Healthcare : A Complex Healthcare System Essay

Managed care dominates health care in the United States. It is any health care delivery system that combines the functions of health insurance and the actual delivery of care, where costs and utilization of services are controlled by methods such as gatekeeping, case management, and utilization review. Different types of managed care plans came into development by three major factors. These factors include choice of providers, different ways of arranging the delivery of services, and payment and risk sharing. Types of managed care organizations include Health Maintenance Organizations (HMOs) which consist of five common models that differ according to how the HMO is related to the participating physicians, Preferred Provider Organizations

President Obama signed the Affordable Care Act on March 23, 2010. This law puts in place widespread health insurance reforms that expanded out over the last 4 years and continues to change the lives of many Americans today. Health care reform has been an extensively debated topic for multiple years, and the ACA is the first effective attempt at passing a law aiming to make health care not only affordable, but accessible for all individuals. The law impacts many Americans including, children, employers, government programs which includes federal and state, health plans and private insurers, health care coverage, health care cost, and the quality of care received. The main goal of the law is to expand health care coverage, broaden Medicaid eligibility, minimize and regulate health care cost, and improve the health care delivery system. In order to improve the health care delivery there have been new consumer protections established and an increase access to affordable care.

On March 23rd, 2010 the president of the United States, Barack Obama, signed into law the Patient Protection and Affordable Care Act (PPACA), which is commonly called the Affordable Care Act (ACA) or familiarly the Obamacare (What is ObamaCare). President Obama created ACA to make health care more affordable and accessible for people in the United States. The Affordable Care Act guarantees most people will have health insurances as well as reduces the high cost of health care of individual and government. These are also two points that the ACA achieve and will continuously achieve.

The Patient Protection and Affordable Care Act (PPACA) or Affordable Care Act (ACA) is a health care reform law that was voted into enactment in March of 2010 (Summary of the Affordable Care Act, 2013). The ACA consists of many different parts of which come from the Affordable Health Care for America Act, the Patient Protection Act various parts of the Health Care and Education Reconciliation Act and the Student Aid and Fiscal Responsibility Act (Affordable Care Act Summary, n.d.). The original goal of the ACA was to cut back on the amount of dollars that was being spent on health care

President Obama signed the Affordable Care Act (ACA) into law on March 23rd of 2010, with hopes of helping make sure every American have access to quality and affordable health care. Having health care coverage is really a big deal, whether you are a parent with private insurance, a senior with Medicare or a single woman with a pre-existing condition, the Affordable Care Act (ACA) can save you money and help you get better coverage.

The affordable care act was signed into law by president Obama in the year 2010. The aim of the act is to ensure Americans get access to quality health care and at the same time, reform the health care system in order to manage costs. The act has different sections that explicitly explain how this aim would be realized.

The Patient Protection and Affordable Care Act (PPACA) is also known as the Affordable Care Act (ACA) this law is the landmark health reform legislation passed by the 111th Congress and was signed into law on March 23, 2010. The legislation includes a long list of health-related provisions that began taking effect in 2010 and will continue to be rolled out over the next four years. Provisions are intended to extend coverage to millions of uninsured Americans, to implement measures that will lower health care cost and improve system efficiency, and to eliminate industry practices that include rescission and denial of

The Patient Protection and Affordable Care Act (commonly known as Affordable Care Act and/or Obamacare) was signed into law by President Barack Obama on March 23rd, 2010. The Affordable Care Act (ACA) was enacted to increase the affordability of health insurance by controlling the

The Affordable Care Act was passed by Congress and then signed into law by President Obama on March 23, 2010. The law was enacted in two parts: The Patient Protection and Affordable Care Act was signed into law on March 23, 2010 and was amended by the Health Care and Education Reconciliation Act on March 30, 2010. The name “Affordable Care Act” is used to refer to the final, amended version of the law. The Act provided Americans with better health security by expanding coverage, held insurance companies accountable, lowered health care costs, guaranteed more choices and enhanced the care for all Americans (Medicaid.gov). Health insurance market places allowed shoppers to compare health plan that counted as minimum essential coverage.

A national health care system such as the Patient Protection and Affordable Care of Act of 2010 that was passed in March that year, appears to offer some solutions to a great number of major issues facing our health care system. In June of 2012, this new

Medicaid-focused managed care has become progressively imperative to state Medicaid organizations. With healthcare reform and the enactment of the Patient Protection & Affordable Care Act (ACA) in 2010, Medicaid will possibly be the main insurer for increasing coverage to millions of low-income, uninsured Americans. Medicaid, a government funded health insurance plan overseen by the state, has supplied coverage for people with disabilities, children, pregnant women, seniors, and the indigent. Managed care plans have aimed to contract with healthcare providers and provide coverage at reduced costs (Smith & Coustasse, 2014). The ACA has helped people become eligible for Medicaid who otherwise would not be able to afford health insurance. There will be more equality between genders, before ACA, the majority of beneficiaries were female. Even though ACA has helped more people become eligible for Medicaid, there are also challenges that have risen due to this as well. The focus of this paper is on the challenges regarding Medicaid managed care and how they can be resolved. The first area discussed will be the history behind Medicaid. Then move on to the challenges of the Medicaid Managed Care Program and how they can be resolved as well as the possible solutions.

The Affordable Care Act (ACA) was signed into law on March 23rd, 2010 by President Barack Obama. This radical health care law was a much-needed step in comprehensive health insurance reform. Three important features of the Affordable Care Act are 1. Improving quality and lowering health care costs 2. New consumer protections and 3. Increased access to healthcare. (Key Features. 2014). Under the umbrella of these three key features additional benefits include free preventive care, drug discounts for senior citizens, increased protection against health care fraud, small business tax credits, increased access to health care through the health insurance marketplace, consumer assistance, and non-discrimination based on pre-existing conditions.

On March 23, 2010, President Obama signed the Affordable Care Act into law, putting in place comprehensive reforms that improve access to affordable health coverage for everyone and protect consumers from

Managed care was established in order to manage health care cost, utilization, and quality (Kongstvedt, 2015). In managed care, health insurance is provided through HMO, PPO, and other types of managed care. It has the potential to reduced health care spending and improved the quality of care. However, despite of its success in improving the quality of care through preventive health care services, chronic disease management program, and so forth, many physicians are reluctant to be part of the managed care environment. Some of the reasons are the impact of managed care to physician’s income and autonomy. Under managed care, insurers have decreased the fees paid to physicians. There are different ways how managed care organizations control costs. One of this is through selective contracting with health care providers and hospitals to lower costs. In selective contracting, health care providers agreed to accept lower prices in exchanged for guaranteed volume of patients under managed care plan (Culyer, 2014). This paper will discuss more issues and trends in Managed Care Organizations such as the rise of Medicaid Managed Care spending, the new Medicaid Managed care Rule, and the collaboration of Managed Care Organizations and Accountable Care Organizations to reduce health care spending and improve efficiency of care.

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.