Paul R. DeMuro

It's High Time for Our Elected Officals to Fix Obamacare

The health of our population is at risk, and the uncertainty is disturbing for many, and this author says it's time for a call to action

OPINION – The other day, a colleague rang me to discuss how Obamacare had affected his healthcare. For the ‎purposes of this commentary, I will call this individual Lee. Apparently, Lee has a chronic condition that ‎requires that he be infused with certain drugs periodically to ensure he survives. Lee's health plan ‎offering was no longer available. The only offering he could find was one that had a "narrow network," ‎which neither included the physician he had seen for years, nor the hospital he had gone to. Oh yes, ‎and he added that all the drugs he needed were not covered. Lee was concerned that the cost of the ‎drugs might be over a hundred thousand dollars a year.‎

I have no idea what Lee might be paying for health insurance, but let us assume it's $20,000 a ‎year. Lee was concerned about the narrow network and the additional out-of-pocket costs that he ‎would incur. Fortunately, he can afford to pay these out-of-pocket costs. I could not help but ‎think about a person who could not afford the $20,000 for health insurance before Obamacare, but now ‎may have some form of coverage. This individual presumably will receive some subsidies, but if he only ‎has a narrow network offering, he might find himself in a similar situation as Lee, but without the ‎wherewithal to pay the out-of-pocket costs.‎

Befuddled: Health Reform – Where do all the Delays Leave the Little Guy?

With the delay in the mandate for large employers, the author contends we may just be seeing the tip of iceberg in the myriad of problems with Obamacare.

OPINION – July 11, 2013 -- Last week the Obama administration noted that there would be a number of delays in the implementation of Obamacare. I am not sure why the administration thinks it can pick and choose when it would like to implement certain provisions of the law, but I will leave that to the legal scholars.

A Healthcare Odyssey Without Electronic Health Records

The author, special counsel with Schwabe, Williamson & Wyatt in Portland, discusses how EHRs can improve quality of care in a more cost-effective manner by sharing his experiences as a patient

OPINION – December 20, 2012 -- In a pre-health reform world without interoperable electronic health records (EHR), or a patient-centered provider collaborative model, my healthcare experiences over the last year or so are all too common.  As a biomedical informatician and healthcare attorney, I will set forth this experience in this article, and then offer some initial thoughts on how interoperable EHRs, and a patient-centered provider collaborative model can afford a greater quality of care, in a more cost-effective manner, with less angst and less time on the par

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