The Patient Protection and Affordable Care Act will have substantial effects on the US health care system. Physicians hold varied opinions regarding the overall merits or drawbacks of the health system reform law, but it is critical that we understand its components and the implications for our practices and our patients. This article describes the provisions most relevant to dermatology, analyzes the political and economic landscapes that shaped the legislation, and examines both opportunities and challenges that lie ahead. Physician leadership will be critical in future years as the regulations are written, the law is implemented, and legislative changes are considered.Le texte complet de cet article est disponible en PDF.
Key words : access to care, cost control, dermatology, economics, government regulation, health care delivery, health expenditures, health policy, health reform, health system reform, incentives, insurance, insurance coverage, legislation, Medicaid, Medicare, physician payment, politics, public reporting, quality measures, quality of health care, taxes, uninsured
Abbreviations used : AAD, AADA, AMA, CMS, FPL, IPAB, PCPI, PPACA, SGR
| Funding sources: None.
| Conflicts of interest: None declared.
| Dr Resneck chairs the Council on Government Affairs, Health Policy, and Practice of the American Academy of Dermatology Association and serves on the Council on Legislation and in the House of Delegates of the American Medical Association. The views expressed in this article are those of Dr Resneck, and do not necessarily represent the views of the American Academy of Dermatology Association or the American Medical Association.
| This article represents original and valid work, although it draws on the analysis of several others. Neither this article nor one with substantially similar content under my authorship has been published or is being considered for publication elsewhere. Although every attempt has been made to cover the provisions most applicable to dermatologists and our patients, space constraints inevitably mean that every aspect of the legislation cannot be covered in this article.