Healthcare Reform Case Study

The fertility rate is an important factor when evaluating the health of the public. Despite the United States having one of the best healthcare systems in the world, approximately 13% of women between the age of 18 & 44 have trouble conceiving. Although the US has implemented the Patient Protection and Affordable Care Act, a landmark policy, assisting millions of Americans in obtaining health insurance, unless altered, the policy could hurt the 3 out of 20 women who struggle with infertility. After evaluating the core essential benefits of the Affordable Care Act, the views of stakeholders, and the state mandates, an easy solution can be established to assist those suffering from impaired fecundity.

The change to value based purchasing has bought many challenges to the healthcare industry. With the change to value-based purchasing for payments, it has changed how healthcare organization receive payment and delivery care. The advantage of have value based purchasing is that it improves the quality of care while reducing cost in an effort of aligning patient’s with the right provider and treatment plan (Minemyer, Jun 29, 2016). However, there are many disadvantages, such as it increases the patient volume as counteracting the reduction of procedure volume (Brown, B. & Crapo, 2016). Also it makes providers more responsible for care that is beyond the expected treatment of care needed (Minemyer, Jun 29, 2016). With quality measures tied

HCA is a healthcare provider that was established in 1968. Their main focus is on offering cliental with a number of different services to include: inpatient, intensive care, outpatient, diagnostic and emergency services. To achieve these objectives they operate a variety of facilities such as: outpatient, psychiatric, surgery centers, freestanding emergency care facilities, diagnostic / imaging centers and comprehensive rehabilitation / physical therapy centers. They are structured to create increasing earnings for its policy and shareholders. This is achieved by contracting with private doctors to deliver services to its preferred providers members. At the same time, they receive fees from these entities and they negotiate lower group rates.

The implementation of the Affordable Care Act (ACA) will only hasten changes that were on the horizon for pharmaceutical and biotechnology firms. Pharmaceutical and biotechnology industries new there was going to be some type of healthcare reform so they began to take the necessary precautions to prepare. There are vital provisions in the ACA related to the pharmaceutical and biotechnology industry affecting Medicare and Medicaid. Legislation in the ACA will provide provision to 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 to the firms. The pharmaceutical and biotech industry was instrumental

With the Advent of the Affordable Care Act, came many changes throughout the medical industry, changes happened in hospitals, health insurance, and doctors. Doctors, more than any other group seem to be affected in a number of way, from the amount of patients, from the increased number of people with insurance plans. It also changed the way a doctor interacts with other parts of medicine. There are some questions arising from this such as; would doctors approve or disapprove of these changes along with do these changes affect the doctors' ability to practice. For the most part, there is no difference the way doctors practice or to their income, but it does have doctors utilize their abilities towards medicine rather paper pushing which could have doctors prefer the post-ACA medical community rather than before.

As the past six years can attest, the way the government implements change is not grounded in making micro changes and fine-tuning them until a certain measure of success is gained and then applying that change at a macro level. The Affordable Care Act was forced on all Americans and was poorly implemented for the overall benefit of all Americans. While many were able to purchase health insurance for the first time, the quality of that health insurance was not high in all parts of the country. This student and her husband were forced to buy insurance on the Kentucky exchange that was extraordinarily poor quality. Premiums were lost, customer service agents spoke very poor English, covered procedures were denied until this student filed

The Affordable Care Act includes a requirement that all citizens must have some level of health coverage. The primary method through which the mandate is attempting to create 100% coverage in health care is by instilling fear into the minds of hardworking citizens as those who ignore the rule will have to pay a hefty fine. This mandate, unconstitutional according to the law, will deteriorate the quality of health care, hamper economic growth and cause spikes in insurance premiums. The hope of universal health care may or may not arise under the mandate but new dilemmas and hardships on U.S. citizens will undoubtedly surface.

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 Affordable Care Act (ACA) was signed into law by President Barack Obama on March 23, 2010, and on June 28, 2012 the Supreme Court decided to uphold the law.¹ Some of the most notable features that the ACA will provide for individuals are access to healthcare for everyone, new consumer protections such as pre-existing condition coverage, free preventative care, protection against healthcare fraud, small business tax credits, as well as many other features.¹

Since families that go to St. Jude for treatment never receives a bill, some felt that this healthcare reform would threaten the tax-exempt status for this hospital. According to Carrie Strehlau, a spokesperson for St. Jude, “the implementation of the healthcare reform would not impact the way St. Jude provide care” (Scurlock, 2013). She goes on to say that “St. Jude would not have a problem meeting all of the ACA’s requirements” (Scurlock, 2013). Even though, St. Jude doesn’t anticipate any fines, they are still required to do a community needs survey and file paperwork with the IRS every three years to show they are still needed in the community. Since 2010, St. Jude has complied with all requirements of the Patient Protection and Affordable

In the hope of better coordinating the care of patients, improving quality and lowering costs, the ACA provides incentives for physicians and hospitals to work together in several ways, such as Accountable Care Organizations (ACO’s) or establishing bundled payments for episodes of care (Martin Gaynor, 2012 ) which has spurred consolidation (Becker, Gamble, & Rosin, 2015). Additionally, compliance with various federal programs such as Meaningful Use requires a significant investment in technology which can be fiscally challenging for smaller provider groups; driving acquisitions of these smaller entities by larger health systems. Other reasons cited by hospital administrators in the pursuit of consolidation is to ensure a steady stream of physician referrals (NPR, 2010), and to create economies of scale and increased efficiencies, the fruits of which result in reduced costs and therefore cheaper care for patients (ProMarket Writers, 2016). However, what most hospital

The United States’ first black President Barack Obama had presented a new health care plan to help all Americans receive proper health care. The health insurance reform does provide better security and stability to Americans with health insurance and helps provide health insurance to the uninsured. This reform also lower’s the cost of health care for the American people, American businesses, and the American government. The health insurance reform issue is progressing, as President Barack Obama is committed to change. President Obama encouraged all American people and political parties to work together to find a solution for the health-care crisis. However, some Government officials oppose health care plans due to higher tax rates.

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

Over 54% of Americans are against the Health Care Reform act and I am part of that percentage. This reform is asking Americans to give up some of their freedoms or risk getting a penalty. Many parties/groups are against this reform act as well and the following paper will show some of the arguments they have against Obamacare.

For as long as people have received modern medical treatment, anything that was administered was documented on paper. This created a lot of bulky charts and the need for storage of those charts. To find paperwork relatively quickly was quite a challenge. For example some older charts were primarily kept offsite. The charts that were accessible might be on higher shelves or in different areas of the office. Unfortunately in a busy medical practice there is only so much room for charts that can be easily obtained.