Comments on: Does the ACA Actually Mandate Free Checkups? https://thehealthcareblog.com/blog/2015/03/08/does-the-aca-actually-mandate-free-checkups/ Everything you always wanted to know about the Health Care system. But were afraid to ask. Thu, 01 Dec 2022 20:29:31 +0000 hourly 1 https://wordpress.org/?v=6.3.4 By: carl75 https://thehealthcareblog.com/blog/2015/03/08/does-the-aca-actually-mandate-free-checkups/#comment-857726 Sat, 19 Nov 2016 18:39:11 +0000 https://thehealthcareblog.com/?p=80065#comment-857726 At the most granular level, I pose this question: Did the ACA literally outline a definition of preventative services that are covered at the CPT level? If not, has such a list been codified by consensus amongst providers and insurers?

If I have a high deductible plan as a consumer, I should literally be able to know what I expect to pay for. Of course, the average consumer does not concern themselves with the intricacies of medical coding, but SOMEONE, ANYONE should be able to answer this question. If not, then the fucking bill needs to be clarified.

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By: KenNote https://thehealthcareblog.com/blog/2015/03/08/does-the-aca-actually-mandate-free-checkups/#comment-839037 Thu, 14 May 2015 01:59:05 +0000 https://thehealthcareblog.com/?p=80065#comment-839037 Thanks for share. http://note.taable.com/

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By: Saurabh Jha https://thehealthcareblog.com/blog/2015/03/08/does-the-aca-actually-mandate-free-checkups/#comment-726326 Thu, 12 Mar 2015 22:13:44 +0000 https://thehealthcareblog.com/?p=80065#comment-726326 In reply to Allan.

“The law is too divisive and was passed in a divisive manner. ”

Indeed it is and was. And it should be debated, reformed, etc.

But that does not make a technical challenge grounded in obsessive textualism and suprious intent bordering on conspiracy theory truthism any less absurd.

I doubt your highly erudite founding fathers would be terribly impressed with the today’s pettifogs who affect the protection of the constitution every nanosecond.

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By: Allan https://thehealthcareblog.com/blog/2015/03/08/does-the-aca-actually-mandate-free-checkups/#comment-726324 Thu, 12 Mar 2015 21:57:03 +0000 https://thehealthcareblog.com/?p=80065#comment-726324 In reply to Saurabh Jha.

“I highly doubt your founding fathers would consider…”

The lawsuit is not grounded in pettiness. The law is too divisive and was passed in a divisive manner. That is what has created the problems exhibited today. Your manners are divisive so I doubt very much you understand the intent of our founders that emphasized representative democracy and never perceived of politics as a profession.

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By: J. Kirschman, MD https://thehealthcareblog.com/blog/2015/03/08/does-the-aca-actually-mandate-free-checkups/#comment-726320 Thu, 12 Mar 2015 21:38:52 +0000 https://thehealthcareblog.com/?p=80065#comment-726320 There is commonality between the Supreme Court case and the blog post — both rest on the definitions of words being used and the intent. In the blog post, words such as screening, check-up, and physical examination are all used, though never defined, as they were never defined nor mentioned in the ACA. To the lay person, most do not see the difference between a check-up, a physical examination, a screening or a preventive benefit. Having performed Medicare Wellness visits in the past, I am well aware that those patients thought they were going to get something entirely different from what was offered.

The ACA does define preventive benefits and services, though does not define screening periods (some of the “A” and “B” recommended preventive services do not have a defined screening period, eg. alcohol and obesity to mention two obvious examples). So, if I screen and counsel my patients on obesity once a year, as allowed by the ACA as a covered preventive benefit, it could be construed by the general public as “an annual examination” covered by the ACA.

As Mr. Glason highlighted in a response to my earlier post, the choice of words matters. I would also suggest that their definitions matter, especially when there is difference of understanding between medical professionals and the general public. This difference is turbo-charged when some folks can get it “free” and others have to pay for it.

As to the Supreme Court, that’s for another blog and another day.

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By: Saurabh Jha https://thehealthcareblog.com/blog/2015/03/08/does-the-aca-actually-mandate-free-checkups/#comment-726316 Thu, 12 Mar 2015 20:54:51 +0000 https://thehealthcareblog.com/?p=80065#comment-726316 In reply to Saurabh Jha.

I highly doubt your founding fathers would consider state vs. federal exchange qualification for subsidy an affront on the constitution.

I’ve read stuff written by your founding fathers. They had a penchant for common sense and seemed to have a highly tuned BS radar.

I suspect they might have found this line “You might prefer coercion and violence” an utterance from a muppet.

The pettiness in this lawsuit, that you appear to endorse, belittles their wisdom.

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By: Allan https://thehealthcareblog.com/blog/2015/03/08/does-the-aca-actually-mandate-free-checkups/#comment-726305 Thu, 12 Mar 2015 20:27:05 +0000 https://thehealthcareblog.com/?p=80065#comment-726305 In reply to Saurabh Jha.

“Nearly half your country thinks the other half are balmy…”

Your hysteria is not necessary. Take a Valium.

The Supreme Court will peacefully decide and then Congress and the Presidency will pass more laws because this law was not a compromise that suited the majority of Americans. Eventually most of the public will settle into whatever law exists at the time whether satisfied or not. Some, however, will not act peacefully and will act violently. The Tea Party didn’t act violently, but OWS and similar groups do, and have done so repetitively.

You have your own method of confrontation. While not physically violent you assault those you don’t agree with by demeaning them opening the doors for violence.

“One absurdity is lawsuit.”

When you find that you have a contract dispute with your boss, go ahead demean him/her, use violence or whatever other way you have to deal with these things. I prefer the use of the judicial system. You might prefer coercion and violence. That is your choice.

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By: Tazia K. Stagg https://thehealthcareblog.com/blog/2015/03/08/does-the-aca-actually-mandate-free-checkups/#comment-726285 Thu, 12 Mar 2015 19:10:05 +0000 https://thehealthcareblog.com/?p=80065#comment-726285 In reply to Saurabh Jha.

Why doesn’t Bobby’s blog seem like the right place for it?

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By: Saurabh Jha https://thehealthcareblog.com/blog/2015/03/08/does-the-aca-actually-mandate-free-checkups/#comment-726283 Thu, 12 Mar 2015 19:05:27 +0000 https://thehealthcareblog.com/?p=80065#comment-726283 In reply to Saurabh Jha.

“Does this seem like the right place to have this discussion?”

It is actually strangely relevant.

To what extent are you going to take the ACA at its absolute literal level with no scope for uncertainty?

Should the ACA be subjected to a grammar test to make sure the prepositions and conjunctions make sense?

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By: Tom Emerick https://thehealthcareblog.com/blog/2015/03/08/does-the-aca-actually-mandate-free-checkups/#comment-726279 Thu, 12 Mar 2015 18:53:26 +0000 https://thehealthcareblog.com/?p=80065#comment-726279 When a conversation devolves into accusing those with whom you disagree of abetting National Socialism, count me out.

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