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Medicaid expansion thesis outline
A provision of the Patient Protection and Affordable Care Act
A provision of the Patient Protection and Affordable Care Act
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Introduction The Patient Protection and Affordable Care Act was signed into law in 2010. This paper summarizes three provisions of the ACA and analyzes the financial implications these provisions might have on the healthcare industry and U.S. economy. The three provisions are: the expansion of Public Programs, tax changes related to health insurance or financing health reform, and changes to private insurance. Expansion of Public Programs Under the Affordable Care Act the provision of “Expansion of Public Programs” exists to make changes to Medicaid and CHIP. The goal is to, “Expand Medicaid to all non-Medicare eligible individuals under age 65 (children, pregnant women, parents, and adults without dependent children)” (Summary) that meet a certain income requirement. Newly eligible adults, through this provision will receive a benefits package that will equate to the essential health benefits. Due to Supreme Court ruling, it is optional for states to decide to expand Medicaid. For financing this expansion, states would receive 100% federal funding from 2014-2016. This amount would regress down to 90% by 2020. Additionally, fee-for-service Medicaid payments will increase to 100% Medicare payment rates in 2013 and 2014. With this provision, states are required to maintain income eligibility levels with regards to Children’s Health Insurance Program (CHIP) until 2019. Starting 2015, there will be a 23 percentage point increase that states receive for the CHIP match rate. Those who cannot enroll in CHIP because of enrollment caps can receive tax credits. This provision will have a significant positive financial impact on the healthcare industry and U.S. economy as a whole. According to Glied & Ma (2013), “expansion in coverage (... ... middle of paper ... ...are Act, in general it will improve the healthcare industry. References Glied, S., & Ma, S. (2013, December 1). How States Stand to Gain or Lose Federal Funds by Opting In or Out of the Medicaid Expansion. . Retrieved May 1, 2014, from http://www.commonwealthfund.org/~/media/Files/Publications/Issue%20Brief/2013/Dec /1718_Glied_how_states_stand_gain_lose_Medicaid_expansion_ib_v2.pdf Hartsfield, T. (n.d.). ObamaCare's Cascade Of Taxes Pounds U.S. Taxpayers. Investor's Business Daily. Retrieved May 5, 2014, from http://news.investors.com/ibd-editorials- perspective/050514-699645-obamacare-taxes-are-a-cascade-of-new-costs-on-american- taxpayers.htm Kaufman, N. (2014, April 8). Health Care - Making Progress. The Huffington Post. Retrieved May 5, 2014, from http://www.huffingtonpost.com/nancy-kaufman/health-care-making- progre_b_5106807.html
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 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.
Missouri and Florida’s New Laws Constitutional? Missouri Law Review, Spring2012, Vol. 77 Issue 2, p567-589. 23p. Retrieved from http://web.b.ebscohost.com.southuniversity.libproxy.edmc.edu/ehost/pdfviewer/pdfviewer?sid=aef9f6f7-734d-4a6c-adae-2b97736ecc93%40sessionmgr111&vid=2&hid=127
Agenda setting is the process that determines appropriate solutions to a certain problem of a given field (Kingdon, 3). The process itself consists of three streams: problems, policies, and politics (Kingdon, 16). These separate streams interact when windows of opportunity are open – solutions are fitted with problems, and the impetus for this relationship is amenable political forces (Kingdon, 20). Prominent agendas are determined by the problem or political streams, while solutions are crafted in in the policy stream (Kingdon, 20). In the field of health care, the agenda setting is based upon the high number of uninsured citizens, the rising cost of medical care, the development of Patient Protection and Affordable Care Act (PPACA) in response to this issue, and the key players that debate whether governmental involvement is the correct approach in the issue of universal healthcare.
To define the terminology of federalism to a simplistic way is the sharing of sovereignty between the national government and the local government. It is often described as the dual sovereignty of governments between the national and the local to exert power in the political system. In the US it is often been justified as one of the first to introduce federalism by the ‘founding fathers’ which were developed in order to escape from the overpowered central government. However, federalism in the United States is hitherto uncertain where the power lies in the contemporary political system. In this essay I will outline and explain how power relationship alternates between states and federal government. Moreover I will also discuss my perspective by weighing the evidence based upon resources. Based on these resources, it will aid me to evaluate the recent development in the federal-state relationship.
The opposing argument serves as a perfect gateway to the topic of relationship between Federal and State government. In the United States, the Supremacy Clause serves...
Missouri and Florida’s New Laws Constitutional? Missouri Law Review, Spring2012, Vol. 77 Issue 2, p567-589. 23p. Retrieved from http://web.b.ebscohost.com.southuniversity.libproxy.edmc.edu/ehost/pdfviewer/pdfviewer?sid=aef9f6f7-734d-4a6c-adae-2b97736ecc93%40sessionmgr111&vid=2&hid=127
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).
Implemented (along with Medicare) as a part of the Social Security Amendments of 1965, Medicaid’s original purpose was to improve the health of the working poor who might otherwise go without medical care for themselves and their families. Medicaid also assisted low income seniors with cautionary provisions that paid for the costs of nursing facility care and other medical expenses such as premiums and copayments that were not covered through Medicare. Eligibility for Medicaid is usually based on the family’s or individual’s income and assets. When the ACA came into effect in 2010, it began to work with the states to develop a plan to better coordinate the two ...
Above all, if all states have decide to follow through ObamaCare's Medicaid Expansion they will conjointly pay $76 billion to insure up to 21.3 Million individuals who don't have access to health insurance for over the next decade. Regardless of what state, the federal government will help pay for 93% of the state cost of healthcare. Medicaid Expansion is a great way to help families below the federal poverty line get insurance and stay healthy. Without it, they will fall between the cracks forcing them to use Obamacare. In that case, it is projected to drive up cost of insurance for Americans.
The author also believes that the Medicaid expansion extends beyond the politics, and has an aim to impact the life, health, and financial stability for the state and individuals. Medicaid expansion can be beneficial to many countries that have a large proportion of low-income people that are uninsured and or with disabilities. This can aid in saving the state money because much of the cost is provided and covered by the federal government, that encourages healthier behavior and results to a reduction in chronic disease due to lower health care costs. Although Texas opted out in adopting the expansion, legislators should decide on the advantage and disadvantage of participating in the Medicaid expansion to improve the welfare of the state. The expansion of Medicaid coverage will give low-income pregnant women the chance to reduce the rate in infant mortality and provide an opportunity for those that were unable to get coverage to be
When states try to find ways to restrain from non-essential areas, unfunded federal mandates are at the top of the list. These mandates often force state and local governments to spend much more than necessary on everything from medical care to welfare to road building. A complex web of federal programs bind together the tree treasuries of the local, state, and federal government. As much as 25 percent of state budgets now comes from the federal government, and up to 60 percent of some state budgets is spent on joint federal-state programs.
Health insurance, too many American citizens, is not an option. However, some citizens find it unnecessary. Working in the health care field, I witness the effects of uninsured patients on medical offices. Too often, I see a “self-pay” patient receive care from their doctor and then fail to pay for it. Altogether, their refusal to pay leaves the office at a loss of money and calls for patients to pay extra in covering for the cost of the care the uninsured patient received. One office visit does not seem like too big of an expense, but multiple patients failing to pay for the care they receive adds up. Imagine the hospital bills that patients fail to pay; health services in a hospital are double, sometimes triple, in price at a hospital. It is unfair that paying patients are responsible for covering these unpaid services. Luckily, the Affordable Care Act was passed on March 23, 2010, otherwise known as Obamacare. Obamacare is necessary in America because it calls for all citizens to be health insured, no worrying about pre-existing conditions, and free benefits for men and women’s health.
Medicare Publications, http://www.medicare.gov/Publications/Pubs/pdf/11467.pdf Kenney, G. M. & Cook, A. (2010). Potential Impacts Of Alternative Health Care Reform Proposals For Children With Medicaid And Chip Coverage. The Urban Institute Health Policy Center. Retrieved August 20, 2010 from http://www.urban.org/uploadedpdf/411993_CHIP_coverage.pdf Explaining Health Care Reform: Questions About Medicaid’s Role. (2010). The Kaiser Family Foundation.
Due to the affordable Care Act, the middle class will not have the finances to support the everyday cost of living in Indiana. Americans have a hard enough time surviving in the recovering economy. Now they have to deal with higher premiums and increased penalties if they do not sign up for the Affordable Care Act.