Introduction Managed care is the formation of a delivery system of medical assistance and other associated programs through contracted arrangements with additional partners or organizations. On a global scale, we are witness to a wide-range of health care delivery systems that have contrasting opinions on the financial crisis that is affecting every designed scheme. The United States health care system has continued to evolve through the years, so it is a continuous evolution of arrangements to address the needs or requirements of the addressing a health-conscious public. The U.S Health Care System is a complex arrangement (Figure 1), that is facing a multitude of issues that affect the financial ability to maintain continued …show more content…
The intent of the legislative act was to serve as the cornerstone of a remodeled health care system by employing comprehensive health insurance modifications that had a foundation in design for the improvement of access, affordability, and to concentrate on refining the quality of care for the nation’s population. B. Health care workforce impact Consequently, the Affordable Care Act highlighted specific guidelines, and provided provisions that would influence health care in a variety of ways. However, while there were significant positive results associated with the legislative act there were also unforeseen negative consequences. Amy Anderson provides an interesting opinion in an article from The Heritage Foundation, which emphasizes the connection between the Affordable Care Act and its impact on the health care professionals. (Note: Figure 3 highlights RN positions) Three key points in regards to the issue at hand. 1. Heavier workloads: “With millions of people entering the ranks of the insured combined with the decline in the growth of the health care workforce, doctors, nurses, and other medical professionals should expect their workload to increase dramatically” (Anderson, 2014). 2. More paperwork: “The ACA has thus far added 109 distinct regulations. The time and effort to comply with these rules and regulations will equal an estimated 190 million hours of paperwork per year imposed on
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.
Our healthcare system is in a state of constant change. Just as the industry was adapting to the demands of countless healthcare reforms, the fate of regulations like the Affordable Care Act (ACA) and others like it, dangle in the wind. As the country transitions to a newly appointed administration, there is an increasing level of uncertainty among industry leaders. Federal, state, and local mandates continue to drive the need to improve the quality, costs, and outcomes of care which add to an already overburdened and burnout system. These coupled with our highly secular society who is primarily focused on the treating and curing illness through advanced technology, medications, and procedures has resulted in a
Title I focuses on the quality care for every individual. The intent of the AHCA is to provide a full transformation of our health care system. The market reform will allow American to have access to insurance without worrying about the expense and preexisting clauses that once kicked
In this country there are numerous concerns about health care economics. Several factors contribute to the increase of health care costs. One area of concern is the impact of managed care on health care finances. Managed care has been around since the early 1970s. The definition of managed care is a set of contractual and management methods implemented to manage the financing and delivery of health care services. Initial implementation of managed care was for health care cost saving (Getzen & Moore, 2007, p. 203, para. 1). Though Managed care initially addressed several health care finance issues, there are still problems with the current
Despite the fact that the ACA is intended to be great ideology, it has affected three components of the current health care system operation, policy, procedure, and implementation. The first key factor the ACA has affected is the relationships of the health care system at large, as such individuals are mandated to have health insurance and insurers are forced to accept individuals who would
While, as previously stated, the Affordable Healthcare Act is expected to increase medical coverage to include an additional 30 million people, it has become clear that just because the coverage was expanded does not mean an expansion of actual care. With the enactment of the ACA, congress unleashed what can be called a “tsunami” of newly insured patients, flooding a delivery system that was already stressed and barely hanging on. The
The ACA is made up of a series of additions of and changes, to the multiple laws that are made up from the legal framework of the U.S. healthcare system. This act establishes the basic legal protections that have been nonexistent to the United States, will now guarantee access to affordable health insurance coverage for Americans, from when they are born, all the way through his or her retirement. The act hopes in cutting the number of uninsured Americans by more than half of the U.S. population (Rosenbaum, 2011, p.130). This law hopes to result in health insurance coverage for about 94% of the American population (Rosenbaum, 2011, p. 130). This will reduce the population of uninsured Americans by 31 million people, and increase Medicaid enrollment by 15 million recipients (Rosenbaum, 2011, p. 130). Approximately 24 million people are still expected to remain without a coverage plan. The act has several goals. For instance, one goal of the ACA is to have a close to universal coverage system, with the help and responsibility among individuals, employers, and largely, the government. The second goal is to improve the fairness, condition, and affordable prices of health insurance coverage for Americans (Rosenbaum, 2011, p. 130). Lastly, a third goal is to improve the quality of health care through value, excellence, and effectiveness while trying to reduce inefficient spending and making the healthcare system more reachable to a diverse population (Rosenbaum,
It has been six years since the Affordable Care Act has been implemented into the United States healthcare system. As the pieces and provisions of this monumental federal statute become understood and executed, it is transforming the demand for care. Prior to the ACA, a significant number of Americans were marginalized and unable to obtain coverage. This system was faced increasing healthcare costs, placing greater financial strain to everyday Americans, businesses, and public health insurance systems. The ACA did not only help ensure health coverage for all (almost
The Affordable Care Act, also called Healthcare Reform, or Obamacare, is a decision that Obama administration was planning for long time to fix some problems. Many people live in this country without health insurance, and they can’t go to hospital when they become sick. Book (n page) wrote that 40 million of Americans were either permanently or occasionally without health insurance. The ACA was signed by President Obama on March 23, 2010 and became law. The idea of the President Obama is to make more people have insurance, control healthcare costs, and to make the healthcare delivery system better. Six years after Americans start ACA, many people like it, and some people don’t like it. However, the effects of this reform on the healthcare workforce are not always positive, because people who work in the medical field will now have more people to take care of. People say for long time ago that they need more staff in the hospital. Now, it is more because more people who don’t have insurance before, have it now and they go to the clinics or hospitals. The shortage of healthcare professionals, their maldistribution in the country, stress from the more new patient, the more paperwork, the penalty to reduce reimbursement, a change of reward, and the staff anger, are some problems created by the ACA on healthcare workers.
The affordable care act is good for the people who qualify for assistance, however this is where the problem within the healthcare professional field arises. Healthcare jobs have always been in high demand, especially for nurses. Due to the increase of wages for nurses in 2002, which attracted more people to nursing school, then in 2007
On March 23, 2010 the Affordable Care Act went into effect and forever changed health care in America. The main purpose of this act was to ensure that everyone, no matter their social or occupational status, had access to healthcare. Conditions that led to health care reform include health care disparities, as well as an overwhelming amount of people without health insurance. Key points of the ACA are its provisions on coverage, cost, and care. The ACA has made a huge impact on the health care system. Since its establishment, the Affordable Care Act has helped over
rising health care costs. Managed care can be defined a system of delivering health services in
Once the foundation of the U.S. health care system was reviewed, we began our study of the new regulations. The Affordable Care Act contained three main provisions. The first provision was expanding Health Insurance Coverage. Elements of the regulation included offering coverage to the vast majority of currently uninsured Americans by expanding access to Medicaid to cover all non-elderly individuals below 133 percent of the federal poverty level (FPL), and establishing state-based health insurance exchanges, which will offer Americans a range of private health plan options, with federal tax
The article, The American Health Care Act, published by the Steve Knight talks about the passing of the American Health Care Act (AHCA), the reason why it was passed, and the purpose of the act. According to the article, the act was passed to repeal some of the provisions of the Accountable Care Act (ACA) and include some policies that are aimed at improving the quality of care. The article suggest that since the ACA does not provide the US citizens with choices regarding health care insurance, it negatively influences the quality of health care that is currently being provided in the US. The article clarifies most of the commonly asked questions regarding the AHCA and according to Knight,
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.