Crysta Tovar
Professor Rodriguez
PHRA 1340
April 22, 2015
The Affordable Care Act and its Impact on Retail Pharmacies Whether you love it, hate it, support it, or detest it The Affordable Care Act as it stands, has been making waves across both news headlines and the medical community alike. For the most part, the focus of the act has been placed on the impact it will have on the consumer or the patient. However, the pharmaceutical division of the medical community is among the groups that are most impacted by the Affordable Care Act. In particular, retail pharmacies are feeling the effects of the act via the reimbursements and provisions surrounding the reimbursement policies that have been altered with the passing of the Affordable Care Act. Reimbursements and the provisions implemented upon retail pharmacies by the Affordable Care Act could prove to be detrimental towards the success and profits gained by private retail pharmacies. The Affordable Care Act, or, “Obamacare” as it has been dubbed by the media and general public was approved on June 8, 2012 when the “The Supreme Court of the United States upheld most provisions of the Affordable Care Act (ACA) by a 5-4 vote” (James, "Affordable Care Act and Pharmacy: Big Changes Ahead?"). This vote and approval has completely reshaped the landscape of the healthcare field, not only from a provider’s aspect, but from a consumer’s aspect as well. The need for healthcare reform was made apparent due to the growing
Anderson, Amy. “The Impact of the Affordable Care Act on the Health Care Workforce.” The Heritage Foundation. N.p., n.d. Web. 14 July 2015. This paper is a through report on the impact of the ACA on the workers in healthcare, particularly on the ratio of worker to patients. It shows that the act will increase the physician shortage, particularly in already underserved areas and specialties. It will also greatly increase the stress on workers, due to the increase demand from each physician or nurse and the increased amount of regulatory paperwork required. Many healthcare providers are merging into larger business to cut costs; others are running cash-only or annual-fee models. The act attempts to transition to paying physicians for performance
While the Obamacare act has both pros and cons, people are likely to support it or disagree to it on account of the perspective that they see things from. In spite of the fact that the act involves a series of benefits, it is difficult and almost impossible for one to ignore the fact that it is likely to cause a significant shortage of healthcare professionals and that it is also probable to cause an increase in drug prices.
The negative impacts of healthcare reform to health systems are significant in that health systems are preparing their resources on developing Accountable Care Organizations (ACO) for bundled payments and population-based reimbursement. In this economy the impact to health systems may require healthcare systems to figure out ways to continue to keep positive financial performance due to the cost-reduction of healthcare reform. For some time now, health systems have subsidized their losses from the Medicare and Medicaid systems by contracting with commercial payers for their premium rates. As a result of the healthcare reform, cost shifting will shrink. Another negative impact over the next few years will be the large shift in health plan enrollment. Less people will be covered by highly
The Affordable Care Act, also known as Obamacare, is an act passed by president Barack Obama on March 23, 2010. This act, which provides affordable health insurance to Americans, was passed for three primary reasons. These reasons are to reduce the number of individuals in the United States who currently are not covered by some form of health insurance, to improve the availability and quality of existing health care programs, and to reduce the cost of health care to individuals and the government (“Patient Protection”, 2014). The Affordable Care Act has been successful in some ways, but ineffective in other ways since it was passed in March of 2010. For example, Obamacare has helped expand Medicaid and has helped those who have Medicare. However, this act has had a negative impact on the uninsured and on insurance premiums. In addition, some small businesses have benefited from this act, while others have had a negative effect. The Affordable Care Act has many pros, but it also has some cons, which is why there are still some changes and ideas that I would like to see implemented in our healthcare system.
The Affordable Care Act passed in 2010 and signed by President Obama on March 23, 2010. The vision was to reform the health-care in America worked and dramatically decreases the number of uninsured individuals. President Barack Obama campaigned aggressively under the phrase’ “Yes We Can”. In the end “Yes he did” get the health-care reform legislation past and set into motion the overall of health insurance decades in the making. Many of the major objectives of the Affordable Care Act were setup to be implemented over time, most of which will be in place by 2016. Until then it is somewhat difficult to determine the true impact of the Affordable Care Act on individuals and their medical care and the financial impact of the costs. As,
In order to more fully delve into this issue, this literature review will be focusing on three main areas of study as it applies to the topic of Medicare/Medicaid reimbursement and its relation to the Affordable Care Act. These areas of focus will include
Since the law was signed in 2010, the Affordable Care Act is a working progress, it continues to changes to help improve individual’s needs. When the Marketplace, first launch there were some technical difficulties. The marketplace website was created so consumers can shop for affordable insurances that meets their needs. Now, despite some of the difficulties and the negativity from the media, the Affordable Care Act has many constructive effects. Obama care created the patient’s bill of rights. What many Americans fail to realize is, why many individuals were without health insurance. Before the law was created, insurances were more like a business. They would drop people without notice, raise premiums rates, or simply deny
On 3/23/2010, President Obama signed the Patient Protection and Affordable Care Act into law, one of the most difficult reforms of the United States medical system in the last forty four years. The Affordable care act changed the non group insurance market in the U.S., regulates that residents have health care coverage, greatly expands public insurance & subsidizes private insurance, raises revenues from a variety of new taxes, & reduces and
The Affordable care act was enacted in order to reform the health insurance industry and to make health insurance more affordable and to provide better health care coverage for the citizens of the United States. The Obama administration set out with the goals of: expanding access to health insurance, lower the uninsured rate, and to reduce the costs of healthcare. The focus of the act is to use regulations on the federal and state level to maximize health care coverage for all citizens of the U.S. In this section I will examine the factors that have come to play into the creation of the affordable care act and the back ground
In March 2013, President Barack Obama signed a federal statue into law that would change the way Americans receive healthcare. The Patient Protection and Affordable Care Act, better known as the Affordable Care Act, and sometimes called Obamacare is the most significant revision of the U.S. healthcare system since the passage of Medicare and Medicaid back in 1965. The main function of the Affordable Care Act is to improve hospitals’ and physicians’ practices financially, technologically, and clinically so the health outcomes and lower costs. Americans are split, as they are with most political issues, on whether or not the act is a viable solution to our healthcare problem. Even though it has had its problems such as a faulty website and being thought of as too complicated and expensive for the American government to take on, I believe the Affordable Care Act is a good solution for the healthcare problems in our country.
Charles, the Affordable Care Act (ACA) was intended to correct the historical issues related to cost and access in the health care system in America (Pagel, Bates, Goldmann & Koller, 2017). The ACA was an attempt by the US government to ensure access to health insurance was available for more Americans. The historical role of the government in health care prior to the ACA had been that the government should only have a little involvement in the delivery and reimbursement of services with respect to having a role in policy making for the protection of the public’s health (Williams & Torrens, 2008). The role of government involvement has changed through the Medicare and Medicaid government programs. Today, these programs have the
The Patient Protection and Affordable Care Act (PPACA), also referred to as the "Affordable Care Act" or "ACA" or "Obama Care") is the major health care reform bill passed into law on March 23, 2010. The debates surrounding the PPACA have been volatile at times, and continue to be the most intense public examinations of any piece of legislation in our recent history. The affordable Care Act (Obamacare) is ripe for repeal. For the American public, there are ample reasons for dissatisfaction: higher costs; arbitrary and sometimes absurd rule-making; bureaucratization of an already overly bureaucratized sector of the economy; incompatibility with personal freedom and religious liberty; enormous spending and heavy taxation; and widely acknowledged design flaws, evident in the ACA’s hopelessly complex and unworkable subsidy schemes, boondoggle bailouts, and collapsing co-ops. Nonetheless, other ACA legal challenges were still facing the healthcare law. In December 2015, the Association of American Physicians and Surgeons (AAPS) submitted an amicus brief to the Supreme Court arguing against the constitutionality of the employer insurance mandate within the Affordable Care Act. The law contains a number of experiments designed to drive down health costs, such as Accountable Care Organizations. The whole idea is to move the system away from paying for volume and toward paying for value. We still don't know whether that will happen. But it's fair to say that reducing the cost of health care will make it easier to expand coverage. The nation’s gains in health care coverage and delivery system design over the last several years have made measurable differences in the lives of millions of Americans. There are many ways to achieve a high-performing health system. But it’s critical that the nation remain committed to this goal.
The affordable care act (ACA) was implemented in 2010, the idea behind the ACA was to help millions of Americans secure affordable health care insurance coverage and slow the rising cost of healthcare. Throughout its implementation the affordable care act has had several reform initiatives in the years 2011, 2012, 2013 and 2014. This research paper will take a brief look at the affordable care act as well as an initiative for each of those years.
The implementation of the Affordable Care Act (ACA), popularly known as “Obamacare”, has drastically altered healthcare in America. The goal of this act was to give Americans access to affordable, high quality insurance while simultaneously decreasing overall healthcare spending. The ACA had intended to maximize health care coverage throughout the United States, but this lofty ambition resulted in staggeringly huge financial and human costs.
The health care industry is constantly evolving and is one of the most complex industries in modern business. Changes in the health care is influenced by political forces, the economy, and advancements of technology. The demand for improved access to high quality health care services and the number of the uninsured population have increased the need for political forces to intervene to ensure equal access to affordable health care. Political forces establish the laws and policies that have shaped the delivery of health care for the population in an effort to improve access and quality while emphasizing cost containment. For example, the Affordable Care Act (ACA) of 2009 increased access to health care by making health insurance affordable for the insured and uninsured,