OBAMA HEALTH CARE REFORM
As celebrated as MACRA was at the time for ending the widely unpopular method of setting fees, the law's true impact will be felt in the long term. It introduced a new payment structure aimed at rewarding physicians for high quality, good patient outcomes and efficiency, rather than volume of services.
On June 25, 2015 the Supreme Court upheld President Obama's hotly debated Affordable Care Act in a 6-3 decision. For those following the debate intently, it is understood that the verdict now authorizes federal tax credits for eligible Americans living in states with their own exchanges and also those in the 34 states with federal marketplaces.
For the first time since they've polled people on the Affordable Care Act, more Americans like Obamacare than dislike it. And an overwhelming majority of citizens like the tax subsidies. Most feel the law works but could be improved with changes. The change they want is different from what opponents are talking about, however.
It's a stretch to say that Charlene Dill died because Florida Republicans rejected the Medicaid expansion. Dill died because of an untreated heart condition. Even if Florida had expanded its Medicaid program, she might still have died. But access to health care, treatment and medications would have given her a fighting chance.
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