Affordable Care Act Of 2010 ( Aca )

Medicaid is a social health care program that covers nearly 60 million Americans, including children, pregnant women, seniors, parents and individuals suffering with disabilities. Medicaid is the biggest source of funding for health related services and medical needs for the people with low income in the United States. This program is funded jointly by the state and federal level governments, but it is the state’s responsibility to manage this program. The Medicaid program is not a required program that states have to use, but all 50 states have implemented this program. With the introduction of the Affordable Care Act (ACA), and its passing in 2010, the ACA unveiled its plans to expand Medicaid eligibility to nearly all low-income adults as an addition to the other groups that fall into the Medicaid eligibility. The Medicaid program had “many gaps in coverage for adults” because it was only restricted to the low income individuals and other people with needs in their own specific category. In the past, the majority of the states who had adults that did not have children dependent on those parents were not eligible for Medicaid. These low income adults without dependent children would be without medical insurance assistance before the ACA was introduced. Medicaid is now available to all Americans under the age of 65 whose family income is at or below the federal poverty guideline of “133 percent or $14,484 for an individual and $29,726 for a family of four in 2011” (NSCL).

In 2009 there were 50.7 million people, 16.7% of the population, without health insurance. Americans all over the country are working and yet they still can’t afford to pay the high cost of health insurance for themselves and their families. Under the Affordable Care Act of 2010, which was signed by Obama on March 23, 2010, thirty two million Americans who were previously not eligible for Medicaid may now have the opportunity to be covered. If this act is passed in North Carolina then it will be expanded to cover nearly all of the 1.5 million North Carolinians who are without health insurance. If more Americans are covered under the Medicaid that they need then

Before the ACA was passed, all states decided to raise the eligibility for children under Medicaid and Children Health Insurance Program (CHIP). North Carolina raised the Medicaid FPL for families with children greater than 6 years old up to 216% (Milstead, 2013, p. 203). However, now that North Carolina has not chosen to expand the Medicaid program non-disabled adults are limited to 43% FPL and childless adults are ineligible (Kaiser Family Foundation, 2014). Those not eligible for Medicaid and CHIP that have incomes between 100% and 400% FPL may be entitled to tax credits if they purchase insurance in the marketplace (Kaiser Family Foundation, 2014). This raises another problem in North Carolina’s uninsured population. The ACA is written by the principal of low income people receiving coverage through the Medicaid expansion, therefore people below FPL are not eligible for Marketplace subsidies (Healthcare, 2015). North Carolina’s uninsured adult population is around 319,000 which is 20% of the uninsured in the state (Kaiser Family Foundation, 2014). This population qualified for the Medicaid expansion under the ACA and all fall below the FPL and now will remain uninsured.

The Affordable Care Act (ACA) is in vigor since January 1, 2014, and hospitals and health care providers are not sure about how many people will knock at their door for health care. So far, according to Camp (2014) “More than two million people across the country have signed up for healthcare under the ACA and hospitals are bracing for a wave of newly insured patients”. How does that affect the uninsured people in North Carolina is an unanswered question. Seventeen percent of North Carolina’s residents are

North Carolina has the highest index of the uninsured population approximately 1.6 million. Being uninsured has a profound impact on the health and well-being of the people. The ACA had a significant impact on the different population categories of North Carolina. According to The Affordable Care Act 2014, Medicaid will cover most low-income people if Federal Poverty Level (FPL) is no greater than 138 percent (Milsted, 2013). The people that have more impact are the children six to eighteen, working parents, nonworking parents, and childless adult. Prior to Affordable Care Act, Medicaid was limited to a specific group of low-income individuals, such as children less than six, pregnant women, elderly and disabled. Childless

The Affordable Care Act (ACA) will cause a large influx of patients into the health care system. For a variety of reasons, this will change how the front-line health care personnel provide care. Nurses will expand his or her scope and territory of care. Front line providers will change to include more advanced practice nurses because of the national shortage of primary care providers ("Department Of Health And Human Services," 2014). No longer will they just practice in brick and mortar hospitals. Because of the recently instituted Medicare, reimbursement regulations after patients are discharge from the hospital more nurses will be in the field performing well patient checks. These nurses will ensure the follow through of discharge

The primary social problem that the Affordable Care Act (ACA) was enacted to address was for everyone to have insurance. The goal was to make insurance accessible to everyone and decrease the number of people without health insurance. The most important provisions of the law were preventive care, birth control, and prohibit exclusion of an individual with preexisting conditions, and Medicaid expansion. They addressed these problems by covering all well visits, making birth control free, allowing people with preexisting conditions get the help they need, and expanding Medicaid for the childless adults that are poor. According to Sanger-Katz and Bui (2016), the uninsured rate has gone down but there have been some difficulties with the Medicaid

The Affordable Care Act of 2010 (ACA) is commonly referred to as Obamacare. This pseudo name or nickname initially assigned to the program as a criticism of now former President Obama's efforts to stabilize healthcare at a national level, but it has since become the most widely accepted for the ACA. There are many cited reasons for opposition to the program, including the concern it presents the US government with an unnecessary control of public healthcare benefits.

Through successful implementation millions of Americans would benefit from the imposition of health insurance through the ACA. The law intended to cover the poorest Americans under the Medicaid expansion option and to cover low and middle-income earners with new health insurance exchanges. However, in June 2012, the Supreme Court overruled a portion of this landmark victory by giving each state the option to forego the Medicaid expansion provision. The Court’s ruling creates a breach in the ACA’s potential to afford healthcare to the working poor and abandons those who do not quite qualify for market place subsidies. Consequently, a large segment of the United States population will remain uninsured due to the lack of affordability.

America spends 2.5 times more on healthcare than most developed countries yet still ranking 51st in life expectancy in the world (Baum, 2015). The Affordable Care Act (ACA) was implemented January 1, 2014 by President Obama to expand coverage to millions of individuals in need. It consists of two separate pieces of legislation: the Patient Protection and Affordable Care Act and the Health Care and Education Reconciliation Act of 2010 (Centers for Medicaid and Medicaid Services, 2016). Although the ACA will give health benefits to millions of uninsured Americans, hospitals are receiving less compensation because of the high demand of health care from over qualified recipients. Through the Children’s Health Insurance Program and also the Social Security Act, states are able to pilot a test approach that could extend coverage up to 200 percent of the poverty line (Sommers, Kenney, & Epstein, 2015). Such a large increase in the size of the population that is now eligible to apply for the ACA comes with a sizable amount of fiscal responsibility from the states and puts an immense strain on the amount of money guaranteed to pay for the services provided (Sonier et al., 2013). Given the lack of funding from the Medicaid program, absence of reimbursement strategies, and budget of healthcare in America’s Gross Domestic Product (GDP),

Implementation of the ACA would require an extensive expansion of the Medicaid program to low income adults in each state.³ The Congressional Budget Office projects that a previously 30 million uninsured Americans, approximately 92% of the legal, non-elderly population, will have coverage by 2022.³ The federal government will pay for 100% of the costs of expanding Medicaid programs until 2016, and then gradually fade their contribution to 90% by 2020.³ Currently, expansion of the Medicaid program is voluntary and several states have stated that they intend to turn down their share of the billions of dollars that has been made available to each state solely for the expansion of this program.³ States deciding to not expand their Medicaid program will not only exclude many poor, vulnerable families from access to an important health care program, but will also exclude themselves from an economic stimulus for their state and thereby decrease the strength of their health care delivery systems by not allowing them to be more financially stable for the long

America faces a choice, keep The Affordable Care Act (ACA), also known as Obamacare, or scrap it and come up with something better. The ACA in its entirety leaves room for improvement. It could do better, much better, if it weren’t for matters of political expediency. Currently the United States spends more on health care than any other country. According to a Huffington Post article (2013) the U.S. spends about 17.2 percent of their GDP on medical care. Health care per capita is approximately $8,608, second only to Switzerland, which spends $9,121.

Most of the states in the US have the Vision of growing the health sector to help address issues in health. The Affordable Care Act has seen the development of the Medicaid along with the Accountable Care organizations as one of the strategies to help curb the problems in place. According to the report that was released by the White House IN 2014, it was suggested that most of the states are locked in the politics and have most of their personal constituents uninsured. Taking the instance of North Carolina, the numbers are extremely high and thus terminating the obstruction of Medicaid would benefit the residents economically. It is geared towards creating new opportunities for over 2000 citizens as well as improve the federal fund's

The purpose of The Affordable Care Act (ACA) is to increase access and make it more affordable for all Americans. Unfortunately, the US health care delivery system lacks the ability to plan, direct, and coordinate from a central agency making it difficult for citizens to obtain health coverage. For that reason, The Affordable Care Act in 2010 became the most extensive health care reform in US history with its main objective to reduce the number of uninsured. The ACA permitted some standards in the health care delivery system to achieve universal coverage. Some examples were authorizing health insurances to start covering children and young adults below the age of 26 under their parents’ health insurance plans also allowing the law to lower

This law was implemented in September 2010. Until then, young non-student adults were dropped from their parents’ private insurance at age 19 and students at age 23(Barbaresco et al, 2015). Studies have shown that the implementation of this provision would help reduce the rates of mortality and morbidity, improve regular access to healthcare without financial constraints and a healthier transition to adulthood (Carlson et al, 2014). By expanding protection scope choices, supporters of the ACA are idealistic that entrance to social insurance will likewise increment. Early ACA information underpins expanded human services get to and use, as less young adults report postponing or doing without medical care because of cost (Carlson et al, 2014). The ACA provision to expand coverage for young adults pledges guarantee for enhancing access to preventive care. Due to the ACA, an extensive variety of preventive services is accessible, with no copayment, to young adult with private insurance and the individuals who are recently qualified through Medicaid in states embracing the ACA Medicaid extension (Lau et al,