PPACA Annotated Bibliography

The Patient Protection and Affordable Care Act( PPACA) commonly called as Affordable Care Act ( ACA) is a United States federal statute signed into law by President Barack Obama on March23, 2010.It was enacted with the goals of increasing the quality and affordability of health insurance by introducing a number of mechanisms—including mandates, subsidies, and insurance exchanges. This has an overall increase in utilization of health care services in all the sectors.
• Primary care, specialty care, and hospital emergency departments are expected to be overburdened with an influx of newly-insured patients. Patients might use expensive services under the insurance plan, even for less severe conditions like common cold, cough. They tend to use all the sectors like acute care, outpatient care even when it is not necessary causing a moral hazard.
• Even In-patient services would be affordable with the ACA mandates increasing its utilization.
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• Restrictions on expansion of existing hospitals and is viewed as an assault on the American entrepreneurial system. In response, these hospitals are expanding hours and services, and rejecting Medicare patients.
• The ACA assumes that cost control responsibilities will be shared between MCOs and Accountable Care Organizations. Medicare is authorized to develop payment methods for ACOs. Payment must include a shared savings program – pay additional moneys to ACOs that achieve targeted cost savings while meeting quality standards. This cost control method with quality management increasing the utilization of the managed care.
• Components of the ACA that affect community health centers involve maintaining adequate funding and developing teaching health centers. Health centers located in states that do not expand Medicaid could face fiscal shortfalls. This might result in provision of adequate services to the community increasing