Analysis Of An Affordable Health Care Provision Using The Triple Aim

“The Patient Protection and Affordable Care Act: Implications for Public Health Policy and Practice.” Public Health Reports. Association of Schools of Public Health. n.d. Web. 14 July 2015. This paper claims that the PPACA will cut the number of uninsured Americans in half. The act attempts to provide nearly universal coverage and improve the quality and equity of said coverage through reforms to insurance standards and the marketplace. It also attempts to improve the quality of healthcare and the efficiency of its delivery by allowing consumers to edge the system into a more integrated state and measuring performance. It attempts to encourage preventive medicine by targeting chronic illnesses and funding community-based medicine. These changes will bring huge opportunities for improvement in the system, many of which are subtle and nuanced and will only be seen as the plan rolls into act over the next few

Triple Aim, as defined by the Institute for Healthcare Improvement, consists of improving patient experience of care, improving health populations, and reducing per capita health care costs simultaneously (IHI, 2009). Triple Aim is not focused on patient satisfaction or on reducing the growth of healthcare; rather it is based on the six Institute of Medicine (IOM) dimensions (safe, effective, patient-centered, timely, efficient, and equitable), reducing per capita healthcare costs, and improving health populations (Relman, 2001). Key to the Triple Aim model is understanding each element works in tandem with each other and sacrificing population health at the expense of reducing per capita expense, for example, does not comply with the Triple Aim

Triple Aim, as defined by the Institute for Healthcare Improvement, consists of improving patient experience of care, improving health populations, and reducing per capita health care costs simultaneously (IHI, 2009). Triple Aim is not focused on patient satisfaction or on reducing the growth of healthcare; rather it is based on the six Institute of Medicine (IOM) dimensions (safe, effective, patient-centered, timely, efficient, and equitable), reducing per capita healthcare costs, and improving health populations (Relman, 2001). Key to the Triple Aim model is understanding each element works in tandem with each other and sacrificing population health at the expense of reducing per capita expense, for example, does not comply with the Triple

The Affordable Care Act is composed of two pieces of legislation which are referred to as the the Patient Protection and Affordable Care Act and the Health Care and Education Reconciliation Act of 2010. The Affordable Care act was passed by Congress and then signed into law by President Obama on March 23rd, 2010. As a whole the Affordable Care Act has specific goals to expand coverage, hold insurance companies accountable, lower health care costs, expand choices for health care and most importantly, improve the quality of health care for all Americans. Another goal of the Affordable Care Act is to expand Medicaid coverage to more low-income Americans who cannot afford to pay out of pockets costs or have private health care insurance. More specifically,

The complexity of health care could take the rates on a massive trajectory that does not favor the people covered. Therefore, the financial protection that the levels of health insurance covers, help to guard against the risks related to the unexpected costs of health care. The source of coverage could still have an impact by the insurance coverage and financing alternatives that one has access to; Conversely, private insurance, social insurance, and the national health services are the types of healthcare systems by funding and provision. As we look to health care coverage and the reform of Obamacare, I’ll analyze the impact of the uninsured in the industry and look for a resolution to improve the

The Affordable Care Act (ACA) is a radical healthcare reform that aims to provide affordable, quality healthcare for all US citizens. This increased scope of coverage would allow millions more of Americans to use the system. In order to drive down costs from many more individuals, the ACA has planned to increase incentives for preventative public health interventions including primary care physicians. Although this is a fine beginning, I believe the greatest challenge to the long-term success of this reform remains the shift in mindset from a focus in treatment to an equal focus in prevention. Preventative services are vital to a healthcare system. However, the effects of prevention are often long term, and thus are traditionally underappreciated by those who have the disease being prevented. Individuals with the disease also undervalue prevention, as it does not affect their health state. With this mindset, prevention is undermined and will continue to be a challenge for the progression of the ACA.

‘Over 105 million people living in America today no longer have to worry about having their health benefits cut off’ (Secretary WH) . Since enacted, the Affordable Care Act (ACA) has been able to provide for millions of lower and middle class Americans a secure and reasonable healthcare plan that best suits their medical needs. The Patient Protection and Affordable Care Act (PPACA) also commonly refer to as ‘Obamacare’ was a solution implemented in 2010 to help reform the precarious healthcare system in the United States. The ACA imposed three key reforms adopted from the successful Massachusetts system of healthcare. First, the ACA established a “guaranteed issue and community rating requirements” which essential barred healthcare insurances

Title three: making the quality and efficiency of health care in US to be of a higher standard. Under this title, the quality of medical care would be enhanced for every U.S citizen, mainly to those who were members of Medicaid and Medicare. A research was set to be conducted aim at mobilizing consumer on taking good care of their health. Accountable Care Organizations would also receive a percentage of the savings

With the passage of the Affordable Care Act (ACA) in 2010 there have been significant changes in the healthcare environment in the United States. The ACA has a goal of increasing access to health care services while also reducing costs. Today’s “triple aim” of healthcare includes improved population health, better patient satisfaction, and lower patient costs.

The preventive coverage for children, adults and women must be covered without having to pay a copayment, co-insurance or meet a deductible. This only applies when these services are delivered by a network provider. “Insurers now must cover evidence-based services for adults that have a rating of “A” or “B” in the current recommendations of the United States Preventive Services Task Force (USPSTF)” (Private Health Plans under the Affordable Care Act 2014). A letter grade of “A” or “B” shows that the panel finds there is high probability that the services have a substantial or moderate net benefit. “Health plans must also provide coverage without cost-sharing for immunizations that are recommended and determined to be for routine use by the Advisory Committee on Immunization Practices.” (Private Health Plans under the Affordable Care Act 2014). There are 15 covered preventive services for adults. The preventive services for children and adolescents include some immunization and screening services, behavioral and developmental assessments, iron and fluoride

Healthcare in the contemporary United States emerges from a long and sordid history that began in the late 1800s when the fight for universal health care came on the heels of the formation of systems that ranged from rudimentary to comprehensive in various European countries including Germany, Norway, Britain, Russia, and the Netherlands (Palmer, 1999). Most of these programs were formed as “a means of maintaining incomes and buying political allegiance”, as conservative governments, primarily in Britain and Germany, worked to stem the flow of the burgeoning socialist and labor parties (Palmer, 1999). During this same time brought a greater transparency of the experiences of industry workers and the “nightmare” conditions they were enduring

Since the initiation of the Affordable Care Act in 2010, Americans have been put back in charge of their individual health care. Under this new law, a health insurance marketplace provides a haven for individuals without insurance to gain coverage. Just this year, citizens found out early whether they qualified for Medicare or the CHIP formally known as the Children’s Health Insurance Program. So much is to be learned about the Affordable Care act and this paper provides the roles of the different governmental branches, along with other important factors associated with this law.

Quality measures are strategies that gauge, evaluate or compute health care processes, results, discernments, patient insight, and administrative structure. In addition, quality measures are frameworks that are connected with the capacity to deliver first-class health care and/or that are able to identify with one or more quality objectives for medicinal services. These objectives include: compelling, protected, effective, quiet focused, impartial, and opportune consideration. Quality measures can be used to measure quality improvement, public reporting, and pay-for-reporting programs specific for health care providers (CMS.gov, 2016). There are an assortment of quality measures in which health care organizations can use to determine the status of the care they are delivering. Many are appropriate, but few are chosen for this research paper. Among them are: National Health Care Surveys, Hospital IQR Programs, Scorecards, and Political, Power, and Perception/Data for Decision-making tools.

Examining planning for and effectively measuring the health care quality indicators make healthcare quality more transparent and provide information for quality improvement programs and initiatives in the healthcare system.

The Institute of Medicine (IOM) Committee to Design a Strategy for Quality Review and Assurance in Medicare defines quality of care to be “the degree to which health services for individuals and populations increase the likelihood of desired health outcomes and are consistent with current professional knowledge” (Ransom, Joshi, Nash & Ransom, 2008). Making sure to have current knowledge on healthcare services is crucial to the quality of care provided, and health care professionals are expected to continuously stay updated on the changing trends. The IOM later released six aims for improvement, or also known as the six dimensions of quality, which are safe, effective, efficient, timely, patient-centered, and equitable.