Affordable Care Act Case Study

The 2010 government Affordable Care Act (ACA) set up a progression of early market reforms 50-state necessities

Prior to the enactment of the Affordable Care Act, many Americans did not have access to health care. According to Shi and Singh, assess is an individual’s ability to obtain health services when necessary (Shi &Singh, 2010). “After implementation of the ACA, the proportion of the U.S. population that was uninsured dropped from approximately 16% to roughly 12% in 2014 (Shi & Singh, 2010, p 11). More low to middle income American are eligible for health care services through the Affordable Care Act. Advancements in health information technology have helped to improve and streamline medical services and have helped with the lower cost of health care. “Essential insurance benefits required by the ACA include preventative and wellness services,

The triad of cost, quality, and access has impacted the development of the Affordable Care Act on many levels. The Affordable Care Act aims to improve the quality of healthcare, while maintaining the cost of health care ("Quality of care," n.d.). Under the Affordable Care Act, there is more funding for each state to assist in treating people with chronic illness. The goal is for these patient populations to have high-quality services at an affordable cost (“Quality of care,” n.d.). To ensure that quality of care is provided, the Affordable Care Act requires quality measures to be met in order for organizations to receive reimbursement. Although the United States still needs improvement in providing high quality health care that is accessible

Four years after President Obama signed the Affordable Care Act into law there is still uncertainty regarding how it will affect small businesses. Because there were delays and exemptions granted by the, Obama administration and challenges that were still pending in courts. The effects on small businesses vary from state to state depending on the company size and the composition of the company's workforces. But the large corporations pay their employees medical bills and hiring insurers to administer health benefits. Most small businesses purchase group health insurance from insurers and face cost increasing regulations as they go through the annual ritual of renewing their coverage. While media has focus their attention on the state and federal health exchanges, employers are responsible for the growth in the

Despite the responsibility of healthcare being a power of the states, the national government created a market for privately owned businesses to provide insurance under an umbrella known as “Obamacare”. Obamacare was primarily comprised of the Affordable Care Act, or AFA. The Affordable Care Act, created by the Obama Administration, was passed in March 2010 under the premise that healthcare should be more available to American citizens. These target citizens being the over 50 million who were uninsured for various reasons before the passing of this legislation. They were able to do this by expanding the affordability through various regulations, taxes, subsidies, and other

There are over 45 million people in the United States who are uninsured when it comes to healthcare. Many are uninsured due to the expensive health care costs. To combat this, the Obama Care administration created the Patient Protection and Affordable Care Act to provide nationalized healthcare. The Affordable Care Act is meant to expand health coverage, lower health care costs and hold insurance companies accountable. The Affordable Care Act will allow more people to be insured but the issue lies in the question, do the costs outweigh the benefits? The Affordable Care Act will be used in an attempt to lower health care coverage costs for citizens. An example can be seen from a report in the Kaiser Family Foundation. The premium is required

The implementation of the Affordable Care Act (ACA) will propel changes that were on the horizon for pharmaceutical and biotechnology firms. Pharmaceutical and biotechnology industries knew there was going to be some type of healthcare reform so they began to take the necessary precautions to prepare. The ACA had key provisions related to the pharmaceutical and biotechnology industry affecting Medicare and Medicaid. Legislation in the ACA will reduce cost for brand name prescriptions (Rx); this will reduce drug cost for patients, but increase rebates and discounts for pharmaceutical and biotechnology firms, therefore, imposing cost on the firms. The pharmaceutical and biotech industry was key in creating legislation for the ACA, according to CMS (2009), “despite

The chosen policy is the Health Insurance for Former Foster Youth Act (S.1797, 2017). This proposed law at the federal level is intended to secure access to health care for youth who have reached a certain age at which they are no longer eligible for foster care resulting in not having health insurance coverage (S.1797, 2017).

When the Patient Protection and Affordable Care Act (PPACA) was signed into law it attempted to address issues associated with transitional care and improving the quality of healthcare, while decreasing the cost of healthcare (Segal, 2010). The PPACA has expanded coverage for children, the elderly, and those experiencing poverty. As previously stated in other discussion boards, the PPACA has also set provisions and restrictions for insurance companies.

The Obamacare development of the number of insurance coverage will dramatically augment the figure of people by 25 million. A small number over the partly of the recently insured will have indemnity from Medicare (13 million), while on the other hand the additional will expand coverage through confidential insurance purchased on state or federally run wellbeing insurance connections.

Millions of Americans use the services of health care officials on a daily basis. To aid in the increasingly high financial costs of these services, many people rely on the government, insurance companies, and other parties through managed care organizations (MCOs) (Potter & Perry, 2017, p. 15). A MCO “provides comprehensive preventive and treatment services to a specific group of voluntarily enrolled people” (Potter & Perry, 2017, p. 16). With the implementation of the Affordable Care Act (ACA), the government faces ongoing struggles to use valuable resources within the health care system to continually maintain problematic MCOs. Therefore, the administration of health care services has been greatly impacted by the ACA, bringing about

Issue: 4.6 million Texans are currently uninsured without access to affordable healthcare due to the state’s refusal to expand Medicaid or provide additional public health coverage options. Section 1115 of the Social Security Act gives the Secretary of Health and Human Services the authority to approve states’ experimental, pilot, or demonstration projects that promote the objectives of the Medicaid and CHIP programs.

The passage of the Affordable Care Act in 2010 allowed for comprehensive health insurance reform that shifted the imperative for care delivery and reimbursement from a volume to a value-based approach. The Center for Medicare and Medicaid Innovation (CMMI) under CMS has been at the forefront of developing and testing innovative payment models that would support the premise of expanding access to beneficiaries and achieving better quality outcomes while lowering exorbitant spending. One such model, named the Independence at Home (IAH) Demonstration, was deployed through ACA section 3024, with the aim of transforming the way primary care is delivered. This demonstration project builds on the success of the Veteran’s Administration Home-Based

The A single-payer national health program (NHP) has similarity to the Affordable Healthcare Act. However, it better because is addresses some of the issues that were left out of the ACA. Like, free choice of providers and the preservation of doctor–patient relationships are threatened by our current system (Gaffney, Woolhandler, Angell, & Himmeslstein, 2016). With each enrollment cycle, patients seeking affordable premiums or changing jobs must often switch insurers and risk breaking existing relationships with providers.

The current US Health Care delivery system Affordable Care Act (Obamacare), allows its citizens access to healthcare by NPs who practice autonomously providing healthcare to underserved rural populations, and in clinical settings, (McClelland, 2014; Stanley, 2011). The term autonomously and under prescriptive authority allows the NP establish realistic outcome measures, prescribe medications to provide secure, real, patient centered, appropriate, effective and reasonable care without a physician. Tiplady and Cook, (2015) stated that “outcome-based practice focuses on what an individual wants to achieve, and not only what the service wants to achieve (p. 406). For example the NP and the San Rafael patient in their relationship establish