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State jobs to be created by Obamacare?


Posted: Jan 14, 2013

A friend of mine, who used to be a low-level manager for a big hospital system, talked with someone recently who expected that our state (and presumably others) would have to hire a lot of people for jobs related to admin/support of Obamacare. 

Does anyone have a CLUE what education/qualifications might be relevant?  I'm vaguely thinking coding/billing might be part of the mix, but mostly I'm just totally drawing a blank.  Accounting?  IT?  Anyone feel like you've got a clue?

I expect to be laid off from my MT job imminently, so I'm hoping to use my time on unemployment to get retrained... in something.  I already did the coding-training thing and passed the CPC exam, then let it go when it became clear that entry-level coding jobs weren't going to happen in my neck of the woods, and it would just be a matter of endless CEUs and endless dues to AAPC to maintain the credential.

;

GREAT question. 166 views so far, no answers. FWIW, the - outlook for healthcare administration is excellent

[ In Reply To ..]
If I were younger, that's a direction I'd probably be looking specifically because it's wide open and growing; no chance that some change could just make it disappear. As for your question, it's hard to imagine the state health benefit exchanges functioning without lots of administrators. :)

I like that the range of jobs people work in is very broad, everything from being office manager of a little local practice to a specialist desk in some large insurance company--or government office. Some administer people, some IT, some fly around the country, some are high-level clerical and spend the day quietly in a cubicle, some are involved in research. Lots of possibilities to suit yourself. As for entry, administrators need assistant administrators...

Most important, and I should have mentioned it first, this general level survives the massacre of all those clerical jobs that could be replaced by computers and/or saw collapse of pay rates. It's on the upside of the great chasm that's opened and has a future, and pay is solidly middle class. It also very much can be a career for anyone who desires, moving up from assistant, to administrator, to department head, to whatever--or sideways to some exciting new type of work.

In any case, you have a good base and administration would give you lots of different possibilities and choices for employment--unlike coding. Understanding coding and even being able to do a little, though, is a very nice skill, often required, for an administrator to have. And you do.

Strange a question regarding job training would be moved - sm

[ In Reply To ..]
This was on the Main Board and was move to the political board. I believe the main career path to pursue would be Health Information and Mangement (HIM). I guess moderator sees the word Obamacare and thinks it is political. Obamacare is synonomous for affordable health care act. The OP was a question about career training.

Similar to when Dust bowl posts were moved to gab board, ignoring the fact that dust bowl was man-made climate change that in turn affected the social and political policies of this country.

go figure.

It could go either, couldn't it? Job trends are a societal issue. - IT is another obvious one, although the better

[ In Reply To ..]
positions, except for strictly technical, are going to be administrative. Keeping the IT systems humming while the clinical people go about their business.

Dust Bowl was mainly because of a drought and poor farming habits - backwards typist

[ In Reply To ..]
not climate change.

Farmers grew the same foods in the same lot for years and when mechanical tractors and plows came along, they planted more and more, which depleted the ground of nutrients. They didn't leave any land idle nor build up the soil so crops died instead of growing. Then the topsoil blew away with the high winds.

Climate change had NOTHING to do with it. Better to learn the real reasons then to state otherwise.

You agree that farming practice caused a drought? - Thinking . . .
[ In Reply To ..]
An unnatural drought? And then it just changed back all by itself?
Did I say that? Gee, didn't know that. I was sure i - backwards typist
[ In Reply To ..]
said the DUST BOWL was caused by poor farming practices.

There was a drought but it wasn't CLIMATE CHANGE. The DUST BOWL was caused by poor farming practices AND THAT WASN'T CLIMATE CHANGE.

IMHO, you're just being argumentative. PLEASE READ YOUR HISTORY and learn how to discuss instead of argue.
It is an acknowledgement that man caused it, tho, and where's - claim of a liberal plot to destroy us?
[ In Reply To ..]
There wasn't any. Just simple truth. Good for you. Good for us.
So you agree the Dust Bowl was a - man-made environmental catastrophe
[ In Reply To ..]
that disrupted an entire ecosystem, huh? The devastation was one of biblical proportions, even featuring hordes of locusts descending on the fields. The story of those "real reasons" and how it is relative to current day climate change debates goes something like this.

The DB was the result of two decades of irresponsible land use. That alone is cause for deep introspection as humanity continues to fuel a future environmental disaster whose scale will dwarf the Dust Bowl.

The ruin of Oklahoma and neighboring states had its origins in the early years of the 20th century, when railroad companies that owned huge tracts of undeveloped land and real estate syndicates began carving up ranch lands into smaller parcels and marketing them to prospective farmers across the country. Those farmers, mostly poor white immigrants, flocked to the Plains and, using new harvesting methods and machinery, plowed over the grasslands that had formerly sustained massive herds of buffalo, by then wiped out by white settlers.

The trouble was, those grasses had evolved after millions of years to become the ideal ground cover for flat, empty plains susceptible to long periods of drought. With deep roots that retained moisture in the soil and allowed the grass to survive even during extremely dry years, the naturally occurring forage was actually critical in maintaining the entire ecosystem.

The giant dust clouds started in 1932, the result of normal heavy winds hitting enormous tracts of plowed-up land with no grasses to hold the soil. A severe, years-long drought worsened the problem.

Today, with global temperatures rising, record-setting heatwaves, droughts and wildfires sweeping the West and powerful storms afflicting the East, it's apparent that we're doing it again. In the 1920s, desire for profits trumped environmental stewardship, and the economic losses that resulted made the short-term gains from over-farming the Plains states look like chickenfeed. The lesson: Ravaging the environment on such a wide scale has hidden costs that nature will inevitably collect. That's worth keeping in mind today as the federal government continues its irresponsible inaction on climate change.

During the Dust Bowl, California was a refuge for those who had literally sown the seeds of their own destruction. Today it's still trying to play that role. Far ahead of most states when it comes to climate legislation, California recently held its first auction of carbon credits. The auction went off smoothly and produced no earth-shattering news, but then that's the point -- the Golden State is proving that you can put a price on carbon and impose a cap-and-trade program without undue trauma to the economy.

Unfortunately, California can't be a refuge this time around. Absent much-stronger action from the country and the world, California will be just as ravaged by the climate crisis as everywhere else.

If that makes Californians mad -- well, it should. Blithely ignorant Midwesterners such as Oklahoma's Republican Sen. James Inhofe, who calls global warming a hoax, betray not only their ignorance of science but of their own states' recent history. The same desire for short-term gains regardless of the long-term cost -- exemplified by Inhofe -- is what ravaged Oklahoma and surrounding states during the Depression. If Inhofe is even the tiniest bit curious about the origins of his own state, he should branch past the Rogers and Hammerstein version of Oklahoma and watch Ken Burns depiction of the Dust Bowl. Being buried under several feet of sand and dust takes the shine off of those surreys with the fringes on the top.

http://articles.latimes.com/2012/nov/20/news/la-ol-dust-bowl-20121120

Moving posts - Bilboa

[ In Reply To ..]
Yeah, that IS strange that it was moved. No doubt it's because that first response used my non-political question as an excuse to air her political views on the Main board. It does also make me wonder a bit if the "moderation" here is, in fact, automated and just goes by keywords.
sadly... - sm
[ In Reply To ..]
there are actual humans who do this.

State hospital my husband works at is laying employees off - Thanks to Obamacare, funding cut

[ In Reply To ..]
Federal funds were cut (reduced) for Medicare/Medicaid, which forces many state run hospitals to lay employees off.

Well, long term, we're all going to die. That'll be - Obamacare's fault too, and mine as a lib

[ In Reply To ..]
of course. Although,...if we DIDN'T all die we would need healthcare, and our numbers are growing and growing. And growing.

Since your oracles don't mention the effects of an exploding patient demographic, though, that must mean they feel we're all going to die. The plus side of that, also of course, is that we won't need jobs any more. All problems solved.

Excuse me, but between the feds and the hospitals - there's a governor

[ In Reply To ..]
calling SOME shots as to what happens in the MC/MA funding supply chain. Which state? When did these lay-offs take place? Where the link to the info to back up this claim.

HIT-Pro certificate - MTinTexas

[ In Reply To ..]
I am not so sure it would be considered a state job but I am enrolled in a HITECH course to obtain a HIT-Pro (health information technology professional) credential that will be offered this summer through AHIMA (I think). With the push for mandating electronic health records by 2015, this gives you the training to learn workflow design and implementation ...

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