DOTmed Home MRI Oncology Ultrasound Molecular Imaging X-Ray Cardiology Health IT Business Affairs
News Home Parts & Service Operating Room CT Women's Health Proton Therapy Endoscopy HTMs Mobile Imaging
Current Location:
> This Story

starstarstarstarstar (1)
Log in or Register to rate this News Story
Forward Printable StoryPrint Comment

Click here to read the lastest



More US Healthcare

Proposed CMS hospital outpatient department rule detrimental for imaging services in CY 2017 Hospitals must communicate with CMS ACA enrollment soars to 6 million — so far Shows the success of the ACA?

Meridian Health and Hackensack UHN work to create one culture for Hackensack Meridian Health State and regulatory clearance expected in a few months

Rate of uninsured adults in Texas is higher than the rest of U.S. State needs to expand Medicaid or develop alternative system

In first full year, ACA increased coverage in underserved areas by 17 percent Nearly 80 percent of the increase related to Medicaid expansion

See All US Healthcare  

Healthcare Act

Health insurance access is greatly improving among all racial groups after ACA implementation: report Quality of care is also improving, although “still far from optimal”

Study: MA reform had no effect on avoidable hospitalizations and racial disparities Insurance plans need to minimize cost burdens and be accepted by physicians

House passes SGR repeal with overwhelming majority After a vote of 392 to 37, legislation will go to the Senate

Physicians aren’t being flooded with new or sick patients under health care reform: report However, it did disrupt payor mix trends

CMS unveils the next phase for accountable care organizations Medicare homes in on health reform ideals with Next Generation Model ACOs

King v. Burwell: Interpreting five words in the ACA The Supreme Court case that could topple Obamacare

Inside the Beltway: The 114th Congress and healthcare policy When the 114th Congress was sworn in on January 6, 2015, they rolled up their sleeves and got to work -- on health care

White House budget raises concerns for patient access to imaging Will site-neutral payments and prior authorization hinder care in 2016? AMIC thinks so

Is Obamacare causing emergency room crowding? No, says new study The Affordable Care Act is not the cause of the problem. It comes from a primary care shortage

Urban health - big cities, big challenges In July, the Carolinas HealthCare System Anson in Wadesboro, N.C., a town of about 5,800 people, opened the doors to its new facility and embarked on a bold experiment.

King v. Burwell: Interpreting five words in the ACA

by Gus Iversen , Editor in Chief
Oral arguments concluded yesterday in a Supreme Court case with the potential to bring the Affordable Care Act to its knees. The case against Burwell, (Sylvia Burwell, effectively representing the ACA as U.S. secretary of Health and Human Services) hinges on five words out of the several hundred page document colloquially known as Obamacare.

Although inconsistent with most of the ACA, there is a passage that specifies health care subsidies are available through an, "exchange established by the state," which — if taken out of context — may imply that states without their own markets should not receive federal subsidies.

Story Continues Below Advertisement

OR Tables, Treatment/GYN/Uro Chairs, Transport Stretchers, Hospital/ICU Bed

iMS combines the superior service of Oakworks Medical and advanced manufacturing technology of FAMED Medical Solutions. The goal of iMS, "Connecting Art and Medical Science" goes way beyond product with exceptional CareLink service. Contact us today!

David King, the lead plaintiff, is a Virginian who did not want to pay for health insurance. Without government subsidies, he would have been exempt from mandated coverage. With the aid of subsidies however, the government deemed King's coverage affordable, meaning he would incur penalties if he refused to enroll.

Louise Sheiner, policy director for the Hutchins Center on Fiscal and Monetary Policy, told DOTmed News that at least 14 states will be unaffected by the ruling because they set up their own health care marketplaces. Other states, those with state marketplaces in various stages of construction, are in a gray zone.

The impact would be primarily on at least 19 states: the ones that have not gotten involved with the federal program on a local level. "All of a sudden their subsidies disappear," said Sheiner, "that means health insurance becomes very expensive and many will begin to drop out because they can no longer afford it."

The ACA also states that federally subsidized insurers cannot charge premiums to people with pre-existing conditions. Without subsidies, ACA coverage in those 19-plus states would only have cost benefits for a minority of high hospital spenders (sick people). The insurers, in turn, could be forced to charge higher premiums to stay in business... and the experiment fails.

Trish Riley, executive director of the National Academy for State Health Policy, spoke to DOTmed News about how states can prepare for a ruling against the ACA. "New Hampshire is trying to get a bill through that would designate the federal marketplace as their exchange," said Riley; a move that could effectively return them to the ACA status quo.

While political opposition to federal insurance is extremely strong in some states, Riley said those states might not be as vehemently opposed to their own locally-operated programs.

Sheiner cites two primary reasons why the courts should rule in favor of the Affordable Care Act. First, "It makes no sense for subsidies only to be available in states that set up their own exchanges."

And second, supposing that somehow was the ACA's intention, "It is not OK to hide buyer consequence from states," said Sheiner. If the Supreme Court rules that subsidies were only for active participants then ambiguity in those five words could be interpreted as coercion.

Among those vying for a ruling against the ACA is Charlotte Hays of the Independent Women's Forum, who wrote in a statement, "By ruling against the IRS and enforcing the law as written, the Court can restore Americans' faith in government and in our ability to tackle the problems in our health care system the right way. Laws should be written by the people and their elected officials, not the IRS."

The oral arguments found Justice Anthony Kennedy and Chief Justice John Roberts at the center of attention. Regarded as swing votes, Roberts was mostly quiet, while Kennedy questioned whether the plaintiff's interpretation of the ACA was even constitutional.

If the ACA wins then all states will continue to earn subsidies. A final decision is not expected until June.

Healthcare Act

You Must Be Logged In To Post A Comment

Increase Your
Brand Awareness
Auctions + Private Sales
Get The
Best Price
Buy Equipment/Parts
Find The
Lowest Price
Daily News
Read The
Latest News
Browse All
DOTmed Users
Ethics on DOTmed
View Our
Ethics Program
Gold Parts Vendor Program
Receive PH
Gold Service Dealer Program
Receive RFP/PS
Healthcare Providers
See all
HCP Tools
A Job
Parts Hunter +EasyPay
Get Parts
Recently Certified
View Recently
Certified Users
Recently Rated
View Recently
Certified Users
Rental Central
Rent Equipment
For Less
Sell Equipment/Parts
Get The
Most Money
Service Technicians Forum
Find Help
And Advice
Simple RFP
Get Equipment
Virtual Trade Show
Find Service
For Equipment
Access and use of this site is subject to the terms and conditions of our LEGAL NOTICE & PRIVACY NOTICE
Property of and Proprietary to, Inc. Copyright ©2001-2018, Inc.