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Managing the Biggest Change in Health Care Since Medicare

Lawyers for practitioners and entities facing the Affordable Care Act

The Affordable Care Act (ACA) was perhaps the most significant piece of legislation to come out of Washington, D.C. in a generation. Affecting nearly every American, the ACA touched on health care providers, insurance carriers, state governments, individuals, hospitals and numerous others, from software developers to brokers. At Buttaci Leardi & Werner, LLC, we know that the ACA has changed the way our clients practice medicine or dentistry, deliver care in hospitals, and manage costs and service issues. With our unique focus on the needs of health care providers and their organizations, our attorneys are here to guide you through the changes to date and the differences yet to come.

Navigating the laws, rules and regulations in the ACA

With more than half of our clients calling to find out what the ACA means to their practices, as health care lawyers, we recognize the importance of having dedicated counsel in these changing times. The primary goal of the ACA was to give more people access to affordable, quality health insurance and reduce the rapid and expansive growth of health care spending. For providers and health care entities, the ACA makes numerous changes:

  • The ACA does not replace private insurance, Medicare or Medicaid, but it does regulate what insurance companies may and may not do to consumers
  • Physicians will be paid — but your patients will now receive free yearly physicals, immunizations, counseling and screenings.
  • States and the federal government now offer insurance exchanges through which your patients may purchase health and dental insurance.
  • Providers may now form Accountable Care Organizations (ACOs) comprised of physicians who work together and receive payment based on patient outcomes rather than on the volume of patients seen and tests performed.
  • Excess spending on Medicare Advantage has been restrained, and providers will be paid more in line with original Medicare.
  • Prescription drugs are cheaper and more accessible due to fraud prevention and additional benefits.
  • Hospital readmissions have begun falling considerably as quality payments replace volume-based payment.

If you’re concerned about the effects of the ACA’s changes on your practice, Buttaci Leardi & Werner is here to assist you.

Contact us for more information

To learn about how Buttaci Leardi & Werner, LLC can assist you with changes under the ACA, please contact us online or call us at 609.297.5942.