University of Saint Francis
The Department of Health and Human Services and CMS are overseeing a number of concurrently running programs and policies to increase access to care, reduce cost of care and improve quality of care. Each of these programs on their own could be seen as a revolutionary change in the way that healthcare is delivered and paid for. Together, these reforms are attempting to ensure that all Americans have access to affordable, quality care.
The major objective of the Patient Protection and Affordable Care Act (ACA) was to expand insurance coverage to all Americans. To this end, the legislation allowed children to stay on their parent’s health insurance until the age of 26, funded Medicaid expansion to states, provided subsidies to those purchasing insurance from the healthcare marketplace and implemented a penalty for those who did not purchase health insurance. One major concern was that the ACA would actually create a barrier to accessing care as so many newly insured patients would over-burden the health care system, and there would not be a sufficient number of primary care providers to deal with the influx of patients. There were ominous headlines in newspaper warning of the doctor shortage and telling consumers to be prepared to wait for care. The affordable care act has resulted in 15.8 million few uninsured people (Sullivan, 2015), yet most areas have not experienced the provider shortages and increased wait times for appointments that were predicted. In a 2015 issue brief, the Commonwealth Fund called the increase in utilization nominal, as their findings indicated that only 17 states would see an increase i...
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...n healthcare policy history will be seen as a period of transformation.
(n.d.). Retrieved October 19, 2016, from http://www.forbes.com/sites/ryanellis/2015/07/23/medicare-trustees-report-confirms-macra-saves-3-trillion-for-taxpayers/#68998ba3544a
Glied, S., & Ma, S. (n.d.). How Will the Affordable Care Act Affect the Use of Health ... Retrieved October 19, 2016, from http://www.commonwealthfund.org/~/media/files/publications/issue-brief/2015/feb/1804_glied_how_will_aca_affect_use_hlt_care_svcs_ib_v2.pdf?la=en
Shi, L., & Singh, D. A. (2015). Delivering health care in America: A systems approach. Burlington, MA: Jones & Bartlett Learning.
Sullivan, P. (2016). 16M fewer uninsured since ObamaCare, study finds. Retrieved October 18, 2016, from http://thehill.com/policy/healthcare/250911-158m-fewer-uninsured-since-obamacare-study-finds
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