Kaiser Nurses rallying against patient care cuts
The Blog (National Nurses United)
Executive Director of CNA and NNU, Rose Ann DeMoro, 12/23/13
With all the clamor over the website woes of the rollout of the Affordable Care Act finally ebbing, let's hope the media can begin to notice some changes in the delivery of health care that will have more far-reaching consequences for health care quality and access long after the sign-up problems are a distant memory.
Despite the hysteria on the right, some components of the ACA are clearly welcome, especially the Medicaid expansion in those states where the governors are not standing with pitchforks in the door to block health coverage for the working poor.
Yet there's plenty of trouble ahead, most evident with the cost shifting from insurers and providers to workers and families.
Many are now aware that the insurance plans offered through the exchanges are chock full of added out-of-pocket costs.
The cost problem extends well into the provider setting, as is now just being gleaned through some reporting on price gouging by many big hospitals which jack up costs to patients through steeper co-pays, requiring cash up front before administering care, Medical Credit Scoring to determine if patients are a payment risk, and hounding patients for payment afterwards.
Less reported are the escalating problems on the care delivery side.