Massachusetts Health Reform
In 2006 the state of Massachusetts wanted to help its millions of citizens who were uninsured. The state legislators as well as the governor put into place a plan to help citizens get insurance. A law was passed to reform insurance in Massachusetts, which was known as Chapter 58 of the Acts of 2006 of the Massachusetts General Court; its long form title is An Act Providing Access to Affordable, Quality, Accountable Health Care.
The newly enacted law decreed that almost all of Massachusetts’ residents obtain a minimum level of insurance coverage. It also gave free health care insurance for Massachusetts residents that earned less than 150 percent of the federal poverty level. It also decreed that all employers that have more than ten full-time employees to give healthcare insurance to its employees. (Ayanian, J. 2012).
The reason the state of Massachusetts was determined to reform the state’s insurance policies started back in to 2004. There were multiple issues that drove it into legislation. Some of the issues were directly related to the insurance reform, some were not clearly related to it, but the most critical issue has always been the rising costs of healthcare insurance.
One issue facing state legislators was a six-year-old federal government waiver that directed how the state of Massachusetts dealt with its Medicaid program, and it was about to expire. If state legislators didn’t renew the waiver, or change it, then millions of citizens would lose Medicaid coverage since the state would be reverting to federal regulations. The state legislators felt this was unacceptable and knew that some type of health insurance reform was necessary.
Another issue was the use, or the misuse of hospital...
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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.
Due to the Patient Protection and Affordable Care Act signed into law on March 23rd, 2010; health care in the US is presently in a state of much needed transition. As of 2008, 46 Million residents (15% of the population) were uninsured and 60% of residents had coverage from private insurers. 55% of those covered by private insurers received it through their employer and 5% paid for it directly. Federal programs covered 24% of Americans; 13% under Medicare and10% under Medicaid. (Squires, 2010)
It is enthralling to note that in spite of the advances in healthcare systems, such as our hospital’s ability to provide patients with lower cost, managed One being the Health Maintenance Organizations (HMO), which was first proposed in the 1960s by Dr. Paul Elwood in the "Health Maintenance Strategy”. The HMO concept was created to decrease increasing health care costs and was set in law as the Health Maintenance Organization Act of 1973, after promotion from the Nixon Administration. HMO would, in exchange for a fee, allow members access to employed physicians and facilities. In return, the HMO received market access and could earn federal development funds.
...ll have to provide nutrition facts to help communities as a whole become healthy or continue their healthy habits. This means the economy will have fewer people covered by government-sponsored health plans. The amount of coverage required to cover all the uninsured will not be enough. According to Daniel Fisher (2012), the laws that were in place provided coverage for the poor, elderly and even about 60% of Americans who get their insurance through their employer. The sole purpose for the healthcare reform is to fix a problem that each year costs extreme amounts of money. The Healthcare reform act is to help with the economic issue of people merely staying at their jobs just so they can continue with insurance coverage. The rising cost and the complexity of healthcare systems is an imperative factor that should concern both businesses and individual
In 2010, President Obama signed into law the Affordable Care Act in order to bring reform to the current healthcare system. The law was designed to provide healthcare coverage for people that did not have access to healthcare, improve the quality of the types of healthcare provided, and contain costs (HHS, 2014). Some of the features of the law are:
The Consequences Of Obamacare [Electronic Resource] : Impact On Medicaid And State Health Care Reform : Hearing Before The Committee On Energy And Commerce, House Of Representatives, One Hundred Twelfth Congress, First Session, March 1, 2011. n.p.: Washington : U.S. G.P.O., 2011., 2011. Louisiana State University. Web. 18 Apr. 2014.
In January of 2001, nearly one million senior citizens were kicked out of their Medicare health plan (“What’s Behind” 1). Why have so many HMOs dropped these health plans? The reason why is because these Medicare programs are for the elderly only and simply were not profitting, and in response, the insurance companies shut them down. The HMOs claim that federal reimbursement levels were not keeping up with the medical cost inflation forcing them to cut these programs. For instance, in 2001, the government’s reimbursement to the HMOs went up only 2 percent while the insurance company’s costs went up between 11 and 13 percent (par.3). Though the reimbursement level issues may have contributed to the HMOs decision to cut these pro...
The United States spends vast amounts on its healthcare, while falling short of achieving superiority over other developed nations. One cannot overlook that the deepening recession has left many without jobs and therefore lacking health insurance. According to Fairhall and Steadman, (2009), even though the recession is hard on all, it is worse on the uninsured due to health care and insurance cost rising faster than incomes. Nevertheless, even those with jobs are lacking in health insurance due to employers, who provide insurance, are increasingly dropping their sponsored insurance. Many find that purchasing a health policy or paying for medical care out-of-pocket is cost prohibitive. “Since the recession began in December 2007, the number of unemployed Americans has increased by 3.6 million,” (Fairhall & Steadman, 2009). In 2009 it was stated that approximately 46 million Americans were uninsured, however not all of that number is due to the inability to afford coverage. According to a 2009 story written by Christopher Weaver of Kaiser Health News, 43% of that number should be classified as “voluntarily” uninsured. This subset of uninsured Americans consist of nearly half being young and healthy; therefo...
The purpose of this paper is to examine the status of health care reform implementation in the state of Ohio. Throughout the paper, I will discuss if the health care reform has been effective as well as name some of the positive and negative outcomes. Furthermore, I will discuss how the health care reform is impacting community health. Discussion on the effect of health care reform on the economics in Ohio will conclude this paper.
The Patient Protection and Affordable Care Act passed by President Barack Obama is a significant change of the American healthcare system since insurance plans programs like Medicare and Medicaid (“Introduction to”). As a result, “It is also one of the most hotly contested, publicly maligned, and politically divisive pieces of legislation the country has ever seen” (“Introduction to”). The Affordable Care Act should be changed because it grants the government too much control over the citizen’s healthcare or the lack of individual freedom to choose affordable health insurance.
Niles, N. J. (2011). Basics of the U.S. health care system. Sudbury, MA: Jones and Bartlett.
The author identifies some of the federal and state legislators that are also opposed to the Medicaid expansion in the writer’s district. US Senator John Cornyn says that the Obamacare Medicaid expansion program is formed to be wasteful, fraudulent, and abusive to the nation (Cornyn, 2010). According to US Senator Cornyn, “The $3.4 trillion federal taxpayers spend on the Medicaid program is a target for waste, fraud, and abuse. Instead of fixing these problems, the President’s new health care overhaul includes the largest expansion of the broken Medicaid program since its creation in 1965: it’s only going to get worse from here” (John Cornyn, 2010).
Within the previous four years, the number of uninsured Americans has jumped to forty five million people. Beginning in the 1980’s, the American Academy of Family Physicians (AAFP) has been trying to fix this problem of health insurance coverage for everyone with a basic reform. The AAFP’s plan imagined every American with insured coverage for necessary improved services that fall between the crucial health benefits and the surprising costs. (Sweeney) They expect by fostering prevention, and early prevention, with early diagnosis with treatment, the program would result in decreased health system costs and increased productivity through healthier lives. The way to achieve health care coverage for all is pretty simple. This country needs the United States congress to act out legislation assuring essential health care coverage for all.
“Medicare and the New Health Care Law — What it Means for You.” (2010). Medicare Publications, http://www.medicare.gov/Publications/Pubs/pdf/11467.pdf
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,