Now that the election is over it is full steam ahead with health care reform. A panel of experts from the University of Nebraska Medical Center held a briefing to inform the public what residents can expect in the months and years ahead.
Dr. Jim Stimpson is the director of the Center for Health Policy at UNMC and stated that “health reform will start primarily being implemented in 2014 and the next steps are to establish health exchanges – marketplaces where people can buy insurance, expansion of Medicaid for low income adults.”
Dr. Juliann Sebastian is the dean of UNMC’s College of Nursing and stated the Affordable Care Act also means people will be learning how to manage their own health care and the health care system. She stated there will be more access to primary health care with a large focus on prevention and self-management for chronic conditions. Sebastian says patients will need to be “more active and more effective in their own care”.
Dr. Brad Britigan is the dean of UNMC’s College of Medicine says patients can expect to see more team based approaches where they will get input from doctors, nurses, pharmacists and other health care providers working together to develop a care plan.
Dr. Britigan also addressed Medicaid coverage. He stated, “The Supreme Court decision to make Medicare expansion an option, there are some cuts coming in terms of supporting hospitals who right now provide an disproportionate amount of care to the underserved that is scheduled to go away. The original plan was that would be replaced by having more individuals covered by Medicaid. But if the state opts not to expand Medicaid, those cuts, at least currently planned, will take place and since support of the medical school is tied very tightly to support that comes from our hospitals that will put some major budget constraints on all of us for all of our admissions.”