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ANCHOR LEAD: A WHOLE NEW COMMITMENT TO PRIMARY CARE IS NEEDED UNDER THE AFFORDABLE CARE ACT, ELIZABETH TRACEY REPORTS

Primary care medicine is likely to come more sharply into focus as the Affordable Care Act is implemented and millions of people who’ve never had health insurance are now able to access medical care.  How will an academic medical center such as Johns Hopkins help answer this need?  Paul Rothman, dean of the Johns Hopkins School of Medicine, comments.

ROTHMAN: Part of the solution to this would be utilizing mid-level providers, that’s nurse practitioners, that’s physician assistants, and others, to take care of these primary care population that we otherwise don’t have the physician workforce to take care of, and so that means you develop teams, where physicians, nurses, PAs and others work together as a team to take care of people, and I think that at Hopkins we’re hoping to help build those teams.   :26

Rothman says that primary care specialties are likely to become more attractive to medical students as reimbursement will also change under the Affordable Care Act.  At Johns Hopkins, I’m Elizabeth Tracey.

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ANCHOR LEAD:  COST EFFECTIVE HEALTHCARE MAY GET A BOOST UNDER HEALTHCARE REFORM, ELIZABETH TRACEY REPORTS

No matter where you sit on the matter of healthcare reform, one thing is clear: costs must be kept under control, but not at the expense of quality.  Paul Rothman, dean and CEO of Johns Hopkins Medicine, says one piece of the Affordable Care Act, recently upheld by the Supreme Court, may help.

ROTHMAN: One of the other really important parts of the bill are the innovative grants that the bill is going to provide.  We know it’s important moving forward that we’re able to develop systems of cost-efficient healthcare that’s still is very patient centered, highest quality and safe care. Part of the bill allows for innovative programs to try to develop care systems that do all that, and so at Johns Hopkins and other academic medical centers in the country we’re very excited about the opportunity to use some of these funds to develop ways to take much better care of patients.  :34

At Johns Hopkins, I’m Elizabeth Tracey.

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ANCHOR LEAD: WHAT WILL THE SUPREME COURT’S DECISION ON HEALTHCARE REFORM MEAN TO YOU? ELIZABETH TRACEY REPORTS

The Supreme Court has rendered its longQawaited decision largely upholding healthcare reform as proposed by the Obama administration.  Paul Rothman, dean and CEO of Johns Hopkins Medicine, says now it’s time to get to work.

ROTHMAN: I think it’s really important the Supreme Court made a decisive decision on Healthcare Reform Act.  Now that we have certainty I think everyone feels much more comfortable going forward in planning for what healthcare is going to look like in the future.    :15

Rothman applauds some aspects of the legislation.

ROTHMAN: Increased coverage for up to 32 million Americans, protection for people who have pre-existing conditions, insuring that if you have children 26 and under, they can have insurance under your policy, so there are a lot of wonderful parts to the bill that we’re glad have been approved.  :18

Rothman welcomes the opportunity to help create a more patient-centered, cost-effective system of healthcare.  At Johns Hopkins, I’m Elizabeth Tracey.

 

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ANCHOR LEAD: THE AFFORDABLE CARE ACT HELPS EMPOWER EFFORTS TO IMPROVE HEALTHCARE, ELIZABETH TRACEY REPORTS

Fee for service is how most of our current healthcare is provided: you go to see your physician and he or she charges you a fee. Many critics feel this system incentivizes too many procedures and tests, and contributes a lot to overinflated medical costs. Paul Rothman, dean and CEO of Johns Hopkins Medicine, says the recently upheld Affordable Care Act has provisions to help in the development of a better system.

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Neurologist Dr. Steven Zeiler talks about meaningful brain recovery, the stroke research being conducted at Johns Hopkins and when rehabilitation should begin.

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An autopsy pathologist talks about his “heroes”— breast cancer patients who agreed to have their tissues harvested immediately upon their passing.

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A radiation oncology resident explains how patient-centered care requires not only answering patients’ questions, but helping them understand what the questions are.