In 2010, The Patient Protection And Affordable Care Act

The concept of an Affordable accountable cCare oOrganization (ACO) is still evolving. Generally, an ACO is a group of health care providers (including primary care physicians, specialists, and medical facilities) that work in partnership and are collectively accountable for the cost and quality of health care they deliver to a specific population of patients. At the heart of each patient's care is a primary care physician.

In 2010, the Patient Protection and Affordable Care Act, or PPACA gave many Americans the opportunity to have health care coverage that previously may have not been available to them. The reform is primarily aimed at decreasing the number of uninsured and underinsured Americans. The landscape of health care is changing and nursing is evolving alongside it. This health care overhaul gives nurses a vital role in leading the reform revolution. With more than three million strong, nursing is the biggest sector of the nation’s health care labor

The goal of the Patient Protection and Affordable Care Act in 2010 was to expand the assess to care for all American citizens and to reduce the cost of health care in the United States. Therefore, many executives of Health Care Organizations (HCOs) confront with key issues of allocating scarce resources to deliver the care without compromising on qualities and increasing on expenditures (KPMG Healthcare & Pharmaceutical Institute, 2011). With unlicensed supportive personnel and nurses composing the largest percentage of the workforce at any HCOs, it is crucial that advance practice nurses (APNs) be involved in the achievement of financial goals (Goetz, Janney, & Ramsey, 2011). Therefore, the purpose of this

The American Nurses Association (ANA) is a full-service professional organization that symbolizes the interests of registered nurses through its constituent and state nurses associations. The ANA implements the nursing profession by raising high standards of nursing practice, honoring the rights of nurses in the work field, promoting a positive and realistic view of nursing, and by pushing the Congress and regulatory agencies on health care issues affecting nurses and the public. Their mission statement is, “Nurses advancing our profession to improve health for all.” Some of ANA’s main focuses are reformation of the health care system so that it delivers primary health care in the communities, growing roles for

Huber (2014) explains the ACOs receive a definitive payment for each enrolled patient and disperses it among those who provided care for each patient. ACOs receive incentives for reducing costs and delivering quality care and are penalized when not delivered (Gold, 2011). While patients may choose not to participate if their PCP is in an ACO, there are benefits if they choose to stay (Gold, 2011). First, their care would be coordinated properly, efficiently, and would have a seamless continuity of care. Secondly, all providers would have central access to their health information (Huber, 2014).

In March 2010 the patient protection affordable care act {PPACA} was passed into legislation for the first time since Medicare was enacted and millions uninsured people was enrolled including all ages, groups and demographics. There was a need for more primary care providers, care coordinators, advance practice nurses and primary care for older adults as millions of insure was enrolled, under the new healthcare paradigm, the advance practice nurse has limitless opportunities to practice.

An Accountable Care Organization or ACO is a group of doctors, hospitals, and healthcare providers, who voluntarily come together and provide coordinated high quality medical care to Medicare patients.

283). An ACO is organized with a group of providers that are rewarded financially for containing health care costs and retaining or enhancing the quality of care (Auerbach 1781).

ACO which is accountable care organization is a group of health care professionals and facilities which help individuals get the adequate care when and if it is needed. They also connect doctors’ offices, long term facilities and short term facilities together by providing incentive for them to work together which therefore benefits the patients.

When the Institute of Medicine (IOM) released its 2010 report, The Future of Nursing, Leading Change, and Advancing Health, many nurses felt affirmed by the spotlight this prestigious group placed on nursing. The reality is the newly designed healthcare requirements by President Obama will lead to millions of previously uninsured Americans needing care that nurses can provide. These growing demands lend themselves to different types of care providers under the nursing umbrella. There are: LPNs, nursing assistants, RNs with associate degrees, baccalaureate and master degrees, nurse practitioners,

Institute of Medicine was tasked with submitting a report consisting recommendations and a blue print for the future of nursing. “The Future of Nursing: Leading Change, Advancing Health” was published at the time when Affordable Care Act(ACA) was signed by the President in March 2010. With this 32million more Americans will be provided with insurance in future. To accommodate the new demand while keeping a high quality health care is a challenge. The report in detail study the roles nursing can assume to meet the increasing demand for high quality, effective and safe health care services. This report also talk about how the nursing profession could exploit these opportunities and

It is a long standing view that the American Nursing Association (ANA) is the firm supporter for quality health care access for all. ANA’s Principles for Health System Transformation 2016 outlined the association’s stance on the current state of affairs regarding the ACA. The association’s current principles which remain at the front of the issue regarding the health care reform remain: access to all, efficient optimization of community services, support for those who cannot afford care, and sufficient support for the education of health care providers. (ANA, 2016)

ACO is an organization that focuses on coordinated care through a group of physicians and hospitals for a defined population that directly interacts with the payers instead of going through health insurance plans (Beasley, 2015). The primary goal of ACO is to provide higher quality care while reducing the healthcare costs (Beasley, 2015). To According to Macfarlane (2014), a number of Centers for Medicare and Medicaid Services (CMS) have been promoting ACOs, due to which over the past few years the number of ACOs have expanded to more than 300 organizations. To further promote the use of ACO, CMS has even implemented a shared saving program as a promotional scheme (Beasley, 2015).

Through the PPACA the nursing profession developed three kinds of patient care models in health care delivery system included, Accountable Care Organizations, Nurse-Managed Health and Medical Homes (Hassmiller, S.2009). The ACO Creates investment program where an assembly of healthcare providers and dealers made agreement for everyone to achieve and manage care for Medicare patients and it also approve to excellence presentation ideals and meet financial scales to obtain inducement costs based on investment to Medicare (Hassmiller, S.2009). ACO is a group of hospitals, care providers and physician who’s working together to deliver excellent care to the patients and reduce costs for a well-defined patient population (Hassmiller, S.2009). Though in the past, they were usually competed by the Doctors but, the new health modification permits nurses to lead the ACOs. with the Innovative repetition nurses ACOs also provide the chance to the registered nurse to support them with patient care strategies.

The goal of community healthcare is to ensure that the community realizes an improved level of health as pertains disease epidemiology (Maurer & Smith, 2013). The best way to actualize this is by minimizing new infections and through early diagnosis and treatment of ailments. The Nurse-Managed Health Center (NMHC) is a model that fits this objective expansively. Through the effort of nurses, members of a community can work as care givers and contact nursing centers where necessary to have their patients treated or