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Key provisions in the Affordable Care Act
Introduction to affordable care act
Explain the Affordable Care Act law
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The American Healthcare system is a very complicated system. It is very difficult for an average individual to comprehend it. In order to understand the healthcare system you must also understand the iron triangle of health. The iron triangle of health is a concept or theory that was proposed by William Kissick in 1994. The three vertices of the iron triangle of health are cost, quality and access. According to this theory those three vertices are connected to each other, therefore, an increase in quality will either result in an increase in cost or a reduction in access. Also, if access is increased that will result in a decrease in quality and an increase in cost. Therefore, one of the most important purposes of creating the affordable Care …show more content…
Therefore, the Affordable Care Act increased access to healthcare. The group that benefited the most was the individuals with pre-existing conditions. Prior to Affordable Care Act, insurance companies had the right to deny the application of those with pre-existing condition like asthma and diabetes. However, with the ACA, insurance companies cannot deny their application and they can’t increase their premium. Another group that had advantages of this new act are the poor people. People who are up to 138% of poverty level or the individuals that make less than $15,854 a year will be eligible for …show more content…
One of the policies that ACA made to improve healthcare quality is to provide free preventive screening, immunization, and wellness visit. Since this policy took place, 76 million Americans now receive free preventive care. Moreover, under this policy doctors will get paid more so they can take more proactive approach to patient care and making sure patients are healthy, rather than only treating them when they are sick. Also by making the healthcare recorders electronic that increased the quality of healthcare. Creating EHRs decreased healthcare errors, decreased the amount of time spent on documenting and increased space capacity. Moreover, by creating EHRs this gave the healthcare providers extra time to spend with their
The Iron Triangle model was developed by William Kissick in the early 1990’s during the managed care revolution in the U.S. The model was called Iron Triangle to help express the level of difficulty in prioritizing healthcare
The aim of affordable care act (ACA) was to extend health insurance coverage to around 15% of US population who lack it. These include people with no coverage from their employers and don’t have coverage by US health programs like Medicaid (Retrieved from, https://www.healthcare.gov/glossary/affordable-care-act/). To achieve this, the law required all Americans to have health insurance which is a reason of controversy because, it was inappropriate intrusion of government into the massive health care industry and insult to personal liberty. To make health care more affordable subsidies are offered and the cost of the insurance was supposed to be reduced by bringing younger, healthier people to the health insurance system. This could be controversial, if older, sicker people who need the coverage most enter the market but younger group decline to do so. The insurance pool will be unbalanced and the cost of coverage will rise correspondingly.
The Affordable Care Act benefits to reconstruct the healthcare system by giving more Americans access to superiority, reasonable health insurance and supports to curtail the growth of healthcare spending in the U.S. People with health insurance will have access to a number of new benefits, privileges, and defenses which ensure that they can get treatment when they need it. This helps over 32 million Americans afford health care who could not get it before. It not only helps the consumers but also our budget and economy on a more stable path by reducing the discrepancy by more than $100 billion over the next ten years. Since there are millions of people with health insurance, it will also increase the demand of healthcare provider as more jobs will be open which will help our economy (Mowrey, 2013).
In America the affordability and equality of access to healthcare is a crucial topic of debate when it comes to one's understanding of healthcare reform. The ability for a sick individual to attain proper treatment for their ailments has reached the upper echelons of government. Public outcry for a change in the handling of health insurance laws has aided in the establishment of the Affordable Healthcare Law (AHCL) to ensure the people of America will be able to get the medical attention they deserve as well as making that attention more affordable, as the name states. Since its creation, the AHCL has undergone scrutiny towards its effects on the government and its people; nevertheless, the new law must not be dismantled due to its function as a cornerstone of equal-opportunity healthcare, and if such a removal is allowed, there will be possibly detrimental effects on taxes, the economy, and poor people.
Many sources identify the Triple Aim as a derivation of the Iron Triangle’s evolution. The Iron Triangle addresses the ambiguous quality of services, the accessible nature of healthcare delivery, and the affordability of the care. In complete opposition, Triple Aim seeks to optimize performance by improving the patient experience, improving the health of a population, and reducing per capita health care costs. Furthermore, the Triple Aim framework supports the reduction of waste and increase in operational efficiency through the usage of integrators that oversee the three components. The topics addressed in each triangle’s vertices do not have a one-for-one correlation and hence further reveal the differentiation among the ideas. However, both the Iron Triangle and Triple Aim have continued to remain common knowledge among educators and healthcare policy makers and have contributed to health policy changes over the
Many changes in health care insurance have been made to increase the amount of individuals with health insurance coverage. The Affordable Care Act (ACA) was enacted in 2010 in efforts to help solve some of the biggest issues that Americans faced with health care and its availability (The White House, 2016). As of today, more than 9 out of 10 Americans have health insurance (The White House, 2016). This means that 20 million people have gained health insurance since the ACA was enacted (The White House, 2016).
Another feature about Obamacare is to increase access to healthcare. If you are already insured you can get a bundle of new consumer benefits. If you are not insured you can enroll in Medicaid if you are low income. If you have a high income you can get health insurance through an exchange for a better price than with a private insurance company (Tate 17-18). The biggest goal of Obamacare is to insure the uninsured Americans. In the year 2000 the...
Nearly every American can agree that our current health care system needs reforms. Primarily do to the fact that 45.7 million Americans are without health insurance. That's approximately 16 percent of Americans who sometimes have to do without healthcare, or face crucial financial responsibility. The main issues are admission to healthcare, and the affordability of health care. Before 1920, doctors didn't know enough about diseases to really provide useful care to sick people. Therefore the...
The main advantage of the Affordable Care Act is that it lowers health care costs overall by making insurance affordable for more people. First, it wi...
The U.S. expends far more on healthcare than any other country in the world, yet we get fewer benefits, less than ideal health outcomes, and a lot of dissatisfaction manifested by unequal access, the significant numbers of uninsured and underinsured Americans, uneven quality, and unconstrained wastes. The financing of healthcare is also complicated, as there is no single payer system and payment schemes vary across payors and providers.
Reforming the health care delivery system to progress the quality and value of care is indispensable to addressing the ever-increasing costs, poor quality, and increasing numbers of Americans without health insurance coverage. What is more, reforms should improve access to the right care at the right time in the right setting. They should keep people healthy and prevent common, preventable impediments of illnesses to the greatest extent possible. Thoughtfully assembled reforms would support greater access to health-improving care, in contrast to the current system, which encourages more tests, procedures, and treatments that are either
In March 2010, under the Obama administration, the United States enacted major health-care reform. The Affordable Care Act (ACA) of 2010 expands coverage to the majority of uninsured Americans, through: (a) subsidies aimed at lower-income individuals and families to purchase coverage, (b) a mandate that most Americans obtain insurance or face a penalty,
According to Roy, 2013 the issues of providing the affordable care act will unite both the supporters and offenders of the public policy, but in this current situation where the input costs are rising, it will become impossible for government in managing the public policy related to affordable health care. In order to provide affordable health care, majority of the US government has tried out different policies time to time, but unable to get success in realizing the actual policy goals. By providing the affordable health care to majority of the people who requires more amount as controlling the input cost is not possible (AAMC, 2013). Lack of doctors is one of the primary issue in providing high quality health care to the citizens especially those who are financially poor. The Supreme Court of the country passed an Act related to Health insurance as all should have Health Insurance to all the country people by the year 2014, but the at the same time government is concerned about constitutionality of these act (NYTimes, 2013).
Health care has always been an interesting topic all over the world. Voltaire once said, “The art of medicine consists of amusing the patient while nature cures the disease.” It may seem like health care that nothing gets accomplished in different health care systems, but ultimately many trying to cures diseases and improve health care systems.
The cost of US health care has been steadily increasing for many years causing many Americans to face difficult choices between health care and other priorities in their lives. Health economists are bringing to light the tradeoffs which must be considered in every healthcare decision (Getzen, 2013, p. 427). Therefore, efforts must be made to incite change which constrains the cost of health care without creating adverse health consequences. As the medical field becomes more business oriented, there will be more of a shift in focus toward the costs and benefits, which will make medicine more like the rest of the economy (Getzen, 2013, p. 439).