Hspm 718: Impact Of Health Care Reform

A newest way to finance health care now days is the health care reform which it is also called Obama Care. The Affordable Care Act was signed into law in 2010. The main objective behind the Affordable Care Act was to ensure that affordable health care insurance was available to every U.S citizen. This law is an extensive document that contains many regulations and laws that relate not only to health care but also to the regulation of insurance companies. One of the best known regulations is that group health plans can no longer put limitations or deny benefits to individuals under the age of 19 due to pre-existing conditions and individuals under the age of 26, are now eligible to be covered under their parents’

The policy issue that I have selected to discuss herein is the pay-for-performance payment model. I feel that this impacts a large number of our population and changes in this regard should be made. This type of payment model aims to use reimbursement to incentivize providers to deliver high quality services. Pay-for-performance model steps away from the traditional manner of reimbursement of fee-for-service, in which providers receive payment on the basis of frequency or volume of the services they provide regardless of outcomes. In contrast,

The US pays twice as much yet lags other wealthy nations in such measures as infant mortality and life expectancy, which are among the most widely collected, hence easily compared, international statistics. Many people are underinsured, for example, in Colorado "of those with insurance for a full year, 36.3% were underinsured."[6][7] About 10.7 million insured Americans spend more than a quarter of their annual paychecks on health care because of the high deductible polices.[8]

Health System Reform in the United States: Impact of Rising Premiums and Opportunities for System Improvements to Enhance Access to Healthcare Services

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

There is a growing trend in the United States called pay-for-performance. Pay-for-performance is a system that is used where providers are compensated by payers for meeting certain pre-established measures for quality and efficiency (What is Pay-for-Performance, n.a.). We are going to be discussing what pay-for-performance is. There are different aspects of pay-for-performance which include; the effects of reimbursement by this approach, the impact cost reductions has on quality and efficiency of health care, the affects to the providers and patients, and the effects on the future of health care.

The new healthcare reform act recently passed will be fully implemented by 2014. Every person living legally in the United States will be guaranteed, under the Patient Protection and Affordable Care Act, (PPACA), healthcare insurance. Across the United States, primary care doctors are already preparing for the full impact this will have on their practices. In keeping with the promise made by President Obama, physicians are already planning to increase their hours while trying to maintain patient care.

The payment incentives provided to healthcare providers under the PPACA will most likely lead to improved healthcare quality. In addition, reimbursement will shift from being based on quantity to being value-based which will in turn incentivize providers to provide higher quality care.

The article I choose for the Unit 4 Assignment addresses how health care reform is unfinished business in United States. We still have many barriers to overcome if we to provide coverage and access to everyone who cannot afford it. Since I am earning a degree in Health Information Technology and already work in the health care industry this article is relevant to my field of study. This is a hot topic in our country today as it seems that everyone has an opinion on this subject whether for or against the Affordable Care Act. I am including my freewriting on this article below:

It should come as no surprise that the United States’ current health care system is in need of some major changes. Everyone knows that going to the doctor or hospital in the United States can cost a lot of money out of pocket, whether you have insurance or not. Americans who do have insurance pay into it with every pay check, only to go to the doctor and have to pay more. What it would be like to not have to worry about how much money there is in the bank when someone is sick? When a person is ill there are enough things to worry about without having to worry if they can afford the doctor bill. What are some of the pros and cons of a health care reform for the United States?

“We will pass reform that lowers cost, promotes choice, and provides coverage that every American can count on. And we will do it this year.” The preceding is a powerful statement from the newly elected President Barak Obama. One of the main aspects of both political campaigns was health care reform. The above quote shows passion and encouragement, but the quotes about health care do not end there. Georgian republican gubernatorial candidate and health care policy maker John Oxendine expressed: “Their proposal would virtually devastate the private healthcare sector in this country along with competition and patient choice, by replacing it with bureaucratic planning and government control. The result of this plan and its one trillion

Today’s modifications in healthcare reform merits nurse executives to form associations with healthcare providers to remain viable and take a proactive stance in healthcare. Nurse executives must possess capabilities that can span the patient care involvement to assure the favorable outcomes. In order to foster the changes, nurse executives will need the skills found in the American Organization of Nurse Executive (AONE) competency domains which include communication and relationship-building, knowledge of healthcare environment, leadership, professionalism, and business skills.

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.

Pay for performance (P4P) system improves the quality of care by creating a patient-friendly, respectful, more humane and excellent patient care atmosphere( Stanowski, Simpson & White, 2015). I believe that patients should be treated with courtesy, respect and there should be a consumer involvement in a patient care plan. Today’s healthcare system is focused on patient’s satisfaction and health care outcome so I agree that reimbursement in the future is proofed to be based on the customer satisfaction. “Since 2012, hospitals have been rewarded and penalized based on the customer satisfaction”(Stanowski, Simpson & White, 2015), which is an excellent way to provide an optimal level of patient satisfaction. According to the research, there is a positive relationship between the pay for performance and patient satisfaction (Stanowski, Simpson & White, 2015).

Under payment, an ideal healthcare system will have the challenge of delivering higher quality for lower costs. The system’s payment reform will involve a transition from fee-for-service to global from systems that are value-based important for the achievement of the overall healthcare goals. An ideal healthcare payment system will give a great deal of support to value-driven system of healthcare delivery (Kent, 2013). The fee-for-service payment system will be of great importance to the healthcare system as it will help control the costs of health care.