

Not going to get into this into details, but this seems to be a little confusing...

Number of insured patients goes up, demand goes up, fewer doctors per patient and pay goes down? How does that make any economic sense?

the number of insured patients will go up, but the reimbursement from medicaid/medicare and private insurers will go down.

Since a physician can only see so many patients without compromising patient care, the increase in patient volume is a non-issue for physicians working at maximum capacity.

What is the issue is that they are paid less for the patients they are already seeing.

However, one can argue that doctors can simply refuse to see medicaid patients and accept only private insurers.... but then thats where the ethics really come in.

 

[The Buff OP]

What do I expect? People bitching about it. 🙄

 

[Gut Shot]

I will be starting my first year of medical school when PPACA, also known as Obamacare, fully goes into effect.

What should we expect as far as pay, number of physicians (also is relation to the number of patients), and doctor-patient relationship?
(or any other effects you think of)

Best option: look at Massachusetts.

Also, will resident pay be affected by PPACA?

No. Something might change if they pass legislation to expand the number of residency positions, but right now things are static.