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Wednesday, April 2, 2014

No ICD-10. Now what?

The bill just passed by the House and Senate doesn't delay the October 1st ICD-10 conversion implementation by a year. It delays it by at least a year. Should the GOP regain control of the Senate later this year, a lot could change with respect to health care reform. Probably none of it for the better. ICD-10 might be delayed for years.

Just this morning, SCOTUS ruled 5-4 (McCutcheon v. FEC) that aggregate limits on campaign contributions are unconstitutional. The liberal commentariat is all abuzz with hyperbolic End-of-Demcracy hand-wringing.

I'm not so sure. The Koch brothers and Sheldon Adelson et al have this far wasted hundreds of millions of dollars to little national avail. The Hated Kenyan Commie won re-election in an electoral mauling, recall?

Still, a fully GOP-dominated 2015-16 Congress could wreak considerable reform havoc (though they'll probably waste the two years impeaching the President and holding countless Star Chamber hearings on every conceivable tertiary topic. Issa-istan run amuck).

How vital is ICD-10 to beneficial healthcare reform? Significantly? Trivially? No impact? Negative impact? What do you think? Who are the principal near-term beneficiaries of ICD-10? Payors? The Feds? (Having a difficult time seeing how it could be patients or their clinicians.)

Not clear to me at this point.

More to come...

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