US health care reform and transplantation. Part I: Overview and impact on access and reimbursement in the private sector: Personal viewpoint

D. A. Axelrod, D. Millman, M. M. Abecassis

Research output: Contribution to journalReview articlepeer-review

20 Scopus citations

Abstract

The Health Care Reform (HCR) legislation passed by Congress in 2010 will have significant impact on transplant centers, patients and health care professionals. The Act seeks to expand coverage, limit the growth in health care costs and reform the delivery and insurance systems. In Part I of this two part series, we provide an overview and perspective of changes in private health insurance resulting from HCR. Under the plan, all Americans will be required to purchase coverage through their employer or via an improved individual/small group market. This legislation limits abusive practices such as limitations on preexisting conditions, lifetime and annual coverage limitations and dropping of beneficiaries if they become sick. The legislation will also limit high-cost plans and regulate premium increases. Private sector reforms are likely to benefit our patients by increasing the number of patients with access to transplant services, since the use of 'preexisting' conditions will be eliminated. However without a concomitant increase in the organ supply, longer waiting times and greater use of marginal organs are likely to increase the cost of transplant. Furthermore, transplant providers will receive reduced reimbursement as a result of market consolidation and the growing power of large transplant networks.

Original languageEnglish (US)
Pages (from-to)2197-2202
Number of pages6
JournalAmerican Journal of Transplantation
Volume10
Issue number10
DOIs
StatePublished - Oct 2010

Keywords

  • Comparative effectiveness
  • health economics
  • insurance
  • regulation

ASJC Scopus subject areas

  • Immunology and Allergy
  • Transplantation
  • Pharmacology (medical)

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