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Review
Patient Protection and Affordable Care Act of 2010: a primer for NeuroInterventionalists
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  1. Laxmaiah Manchikanti1,2,
  2. Joshua A Hirsch3
  1. 1Pain Management Center of Paducah, Paducah, Kentucky, USA
  2. 2Department of Anesthesiology and Perioperative Medicine, University of Louisville, Louisville, Kentucky, USA
  3. 3Department of NeuroInterventional Radiology, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts, USA
  1. Correspondence to Dr Laxmaiah Manchikanti, Pain Management Center of Paducah, 2831 Lone Oak Road, Paducah, KY 42003, USA; drlm{at}thepainmd.com

Abstract

The Patient Protection and Affordable Care Act (the ACA, for short) became law on 23 March 2010. It represents the most significant transformation of the American healthcare system since Medicare and Medicaid. Essentials of ACA include: (1) a mandate for individuals and businesses requiring as a matter of law that nearly every American has an approved level of health insurance or pay a penalty; (2) a system of federal subsidies to completely or partially pay for the now required health insurance for ∼34 million Americans who are currently uninsured—subsidized through Medicaid and Exchanges; (3) extensive new requirements on the health insurance industry and (4) changes in the practice of medicine. The Act is divided into 10 titles. It contains provisions that went into effect starting on 21 June 2010 with many of the provisions going into effect in 2014 and later. The ACA goes well beyond insurance and payment reform. Practicing physicians will potentially be impacted by the Independent Payment Advisory Board and the Patient Centered Outcomes Research Institute.

  • Affordable Care Act
  • cost control
  • healthcare costs
  • healthcare reform
  • healthcare regulation
  • healthcare subsidies
  • health Exchanges
  • health insurance premiums
  • medicare
  • Patient Centered Outcomes Research Institute
  • uninsured

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Footnotes

  • Disclosure: The manuscript is a brief version of Manchikanti L et al. Patient Protection and Affordable Care Act of 2010: reforming healthcare reform for the new decade. Pain Physician 2011;14:E35–E67. This version is published with the consent of all the authors and the permission of the journal Pain Physician.

  • Competing interests None.

  • Provenance and peer review Not commissioned; internally peer reviewed.