Vol XIV: Ch 5 Private Duty Nonmedical Senior Care in the Age of the Affordable Care Act
From the Book: The Refractive Thinker® Vol XIV: Health Care: The Impact on Leadership, Business, and Education.


On March 23, 2010 the concept of health care in the United States changed forever. The advent of the Patient Protection and Affordable Care Act (PPACA), colloquially known as Obamacare, officially sounded the death knell for the fee-for-service era and ushered in a new age of patient centric care based on the concepts of wellness, care coordination, and cost reduction. Of all the ancillary health care sectors impacted by this new mandate, perhaps none experienced a more profound change than the private duty nonmedical senior care industry. Thanks in large part to several key PPACA initiatives including the codification of Accountable Care Organizations (ACOs), the formalization of bundled payments, and the mandate to reduce hospital readmission rates via the Hospital Readmissions Reduction Program (HRRP), the private duty nonmedical senior care industry is experiencing a renaissance the likes of which has rarely been seen in the health care sector. While previously case aside by many in the medical community as mere babysitters and companions, virtually overnight thousands of providers across the country woke up to the reality that nonmedical homecare is a legitimate and cost-effective means of promoting wellness, coordinating care, and reducing readmissions in the ever-expanding senior community in the United States. Refractive thinkers have long thrived on unconventional and disruptive thinking, and when viewed through the refractive lens, the private duty nonmedical senior care sector is the very epitome of evolution and disruption.
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