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    Affordable Care Act: A work in progress

    Ophthalmologists must emphasize how vision care results in savings by improving patient quality of life


    Physician workforce

    Regarding graduate medical education (GME), the ACA calls for re-allocation of unused slots. The payments for GME are fixed and certain sections of the country benefit more than others. For example, payments per population in the Northeastern states of Ohio and Michigan are significantly higher (range, $39.08 to $172.85) compared with, for example, states such as Texas, Idaho, and Nevada, among others, where the range is $1.94 to $12.20.

    “Not only are the payments fixed, but 20% of the GME positions are in New York alone,” Dr. Clarkson said. “States such as Texas and Florida do not have enough GME positions funded to provide funding for the graduates from the medical schools in those states. Because this was not addressed, it perpetuates an inequity.”

    Other workforce issues include the American Medical Association prediction of a physician shortage by 2025 due, in part, to increased utilization under the ACA.

    “It is clear that to provide vision care to our aging and expanding population that care will need to be delivered by a team, led by ophthalmologists working with optometrists, technicians, nurse practitioners, and physician assistants,” Dr. Clarkson said.

    He suggested the potential for home-based care using smartphone technology, which should eliminate some office visits.

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      Affordable Care Act, often referred to “Obamacare,” is a program for getting health insurance to people. In other words, not only does the law say that people have to buy health insurance coverage or else be “taxed,” it provides a method for doing so, called “health care exchanges.” Get a short term loan to help pay for your healthcare costs. For further information, ask: https://personalmoneynetwork.com/short-term-loans/


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