WHO Framework There are four key characteristics to consider when evaluating a health care system and its effects on a population; these characteristics include access, coverage, quality, and safety (WHO, 2015). Since the ACA is in full swing, these four characteristics can be assessed and evaluated to help measure the success of the new health care system. Access is who gets into the system and who doesn’t and how (Boex, 2015). Many will argue that the ACA failed to provide greater access for the American people. The ACA did significantly reduce financial barriers to care, which helped increased access to care; but failed to provide the additional resources (primary care providers, transportation, flexible clinic hours, etc.) needed to gain access to care. Therefore, access has not been well addressed and continues to be an area for improvement for the American health care system. Coverage is what they find when they get there, what is included and excluded and why (Boex, 2015). The ACA succeeded in increasing coverage for the American people. It is estimated that over 32 million Americans will gain coverage through the ACA (Petterson, Liaw, Phillips, Rabin, Meyers, & Bazemore, 2012). The coverage aspect was well addressed in the ACA and helps to provide health care coverage for millions of Americans from various economical statuses. Quality is the efficiency and effectiveness of what happens, do they monitor and what are their standards (Boex, 2015). The health care
Current health care policy drivers include: access, cost, quality (Kominski, 2014). Each health care policy driver impacts health care differently. They are also associated with different challenges and issues with the U.S. health system (Kominski, 2014). Access is essential for all those seeking health care or health insurance, and the most important driver. Cost is a key driver and affects both access and quality. “Quality in health care has become the leading issue for health care managers” (Kominski, 2014, p. l).
It is estimated that the ACA will provide new services to 64 million Americans, providing health care coverage to 32 million previously uninsured. In addition to providing new health insurance coverage, the ACA implemented several components that can expand access to health care. One policy
The Affordable Care Act (ACA) is considered to be one of the most radical health care moves in legislation after Medicare. The reason being that it will provide universal health coverage to everyone regardless of circumstance. An evaluation of ACA’s influence on health care will be evaluated in this paper.
The main goal behind the ACA was to provide access to affordable, quality health care by having a high-quality health insurance (Health Care Reform, 2015). There are over 319 million American in the U.S. and around 30 million of those are uninsured and underinsured. This was to be accomplished through
Increasing access to health care ensures everyone to seek medical care without the fear of getting a large medical bill. Currently, there are millions of Americans without health insurance. The ACA implements changes in the system that decreases the burden on low-income families by expanding the Medicaid program. This is done by expanding coverage to a variety of population, even individuals with chronic and pre-existing conditions, which covers the supply-based care. Lowering health care costs while enhancing quality of care. Individuals will have more choices in
Based on the primary goal of Obamacare, more people will be insured under it. Five years after Obamacare was signed into law, the estimated number of insured individuals under the coverage and protections provided by the Affordable Care Act is more than 30 million (Blumenthal, Abrams, and Nuzum). The MSNBC also indicates that “millions of families have eagerly signed up for benefits through the ACA” (Benen). Meanwhile, the Washington Post releases that number of citizens without health coverage fell from 13.3 percent to 10.4 in 2014 (Bernstein). “That’s the largest single-year drop on record based on data going back to 1987”, according to the Washington Post (Bernstein). In the other words, The ACA has met its enrollment goals.
Access to care has become a buzz word in the modern healthcare theater. The prevailing thought is that our healthcare system will experience a significant amount strain as an increasing number of individuals seek care with increased number of individuals being covered by third party payers under the affordable care act. Access to care has become a catch-all term used to describe the inability for an individual or population to seek needed healthcare services. Access to care can be divided into 4 major problems within a healthcare setting to include, physical accessibility, affordability, acceptability, and supply and demand. While the current state of our healthcare delivery system in regards to the changes implemented by the affordable care act has attempted to address affordability and acceptability. The affordable care act may have strained the infrastructure of our system in regards to the supply and demand aspects as well as physical accessibility challenges to many populations.
The ACA has several important expanded coverage features. Most notably, the new law keeps young adults, 26 years of age and younger, on their parent’s health insurance plan. This particular aspect of the reform allowed up to 3 million young adults to remain covered on their parent’s plan which mean 3 million more people had access to primary care, urgent care, and medication. This was a huge increase from 2010 in which 30% of young Americans between the ages of 19 and 29 had no health insurance coverage. (ObamaCare Young Adults. 2010). Additional features of increased coverage under the ACA was the
The ACA does require most individuals to obtain health insurance only if they can afford it. But with the healthcare systems expenditures comprising 17.6% of the U.S. gross domestic product and with millions of Americans not having the accessibility of health care, resulting in poor health indicators, the current administration’s priority was to create mandated healthcare reform. The Congressional Budget Office estimates that the act will enable an additional 32 million Americans or a total of 94% of Americans to have access to health insurance (Niles, 28).
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 United States is an incredibly diverse country. This diversity possesses significant strain particularly on the healthcare system. According to the Agency for Healthcare Research and Quality access to healthcare is defined as “the timely use of personal health services to achieve the best health outcomes” (Chapter 9 Access). Therefore, access of healthcare begins once an individual enters the system. Entry can be compromised if there are not enough necessary facilities, employees, or an individual is unable to afford care. Secondly, there needs to be sufficient facilities that offer services that are a necessity of the community.
Health care reform has been a big topic since the Clinton administration when First Lady, Hillary Rodham Clinton, took it under her belt to devise a new system. Health care is the provision taken to preserve mental and physical health using prevention and treatment. Compared to other health care systems in the world, the United States is ranked 37th in terms of care, claims Michael Moore (2007). Ironically, our health care system spends more than any other nation on its patients, averaging nearly $8,000 per person (DiNitto, 2012). With soaring costs, it is no surprise that one in every seven Americans are uninsured (Kaiser, 2011). Even with these sorry figures, statistics show that 85% of Americans are satisfied with their health care
Quality is one of the most essential elements of healthcare. As stated by the Agency of Health Research and Quality, “Everyday, millions of Americans receive high-quality health care that helps to maintain or restore their health and ability to function” (Agency of Health Research and Quality, 2014). Improvements have become vital to the success of health care organizations and in the Healthcare Quality Book, it is explained that quality in the U.S. healthcare system is not at the standard that it should be (Ransom, Joshi, Nash & Ransom, 2008). Although this has been a reoccurring issue, attempts to fix the insufficiency have been less successful than expected.
Fixing problems that face health care in many health facilities demand a system wide set of solutions. The systems used in these facilities must be assessed and redesigned to identify factors that will aid in the achievement of the set goals. The enormous task of achieving the goals should be undertaken collaboratively by all the key stakeholders, who include, health care professionals, planners and policy makers, administrators, payers, and patients and their families. These partnerships must begin with a common understanding of the problems together with a shared commitment to cooperate and work together to eliminate the problems. With this knowledge, therefore, an action plan for redesigning the health care system can be developed and later implemented. For a successful health care service to be realized, there are various factors which should be employed and which are not found in the traditional business setting. These include unique economic processes, proper regulatory requirements and the perfect quality indicators. This creates a need for every leader within the healthcare industry to create or develop unique skill sets that will harmonize both organizational leadership and the inter-professional team development. It is, therefore, important to understand the comprehensive approach to the management of patient care and also how the concepts of team development and organizational leadership support healthcare leaders in creation of a patient-centric
It is said that a healthy nation is a wealthy nation. Healthcare is an important concern for every government as people get ill, accidents happen, emergencies arise and the health institutions are needed to diagnose, manage and treat the different types of ailments or diseases that may arise. The healthcare industry is divided into several areas in order to meet the health needs of anyone and everyone. All over the world, the healthcare structures are different to accommodate specific needs of the people in that demographic however the healthcare methodology in Third World Countries does not accommodate the needs of their respective inhabitants in comparison to First world Countries. The Rate of corruption, quality of healthcare institutions, lack of adequate, functional surveillance systems and problematic hygiene conditions are amongst the top reasons why the healthcare systems in third world countries are substandard in comparison to First world nations.