Sponsored Links
Results 1 to 4 of 4
  1. #1
    abettertomorrow is offline Member 513 points
    Join Date
    Sep 2010
    Posts
    103
    Downloads
    0
    Uploads
    0
    Thanks
    0
    Thanked 0 Times in 0 Posts

    SCOTUS Rules O'care legal in the form of a tax.

    Advertisements



    Ok, to start with, yes, I know that using the term O'care connotates that I am not for it. Actually, I am if for only the fact that it now expands medicaid to 130% above the poverty line for all states that choose to accept the money.

    But most notably absent here (from a physician's POV) is that there was no mention of expanding the Medicare funding due to the need of more residents, AND no tort reform for malpractice.

    How exactly do they expect to treat all of these new patients on an (semi-) annualized basis?
    nurses?
    PA's?

    Seems to be a boon for hospitals, a bust for the in-debt-to-the-eyeballs physicians!

    Thoughts???

  2. #2
    MD_DREAMER's Avatar
    MD_DREAMER is offline Junior Member 515 points
    Join Date
    Jan 2011
    Location
    Las Cruces
    Posts
    69
    Downloads
    4
    Uploads
    0
    Thanks
    0
    Thanked 0 Times in 0 Posts
    is O'care irish?

  3. #3
    MD_DREAMER's Avatar
    MD_DREAMER is offline Junior Member 515 points
    Join Date
    Jan 2011
    Location
    Las Cruces
    Posts
    69
    Downloads
    4
    Uploads
    0
    Thanks
    0
    Thanked 0 Times in 0 Posts
    Subtitle D—Enhancing Health Care
    Workforce Education and Training
    SEC. 5301. TRAINING IN FAMILY MEDICINE, GENERAL INTERNAL MEDICINE,
    GENERAL PEDIATRICS, AND PHYSICIAN
    ASSISTANTSHIP.
    Part C of title VII (42 U.S.C. 293k et seq.) is amended by striking
    section 747 and inserting the following:
    ‘‘SEC. 747 42 U.S.C. 293k. PRIMARY CARE TRAINING AND ENHANCEMENT.
    ‘‘(a) SUPPORT AND DEVELOPMENT OF PRIMARY CARE TRAINING
    PROGRAMS.—
    ‘‘(1) IN GENERAL.—The Secretary may make grants to, or
    enter into contracts with, an accredited public or nonprofit private
    hospital, school of medicine or osteopathic medicine, academically
    affiliated physician assistant training program, or a
    public or private nonprofit entity which the Secretary has determined
    is capable of carrying out such grant or contract—
    ‘‘(A) to plan, develop, operate, or participate in an accredited
    professional training program, including an accredited
    residency or internship program in the field of
    family medicine, general internal medicine, or general pediatrics
    for medical students, interns, residents, or practicing
    physicians as defined by the Secretary;
    ‘‘(B) to provide need-based financial assistance in the
    form of traineeships and fellowships to medical students,
    interns, residents, practicing physicians, or other medical
    personnel, who are participants in any such program, and
    who plan to specialize or work in the practice of the fields
    defined in subparagraph (A);
    ‘‘(C) to plan, develop, and operate a program for the
    training of physicians who plan to teach in family medicine,
    general internal medicine, or general pediatrics training
    programs;
    VerDate 0ct 09 2002 13:03 Jun 09, 2010 Jkt 000000 PO 00000 Frm 00544 Fmt 9001 Sfmt 6601 F:\P11\NHI\COMP\PPACACON.005 HOLCPC
    June 9, 2010
    545 PPACA (Consolidated) Sec. 5301\747 PHSA
    ‘‘(D) to plan, develop, and operate a program for the
    training of physicians teaching in community-based settings;
    ‘‘(E) to provide financial assistance in the form of
    traineeships and fellowships to physicians who are participants
    in any such programs and who plan to teach or conduct
    research in a family medicine, general internal medicine,
    or general pediatrics training program;
    ‘‘(F) to plan, develop, and operate a physician assistant
    education program, and for the training of individuals who
    will teach in programs to provide such training;
    ‘‘(G) to plan, develop, and operate a demonstration
    program that provides training in new competencies, as
    recommended by the Advisory Committee on Training in
    Primary Care Medicine and Dentistry and the National
    Health Care Workforce Commission established in section
    5101 of the Patient Protection and Affordable Care Act,
    which may include—
    ‘‘(i) providing training to primary care physicians
    relevant to providing care through patient-centered
    medical homes (as defined by the Secretary for purposes
    of this section);
    ‘‘(ii) developing tools and curricula relevant to patient-
    centered medical homes; and
    ‘‘(iii) providing continuing education to primary
    care physicians relevant to patient-centered medical
    homes; and
    ‘‘(H) to plan, develop, and operate joint degree programs
    to provide interdisciplinary and interprofessional
    graduate training in public health and other health professions
    to provide training in environmental health, infectious
    disease control, disease prevention and health promotion,
    epidemiological studies and injury control.
    ‘‘(2) DURATION OF AWARDS.—The period during which payments
    are made to an entity from an award of a grant or contract
    under this subsection shall be 5 years.
    ‘‘(b) CAPACITY BUILDING IN PRIMARY CARE.—
    ‘‘(1) IN GENERAL.—The Secretary may make grants to or
    enter into contracts with accredited schools of medicine or osteopathic
    medicine to establish, maintain, or improve—
    ‘‘(A) academic units or programs that improve clinical
    teaching and research in fields defined in subsection
    (a)(1)(A); or
    ‘‘(B) programs that integrate academic administrative
    units in fields defined in subsection (a)(1)(A) to enhance
    interdisciplinary recruitment, training, and faculty development.
    ‘‘(2) PREFERENCE IN MAKING AWARDS UNDER THIS SUBSECTION.—
    In making awards of grants and contracts under
    paragraph (1), the Secretary shall give preference to any qualified
    applicant for such an award that agrees to expend the
    award for the purpose of—
    ‘‘(A) establishing academic units or programs in fields
    defined in subsection (a)(1)(A); or
    VerDate 0ct 09 2002 13:03 Jun 09, 2010 Jkt 000000 PO 00000 Frm 00545 Fmt 9001 Sfmt 6601 F:\P11\NHI\COMP\PPACACON.005 HOLCPC
    June 9, 2010
    Sec. 5301\747 PHSA PPACA (Consolidated) 546
    ‘‘(B) substantially expanding such units or programs.
    ‘‘(3) PRIORITIES IN MAKING AWARDS.—In awarding grants or
    contracts under paragraph (1), the Secretary shall give priority
    to qualified applicants that—
    ‘‘(A) proposes a collaborative project between academic
    administrative units of primary care;
    ‘‘(B) proposes innovative approaches to clinical teaching
    using models of primary care, such as the patient centered
    medical home, team management of chronic disease,
    and interprofessional integrated models of health care that
    incorporate transitions in health care settings and integration
    physical and mental health provision;
    ‘‘(C) have a record of training the greatest percentage
    of providers, or that have demonstrated significant improvements
    in the percentage of providers trained, who
    enter and remain in primary care practice;
    ‘‘(D) have a record of training individuals who are
    from underrepresented minority groups or from a rural or
    disadvantaged background;
    ‘‘(E) provide training in the care of vulnerable populations
    such as children, older adults, homeless individuals,
    victims of abuse or trauma, individuals with mental
    health or substance-related disorders, individuals with
    HIV/AIDS, and individuals with disabilities;
    ‘‘(F) establish formal relationships and submit joint
    applications with federally qualified health centers, rural
    health clinics, area health education centers, or clinics located
    in underserved areas or that serve underserved populations;
    ‘‘(G) teach trainees the skills to provide interprofessional,
    integrated care through collaboration among health
    professionals;
    ‘‘(H) provide training in enhanced communication with
    patients, evidence-based practice, chronic disease management,
    preventive care, health information technology, or
    other competencies as recommended by the Advisory Committee
    on Training in Primary Care Medicine and Dentistry
    and the National Health Care Workforce Commission
    established in section 5101 of the Patient Protection
    and Affordable Care Act; or
    ‘‘(I) provide training in cultural competency and health
    literacy.
    ‘‘(4) DURATION OF AWARDS.—The period during which payments
    are made to an entity from an award of a grant or contract
    under this subsection shall be 5 years.
    ‘‘(c) AUTHORIZATION OF APPROPRIATIONS.—
    ‘‘(1) IN GENERAL.—For purposes of carrying out this section
    (other than subsection (b)(1)(B)), there are authorized to be appropriated
    $125,000,000 for fiscal year 2010, and such sums as
    may be necessary for each of fiscal years 2011 through 2014.
    ‘‘(2) TRAINING PROGRAMS.—Fifteen percent of the amount
    appropriated pursuant to paragraph (1) in each such fiscal
    year shall be allocated to the physician assistant training pro-
    VerDate 0ct 09 2002 13:03 Jun 09, 2010 Jkt 000000 PO 00000 Frm 00546 Fmt 9001 Sfmt 6601 F:\P11\NHI\COMP\PPACACON.005 HOLCPC
    June 9, 2010
    547 PPACA (Consolidated) Sec. 5302\747A PHSA
    grams described in subsection (a)(1)(F), which prepare students
    for practice in primary care.
    ‘‘(3) INTEGRATING ACADEMIC ADMINISTRATIVE UNITS.—For
    purposes of carrying out subsection (b)(1)(B), there are authorized
    to be appropriated $750,000 for each of fiscal years 2010
    through 2014.’’.

  4. #4
    abettertomorrow is offline Member 513 points
    Join Date
    Sep 2010
    Posts
    103
    Downloads
    0
    Uploads
    0
    Thanks
    0
    Thanked 0 Times in 0 Posts
    Yes, I read this a few years ago too. While these funds have been released beginning in 2010, notice the lack of new residencies. These funds have been going into expanding the infrastructure of existing programs that submit grant proposals targeting the specific subsections (ie, poor patient populations, or HIV pediatric, or interdisciplinary, etc.). So now the same number of residents will also cover more clinics targeting these areas.

    Also, of note, did you catch the part where the PA programs would have the same access to these funds? If they also required residencies, I'd say its a level playing field.

    AND the biggest takeaway of this whole legislative curtsey to serving the "under-served," this amended budget is 125 million of new money when the capped budget (for over a decade now) for residency education is over 12 Billion. So this is an increase of just over 1%. This doesn't even pretend to keep up with inflation.

    just saying...
    Last edited by abettertomorrow; 06-28-2012 at 02:44 PM.

Similar Threads

  1. Senior Care - How Would You Know If Your Parents are in Need of Home Care?
    By mamoonkay in forum All American Institute of Medical Sciences (AAIMS)
    Replies: 2
    Last Post: 09-16-2011, 04:26 AM
  2. Will O's health care reform hurt physicians' salaries?
    By NYC Medic in forum St. Georges University School of Medicine
    Replies: 17
    Last Post: 05-10-2010, 05:59 PM
  3. Alumni Update Form and Clerkship Evaluation Form
    By studentMD in forum MUA Nevis Medical School Clinicals
    Replies: 4
    Last Post: 04-08-2007, 07:29 PM
  4. Is this legal...??
    By charger5001 in forum The Relaxing Lounge
    Replies: 4
    Last Post: 09-19-2005, 04:21 AM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
  •