Executive Summary
Healthcare reform nationwide is making an effort to concentrate on concerns among our aging population due to the amplified rate of chronic diseases and mounting healthcare expenditure. Nursing responsibility is growing in every part of areas in healthcare in the United States consisting of resolutions on health policy and the terms of home health services (Reagan & Salsberry, 2013). Federal laws that are currently managed by home health agencies do not permit advanced practice registered nurses (APRNs) to certify care for disabled patients. Furthermore, all orders are required to be certified by a physician or Medicare compensation might be compromised. This obstacle remains to leave a gap to the independent role APRNs participate
With the passing of the Affordable Care Act in 2010 approximately 32 million more people will be insured throughout the United States. The need for healthcare workers and providers will be in drastic demand to provide care to these insured Americans. The 2010 IOM report details out how the advanced practice nurse can be a valuable asset in primary, chronic and transitional care and their skill set should be used to promote better healthcare across the nation (IOM, 2010). This impact of this report should help progress advanced practice nurse’s ability to practice without individual state regulation and be governed under one body to server in and outside of the hospital setting
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.
The healthcare system underwent reformation in 2010 in the form of The Affordable Care Act. The main goal of the ACA was to extend health care throughout the nation; irrespective of this intention, some people regard the Affordable Care Act as being paternalistic. Chapter 9 covers the issue of how ethical the imposition of new restrictions on people by the ACA is.
The Affordable Care Act (ACA) has survived both constitutional and statutory challenges which reached the United States Supreme Court. But opponents of the law are far from defeated. A large number of cases are still pending throughout the country.
The implementation of the Affordable Care Act (ACA) will propel changes that were on the horizon for pharmaceutical and biotechnology firms. Pharmaceutical and biotechnology industries knew there was going to be some type of healthcare reform so they began to take the necessary precautions to prepare. The ACA had key provisions related to the pharmaceutical and biotechnology industry affecting Medicare and Medicaid. Legislation in the ACA will 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 on the firms. The pharmaceutical and biotech industry was key in creating legislation for the ACA, according to CMS (2009), “despite
There are over 45 million people in the United States who are uninsured when it comes to healthcare. Many are uninsured due to the expensive health care costs. To combat this, the Obama Care administration created the Patient Protection and Affordable Care Act to provide nationalized healthcare. The Affordable Care Act is meant to expand health coverage, lower health care costs and hold insurance companies accountable. The Affordable Care Act will allow more people to be insured but the issue lies in the question, do the costs outweigh the benefits? The Affordable Care Act will be used in an attempt to lower health care coverage costs for citizens. An example can be seen from a report in the Kaiser Family Foundation. The premium is required
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
Cheryl has been diagnosed with Generalized Anxiety Disorder, Major Depressive Disorder, and Alcohol Use Disorder. When asked about her concerns for post discharge she states that she has been heavily reliant on her parents and their health benefits for her treatment and that she is nervous that she may not have coverage to continue therapy. She reports that she felt safe knowing that “Obamacare” would be in place to help her afford the treatment she needs to stay mentally healthy and sober. She states that she is concerned about the possible repeal of the Affordable Care Act because she will need help paying for her mental health expenses. The Affordable Care Act made a giant leap in extending the work of the Mental Health Parity and Addiction Equity Act. These two acts work together to ensure that treatment for mental illness is accessible to many Americans that need treatment. Throughout this paper I
Four years after President Obama signed the Affordable Care Act into law there is still uncertainty regarding how it will affect small businesses. Because there were delays and exemptions granted by the, Obama administration and challenges that were still pending in courts. The effects on small businesses vary from state to state depending on the company size and the composition of the company's workforces. But the large corporations pay their employees medical bills and hiring insurers to administer health benefits. Most small businesses purchase group health insurance from insurers and face cost increasing regulations as they go through the annual ritual of renewing their coverage. While media has focus their attention on the state and federal health exchanges, employers are responsible for the growth in the
During the formation of the United States of America, the founding fathers had difficulty to agree on common issues due to their conflicting political stances. The intention of each political party is to form a solution that is in the best interest of the citizens in the U.S and of how to govern the US following its independence from Great Britain. It is safe to conclude that some Americans base their decisions on family affiliations rather than viewing each economic, social, and political problem differently to make an informed decision. The presidential nomination of then Senator Barack Obama marked the country's breakthrough in recent years during the 2008 election. Trends showed favoritism among the young, college-aged population when he ran for office his first time. He won their votes, along with other voters, based on general social and economic proposals he intends to solve. During the President's first and second term, his administration seeks to resolve the healthcare concern, a major political and economic problem, which is causing the country's deficit to swell. On March 23, 2010, President Obama (Whitehouse.gov, 2014) signed the Patient Protection and Affordable Care Act (PPACA), commonly known as "Obamacare," into law. Unfortunately, the United States of America have not come to a unanimous agreement about Obamacare. All together it seems not every person will approve every presidential decision in the country, but Obama’s health care act has sparked some more
Toward the end of the 1920s, in a little town in South Texas named Cotulla, a junior high teacher saw the injustice and poverty among his Mexican-American students (Del Bosque, 2013). After decades passed, that same man became the U.S. President; Lyndon B. Johnson signed the bill that constructed Medicaid in 1965, which is a program that is funded by the state and the federal government to provide health insurance to low-income Americans (2013). Johnson had an idea to create a “Great Society” which he defined as “a society where no child will go unfed, and no youngster will go unschooled” (2013) . Now even in 2015, we see that President Obama is still fighting for this dream of Johnson’s (Ura & Walters, 2014). President Obama’s Affordable Care
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 Affordable Care Act (ACA) has been the biggest milestone to date in American health care policy (Saldin, 2011). There is nothing more complex or controversial in recent history than the passing of the ACA in 2010 (Davidson, 2016). The United States Supreme Court ratified the constitutionality of the Patient Protection and Affordable Care Act on June 28, 2012. With this, there were certainly challenges facing the full implementation of the provisions of this act by 2014.