The uncharted waters ahead: navigating the ACA

The uncharted waters ahead: navigating the ACA

We are now navigating across uncharted waters. The ocean of the Patient Protection and Affordable Care Act, conventionally called the Affordable Care Act (ACA), is now before us. 

No one knows how the American public will respond.

  • Will businesses downsize to reduce health coverage?  
  • Will the State of North Carolina eventually go with the Medicaid expansion?
  • Will individuals without healthcare coverage get coverage through a healthcare insurance exchange?  
  • Will the public reduce the demand for health services?  
  • Will the public seek primary care, or continue to access care through the local Emergency Department?  
  • What will happen to physicians as their reimbursement rates decrease under the Affordable Care Act?  
  • What will happen to independent community hospitals, with reduction in governmental reimbursement rates including Medicare, Medicaid, and TriCare?
  • What will happen to the reimbursement rates of commercial insurance payers?
  • What will happen to bad debt and charity care?  
  • What will be the impact of transparency in selecting care?  
  • Will lifestyle accountability become relevant?

At the local level there are many things that will have a significant negative impact at Onslow Memorial Hospital and our community, including the following:

  • Medicare reimbursement rate reduction
  • Medicaid reimbursement reduction
  • TriCare reimbursement reduction
  • Rising demand for Primary Care – but lack of access
  • Rising demand for ED services due to lack of Primary Care access
  • Coverage issues due to the lack of Medicaid expansion
  • Less than optimal knowledge in the community about the Affordable Care Act
  • Less than optimal knowledge about Health Exchange Program
  • Rising cost of IT and IT demands

As we chart our course across the ACA, there are some basic principles that we should follow:

  • We must be a positive team
  • We must work together
  • We must stick together
  • We must communicate more
  • We must problem-solve together
  • We must treat everyone with dignity and respect
  • We must ensure a culture of sensing others’ needs
  • We must strive every day to improve quality, safety, and the patient experience
  • We must reduce cost
  • We must support patient- and family-centered delivery of healthcare services
  • We must chart our course to a port of call that will ensure our future sustainability
  • We must show our pride in all we do

As the saying goes – “We can’t change the direction of the wind, but we can change how we set our sails.” This is certainly true as we navigate our course across uncharted waters.

Sincerely,

Ed Piper, Ph.D.

Former President & Chief Executive Officer, 2000-2016

10.26.18
Autumn: a season of excitement and giving thanks
06.22.18
Vacations are good for you. Really.
03.28.18
Health, healing, hope and heart ... the many "H's" in our Hospital
03.14.18
Flu crisis brings out your passion for service
01.30.18
Welcoming the New Year
12.22.17
Your Spirit of Giving shines every day
12.1.17
What are you thankful for?
10.26.17
The Consciousness of Leadership
10.1.17
Safety and Change Management
09.4.17
Provider Engagement and the Future
07.28.17
Accountability as a path to engagement
06.28.17
Personal and professional accountability
05.31.17
Keys to awareness and perceptions
05.3.17
Thank You, High Performers
03.29.17
Communicate your passion to our patients
02.23.17
The OMH Family
01.25.17
New Year's Blessings
12.20.16
We are all ambassadors
12.6.16
Our staff as a strategic resource
09.16.16
Partners in care
08.9.16
A whole new world
07.6.16
Diversity in the healthcare setting
02.3.16
A Call for Clinical Integration
12.2.15
Where we go next
10.27.15
The rising tide of ethical conflict
09.29.15
Our albatross: 30-day readmission rate
05.21.15
A Safe Culture, A Calling from the Heart
02.23.15
Minister to suffering
01.15.15
Greeting the rising sun of the bold new year
12.15.14
Population Health - Coordination of Care
12.15.14
Awaiting a New Dawn
08.4.14
Facing what lies before us
07.7.14
Crossing the Rubicon
06.4.14
Where have all the hospitals gone?
05.6.14
A promise to keep
04.7.14
Spring of hope
11.14.13
The uncharted waters ahead: navigating the ACA
08.8.13
Fiscal year 2014 will be a tough one
07.5.13
Facing the dawn of a new era
02.13.13
The year 2012
01.6.13
The Patient Experience
10.1.12
The incoming tide
09.6.12
The new frontier - a clarion call to act
08.25.12
Building trust during difficult times
08.20.12
Letter from the 2012 Annual Report