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2 Nephrology Times October 2012 Health Care Reform and Nephrology: VIEWPOINT To Be Continued Sounds perfect for end-stage re- By Robert Blaser nal disease (ESRD) care, right? In the mplementation of the Affordable words of a certain college football com- ICare Act (ACA) continues apace, at mentator, “Not so fast, my friend.” It least until the really big decision that the seems that specialty-specifi c ACOs are American people will make on Nov. 6. not allowable under current regula- While the outcome of the upcoming tion, and CMS has for now some pretty presidential election will infl uence the legitimate justifi cation for constraining ultimate fate of the legislation, the June the scope of ACOs (such as the desire 28 Supreme Court decision to uphold its for participants to learn how to crawl constitutionality is in and of itself a decision before they walk). obert Blaser is Director of of some interest to nephrology, organized While the exceptionally well-defi ned Public Policy for the Renal medicine in general, health care delivery nature of the ESRD patient population, Physicians Association. broadly, the nation at large, and much of the long-standing multidisciplinary care the free world (understatement intended). team approach typically
Nephrology Times – Wolters Kluwer Health
Published: Oct 1, 2012
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