Health Reform - Financial Impact

The financial impact of Health Reform on medicaldecrease costs in the long run, they will still provide
professionals across the country is difficult to predict.work and income for physicians and nurse practitioner
Physicians derive their income in different ways withas people receive medical care for the conditions that
many being independent practitioners and othersare diagnosed. There will also be an influx of patients
working as employees of large physician groups andwith diabetes and heart disease, who were getting
hospital systems. Since current Health Reformonly minimal care under public assistance programs or
legislation is aimed primarily at covering more people,who also had very high deductible insurance from "high
physicians, hospitals, and outpatient centers will likelyrisk pools."
have more business following the passage of thisIf the business aspects of Health Reform, such as
reform. In a modified fee for service system like theelectronic medical record keeping takes hold, this will
one under which most people are covered, this wouldbegin to lower the costs of record keeping along with
mean more income as more services are provided.coding, billing and collecting costs, increasing profits for
This fact makes it difficult to understand how coveringmedical professionals who are paid in a fee for
more individuals will decrease health care cost.service manner. Electronic medical records will also
One of the ways Health Reform will decrease costs isreduce cost by eliminating duplication of testing. For
to eliminate the expense of the uninsured or underphysicians such as pathologist and radiologist, who
insured patients. Currently many services granted tointerpret these tests, it may seem that this will reduce
the uninsured are funded by increased cost to thosethe volume of work. Since more individuals will be
who have insurance through higher charges by bothcovered, this will add volume to their business, evening
physicians and hospitals. Physicians who have seenout the losses.
health care coverage deductibles rise in recent yearsFinally, health reform has specific goals to decrease
and patients delay or go without basic care, willconditions such as obesity, which increases the risk of
hopefully see a return of these patients, along withheart disease and diabetes. With this type of mandate
increased revenue from the services they render.to improve patient health, primary care physicians and
Another focus of the Health Reform legislation,nurse practitioners will have an influx of patients as
removing the exclusion on pre-existing conditionspeople are incentivized to live healthier lives, reducing
should open up more affordable private insurance toboth their own out of pocket costs long with the long
patients who have such conditions, again resulting in anterm cost to the health care system. Over all medical
increase in patient visits to those physicians in privateprofessionals should maintain their income, though
practice and also increasing many preventive visits andsome restructuring and initial cost maybe required at
procedures such as Pap smears, mammograms, andthe outset of Health Reform.
cholesterol screening. While these kinds of tests will