An Ethical Perspective on the Affordable Care Act
The Carlat Psychiatry Report, Volume 12, Number 1, January 2014
Topics: Practice Tools and Tips
Rebecca Twersky-Kengmana, MD
Psychiatrist in private practice, New York, NY
Dr. Twersky-Kengmana has disclosed that she has no relevant relationships or financial interests in any commercial company pertaining to this educational activity.
This article will present ethical considerations of the ACA for psychiatrists. For the most part, ethical dilemmas for psychiatrists will occur in the quality and efficiency improvement category. Particular areas of concern are new innovations to improve quality and bring down costs, integrated health systems, linking payments to quality outcomes, payment bundling, and paying physicians based on value rather than volume.