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case study affordable care act
introduction to affordable care act
introduction to affordable care act
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The current state of affairs in the development of health policy in the United States is that it is constantly in flux and its implementation is disorganized and inefficient. As was the case with the recently passed Affordable Care Act legislation, political and lobbying interests often intersect in a manner that makes meaningful, most appropriate changes unlikely. The ACA kept in place the fractured nature of American health care and insurance, and appears to have benefited insurance companies by increasing enrollments rather than making the care provided better on a large scale. The majority of the plans on the created exchanges, up to 87%, are funded by federal subsidies (Blumenthal, Abrams, & Nuzum, 2015). These plans must cover individuals regardless of pre-existing conditions. The burden of the cost of insurance shifted to tax-payers and the young/healthy who are now overly burdened with mandatory coverage that they may or may not need in …show more content…
(2015). The Affordable Care Act at 5 Years. New England Journal of Medicine N Engl J Med, 373(16), 1579-1580. doi:10.1056/nejmc1510015
Greiver, M., Barnsley, J., Aliarzadeh, B., Krueger, P., Moineddin, R., Butt, D. A., & ... Kaplan, D. (2011). Using a data entry clerk to improve data quality in primary care electronic medical records: a pilot study. Informatics In Primary Care, 19(4), 241-250.
Ingram, R., Scutchfield, F. D., & Costich, J. F. (2015). Government, law, and public health practice: Public Health Departments and Accountable Care Organizations: Finding common ground in Population Health. American Journal of Public Health, 105(5), 840-846 7p. doi:10.2105/AJPH.2014.302483
Niles, N. J. (2014). Basics of the U.S. health care system (2nd ed.). Retrieved July 14, 2016, from http://samples.jbpub.com/9781284043761/Chapter1.pdf
Persad, G. (2015). Priority Setting, Cost-Effectiveness, and the Affordable Care Act. American Journal of Law & Medicine, 41(1),
K. Stremikis, C. Schoen, and A.-K. Fryer. A Call for Change: The 2011 Commonwealth Fund Survey of Public Views of the U.S. Health System, The Commonwealth Fund, April 2011. Retrieved April 26th, 2011 from web site: http://www.commonwealthfund.org/Content/Publications/Issue-Briefs/2011/Apr/Call-for-Change.aspx
The U.S. Health Care System: An International Perspective - DPEAFLCIO. (2014). Retrieved June 04, 2016, from http://dpeaflcio.org/programs-publications/issue-fact-sheets/the-u-s-health-care-system-an-international-perspective/
The Affordable Care Act or “Obamacare” was designed to assure that all Americans regardless of health status have access to affordable health insurance. The Affordable Car Act was signed into law March 23, 2010. The primary goal of this act was to decrease barriers for obtaining health care coverage and allow Americans to access needed health care services (Affordable Care Act Summary, n.d). After the legislation is fully implemented in 2014, all Americans will be required to have health insurance through their employer, a public program such as Medicaid and/or Medicare or by purchasing insurance through the health insurance marketplace exchange (Affordable Care Act Summary, n.d). I will identify three parts of The Affordable Care Act that I believe are important. First, I will talk about the requirement that insurance companies are no longer able to deny coverage to individuals with pre-existing conditions. Secondly, I will explain why physician payments are being shifted to value over volume. Lastly, I will discuss Medicaid expansion and why some states are not expanding at all.
One of the most controversial topics in the United States in recent years has been the route which should be undertaken in overhauling the healthcare system for the millions of Americans who are currently uninsured. It is important to note that the goal of the Affordable Care Act is to make healthcare affordable; it provides low-cost, government-subsidized insurance options through the State Health Insurance Marketplace (Amadeo 1). Our current president, Barack Obama, made it one of his goals to bring healthcare to all Americans through the Patient Protection and Affordable Care Act of 2010. This plan, which has been termed “Obamacare”, has come under scrutiny from many Americans, but has also received a large amount of support in turn for a variety of reasons. Some of these reasons include a decrease in insurance discrimination on the basis of health or gender and affordable healthcare coverage for the millions of uninsured. The opposition to this act has cited increased costs and debt accumulation, a reduction in employer healthcare coverage options, as well as a penalization of those already using private healthcare insurance.
The United States (U.S.) has a health care system that is much different than any other health care system in the world (Nies & McEwen, 2015). It is frequently recognized as one with most recent technological inventions, but at the same time is often criticized for being overly expensive (Nies & McEwen, 2015). In 2010, President Obama signed the Patient Protection and Affordable Care Act (ACA) (U. S. Department of Health & Human Services, n.d.) This plan was implemented in an attempt to make preventative care more affordable and accessible for all uninsured Americans (U.S. Department of Health & Human Services, n.d.). Under the law, the new Patient’s Bill of Rights gives consumers the power to be in charge of their health care choices. (U.S. Department of Health & Human Services, n.d.).
Governing bodies for the prevention, treatment, and management of illnesses in America are now in a commotion because of the cost of care and patient access and the need for a more efficient system. There are approximately 50 or more million people currently in The United States that are without insurance today. In March of 2010 a country wide health care charge called The Patient Protection and Affordable Care Act was passed, that seemed to offer solutions to some of the major issues facing our health care system. June of 2012, this new health care law or tax was challenged in the U. S. Supreme Court on the Constitutionality of the bill with proponents wanted the Act repealed. A few weeks later the Supreme Court gave its answer, which was the law or tax is Constitutional and upheld it as tax. One of the biggest issues to this Act was the part where all Americans have to be insured by someone or be penalized, but the final analysis of this...
Cooper, R. W., & Gardner, L. A. (2016). Extensive Changes and Major Challenges Encountered in Health Insurance Markets under the Affordable Care Act. Journal of Financial Service Professionals, 70(5), 53-71.
Since the initiation of the Affordable Care Act in 2010, Americans have been put back in charge of their individual health care. Under this new law, a health insurance marketplace provides a haven for individuals without insurance to gain coverage. Just this year, citizens found out early whether they qualified for Medicare or the CHIP formally known as the Children’s Health Insurance Program. So much is to be learned about the Affordable Care act and this paper provides the roles of the different governmental branches, along with other important factors associated with this law.
Barton, P. (2010). Understanding the U.S. health services system (4th ed.). Chicago: Health Administration Press.
McDonough, John E., and Eli Y. Adashi. "Realizing the Promise of the Affordable Care Act--January 1, 2014." JAMA: The Journal Of The American Medical Association 311.6 (2014): 569-70. Print.
The Affordable Care Act (ACA) is a federal that was signed into law by President Barack Obama on March 23, 2010 to systematically improve, reform, and structure the healthcare system. The ACA’s ultimate goal is to promote the health outcomes of an individual by reducing costs. Previously known as the Patient Protection and Affordable Care Act, the ACA was established in order to increase the superiority, accessibility, and affordability of health insurance. President Obama has indicated the ACA is fully paid for and by staying under the original $900 billion dollar budget; it will be able to provide around 94% of Americans with coverage. In addition, the ACA has implemented that implemented that insurance companies can no longer deny c...
Niles, N. J. (2011). Basics of the U.S. health care system. Sudbury, MA: Jones and Bartlett.
Shi, L. & Singh, D. A. (2010). Delivering Health Care in America: A System Approach 5th ed. Baltimore, Maryland: Jones & Bartlet
Sultz, H. A., & Young, K. M. (2011). Health care USA: Understanding its organization and delivery (7th ed.). Sudbury, MA: Jones and Bartlett.
Barton, P.L. (2010). Understanding the U.S. health services system. (4th ed). Chicago, IL: Health Administration Press.