Integrated Delivery Systems : The Affordable Care Act Essay

Obamacare or the Affordable Care Act, implemented by President Barack Obama is the one of the major healthcare reform in America after Medicare’s implementation. Also it is one of the most debatable issues in the present times. Many are doubtful about its long term effects while many more are happy that they would finally be insured. It is of no doubt that the Obama Administration has brought in ACA with a very noble and optimistic intention of providing insurance and healthcare coverage to each and every citizen of America. However from a public administrative point of view it is essential to think about both the potential benefits and harms of this act on the healthcare economy. The reviewed articles discuss about why and how the ACA was implemented, how the architects are ACA are expecting it to benefit the society and what would be the effects of its implementation. The articles from healthcare journals discuss about the effects of ACA on the quality of healthcare.

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.

In today’s time, the hallmark of the US health industry is to form integrated delivery systems. An integrated health delivery system is an arrangement of health professionals and health care facilities that provide health services within a continuous organization of delivery. These systems will allow the purchaser and consumer of health care service to receive all the needed services within a all-in-one delivery system that would facilitate the needed access to the appropriate level of care at the appropriate time (Professional Issues). I.D.S presumably will also provide higher quality services and more patient centric care at relatively lower costs (Effects of Integrated Delivery Systems on Cost and Quality). To best understand integrated delivery systems (IDS), it is helpful to contrast the IDS model with health service delivery under the traditional fee-for-service (FFS) arrangement.

The United States health care system is lacking the needs to create a reliable system to achieve quality, access, cost, and educate for the consumers. Despite the efforts of the government to find a common ground to meet the standard for the societies, the system has yet to have a major improvement. These issues must be reexamined to fix the broken system. The United States health care expenditure is another issue that needs to be addressed to achieve the future goals of the healthcare system in the United States. Healthcare societies will need to interact differently by incorporating consumer’s empowerment, technology, and education to meet the future goals of the health care system. Also, the consumer must be highly educated on the purpose of preventive care to lower the risk of chronic diseases which account for a lot health care spending. The process of correcting the United States health care system will take time and effort from all individual to achieve greatness.

The Affordable Care Act, also known as Obamacare, is an act passed by president Barack Obama on March 23, 2010. This act, which provides affordable health insurance to Americans, was passed for three primary reasons. These reasons are to reduce the number of individuals in the United States who currently are not covered by some form of health insurance, to improve the availability and quality of existing health care programs, and to reduce the cost of health care to individuals and the government (“Patient Protection”, 2014). The Affordable Care Act has been successful in some ways, but ineffective in other ways since it was passed in March of 2010. For example, Obamacare has helped expand Medicaid and has helped those who have Medicare. However, this act has had a negative impact on the uninsured and on insurance premiums. In addition, some small businesses have benefited from this act, while others have had a negative effect. The Affordable Care Act has many pros, but it also has some cons, which is why there are still some changes and ideas that I would like to see implemented in our healthcare system.

Using the Change Framework outlined in (Herold & Fedor , 2008) to analyze the initiative helps clarify many of the issues and challenges faced. One of the first aspects to consider is what actually needed changing regarding healthcare delivery and what tactics were utilized. The broader change hoping to be realized was a simple way for Americans view various healthcare options and select and pay for their coverage online. While Americans had been able to do this over

On March 23, 2010 President Barack Obama introduced a new healthcare system because various Congress representatives and Obama believed our country needed a change. This new healthcare system was called the Affordable Care Act (ACA), better known as Obamacare. It is now 2016, and it is time for more changes. With a new president coming into office, Donald Trump, we can expect changes to Obamacare or an entirely new healthcare system altogether. Obamacare is costing Americans more than it was intended to (Galen Institute). This essay will explain why Obamacare needs to be improved and how to improve this healthcare system. Obamacare has two types of supporters. The first type of supporters believe there is nothing that can be done to make this healthcare system better, while the second type think there should be changes to reinforce this health care system. Opponents believe Obamacare needs to be changed or ended altogether because they claim it is not helping the American citizens. Going forward, Trump should make changes to Obamacare in order to make it stronger instead of scrapping it altogether.

One of our nation’s most controversial topics since the year 2009, and still continues to affect our country, is the Patient Protection and Affordable Care Act (ACA) also known as Obamacare. The Affordable Care Act was passed by Congress and signed into law by President Barack Obama on March 23, 2010. The Law was designed to extend coverage to millions of uninsured Americans and protect patients from abuse or discrimination. The Affordable Care Act affects, all Americans, either in a positive or negative way. It is an issue that has come to separated our congress, it has divided the republican and democratic parties, to the point where the Government was shut down.

Due to the fact, the Affordable Care Act was an overhaul unlike any other in America in regards to healthcare it has received a great deal of attention nationwide. All the attention seems to have gotten people to thinking about our health care system in comparison to others countries health care systems and what is best for the United States. According to Delivering Health Care in America: A Systems Approach. Sixth ed., the United States leads the world in the latest and greatest in medical technology, training and research. Another feature that makes this health system stand out is that is doesn’t automatic cover everyone unlike other health systems. The health care system is a patchwork of various components of other systems. Some

On March 23, 2010 President Barack Obama put into law the Patient Protection and Affordable Care Act. It is commonly referred to as the Affordable Care Act or Obamacare. The primary goal of the Affordable Care Act was to increase health insurance quality and affordability for the American people. The law introduces new rules for insurance companies requiring acceptance for all who apply. It requires that the same insurance premiums be charged regardless of race, sex, or pre-existing conditions. Initially the amount of people who did not have insurance dropped from 16% to 18%. The affordable care act has also created health insurance exchanges or the health insurance marketplaces. Health insurance exchanges or marketplaces are government regulated websites or designated signup offices where individuals can purchase insurance. However, one of the most important mandate that is included under the affordable care act is the requirement for the individual to buy insurance or pay a penalty. This has been a problem to most Americans and the reason it was almost deemed unconstitutional.

Given huge potentials and resources, the healthcare system in the United States stands among the best in the world; however, it has been constantly plagued with issues of cost, access, quality and distribution.1 The national health expenditure levels on per capita basis as well as the percentage of GDP has for several years remained higher than other OECD countries but has in contrast, been ranked low on significant health indicators.1,2 As part of the ongoing healthcare reform efforts, the Affordable Care Act (ACA) was passed in 2010 which led to outright and possible immense changes in healthcare.1 Accountable Care organizations (ACOs) were presented as the healthcare delivery system signature of the ACA, as a novel Medicare payment model.3

After one of the most grueling presidential races in American history, the populous candidate Donald Trump has been elected by the American people as our next president. While campaigning, one of the first things that Trump vowed to accomplish in office was to repeal and replace the Affordable Care Act (donaldjtrump.com). Trump should have no trouble doing this with the support of both the Republican senate and the Republican House. The consequences of what exactly will be done is a constantly argued topic and the phrase “repeal and replace Obamacare” has become a sort of buzzword in the media.

The implementation of the Affordable Care Act (ACA), popularly known as “Obamacare”, has drastically altered healthcare in America. The goal of this act was to give Americans access to affordable, high quality insurance while simultaneously decreasing overall healthcare spending. The ACA had intended to maximize health care coverage throughout the United States, but this lofty ambition resulted in staggeringly huge financial and human costs.

The United States healthcare delivery system is a uniquely developed system that involves various features, components, and services. The US delivery system is massive, with total employment in various healthcare settings of qualified medical professionals that provide key functions to delivering quality healthcare. This essay will discuss the characteristics if the United States healthcare delivery system and how it could be developed from a free market perspective.

The United States has a unique system of healthcare delivery, it is complex and massive. Twenty-five years ago; American citizens had guaranteed insurance, meaning the patient could see any physician and the insurance companies and patients would share the cost. But today, 187.4 million Americans have private health insurance coverage (Medicaid, 2014). The subsystems of American health care delivery are Managed care, military, vulnerable populations and integrated delivery