Healthcare Reform

PPACA contains sweeping measures featuring expanded coverage, industry insurance reforms and delivery system reforms leading to improved quality and cost. The passage of PPACA came after a period of intense healthcare policy debate which continues today. This ongoing debate may result in certain provisions of 
PPACA and other federal Healthcare Reform legislation being amended by Congress in the future. However, regardless of the outcome of these future federal legislative initiatives, Healthcare Reform is a reality to which healthcare organizations administrators, directors, trustees, and physicians must respond.

As Congress again focuses on PPACA in 2011, healthcare organizations understand Healthcare Reform includes more than the enactment of PPACA in 2010. Healthcare Reform encompasses, among other changes, state reforms and federal legislation including:

·         the Health Information Technology for Economic and Clinical Health (HITECHActenacted as part of the American Recovery and Reinvestment Act of 2009;

 

·         the Children's Health Insurance Program Reauthorization Act of 2009 (CHIPRA); and

 

·          ICD-10 which will affect coding for every organizations covered by the Health Insurance Portability and Accountability Act (HIPAA), not just those organizations who submit Medicare claims. Therefore, Healthcare Reform will dramatically increase the change organizations must absorb.

Under Healthcare Reform, healthcare organizations must be prepared to absorb the changes under PPACA and the other Healthcare Reform legislation. Philip Weintraub serves as Proforma Healthcare Solutions’ Partner with the responsibility for helping healthcare organizations adapt to the changes brought by Healthcare Reform. He was awarded an MSc in Public Health from the University of London and a Post Graduate Diploma from the London School of Hygiene and Tropical Medicine. He has performed extensive research on US Healthcare Reform and he now stands as one of the few experts in the field who has thoroughly analyzed PPACA and its legislative history and advised healthcare organizations regarding PPACA’s strategic implications. He is prepared, along with the ProForma team members, to advise and assist management and members of the board of directors, trustees and physicians with high level support with respect to:

·         performing customized Healthcare Reform surveys that identify your organization’s existing strengths, weaknesses, opportunities and threats;

·         providing analysis and clear/concise recommendations to help your organization's achieve sustained profitability;

·         developing methodologies to integrate Healthcare Reform measures into your strategic plan;

·         providing expert guidance in the formation of multi-payor Accountable Care Organizations; and

·         Presenting educational seminars about Healthcare Reform’s impact on your organization and the delivery of the relevant training necessary to enable your organization and its stakeholders to respond appropriately.