National Trends On Healthcare Across With The Economic / Employment Statistics

In 2010, the United States created The Affordable Care Act (ACA). The objective was to share the responsibility of costs between the government, individuals, and employers to provide affordable access to quality health insurance. “However, health coverage remains fragmented, with numerous private and public sources, as well as wide gaps in insured rates across the U.S. population.” (“United States: International Health Care System Profiles,” n.d.). Each individual state within the US, generally has control over private insurance.

Value-Based Purchasing which is part of the Centers for Medicare & Medicaid Services; the program allows healthcare providers to get incentive payments for quality of care they provide to Medicare beneficiaries; for doctors it could mean doing less mean decrease in revenue and lower salary for the doctors. Therefore, value-based care has its pros and cons based who you talk to.

Findings from Squires and Blumenthal (2016) showed that only 8.9 percent of Americans are now uninsured, and since the Affordable Care Act went into effect in 2010 there are 20 million more Americans who now have health insurance and access to affordable care.

The change to value based purchasing has bought many challenges to the healthcare industry. With the change to value-based purchasing for payments, it has changed how healthcare organization receive payment and delivery care. The advantage of have value based purchasing is that it improves the quality of care while reducing cost in an effort of aligning patient’s with the right provider and treatment plan (Minemyer, Jun 29, 2016). However, there are many disadvantages, such as it increases the patient volume as counteracting the reduction of procedure volume (Brown, B. & Crapo, 2016). Also it makes providers more responsible for care that is beyond the expected treatment of care needed (Minemyer, Jun 29, 2016). With quality measures tied

The US has recently adopted a healthcare policy aimed to get more Americans insured. This policy is named the Affordable Care Act in 2010. “In 2013 there were 42 million uninsured individuals in the United States. “(The Common, pg. 153) There has since been increase in individuals who are covered either by private insurance or by Medicaid/Medicare which had a coverage increase with the new policy. It is believed that millions of people will now have health insurance compared to previous years.

With enactment of the Medicare Modernization Act (MMA) in 2003, Medicare began moving toward value-based payments, and the introduction of Affordable Care Act (ACA) in 2010 meant that Medicare accelerated its use of value-based payments as a means of improving outcomes and managing overall costs (Wofford, 2015).

“According to the report, titled Income, Poverty and Health Insurance Coverage in the United States: 2010, 49.9 million Americans or 16.3 percent of the total US population had no health insurance in 2010. That percentage represents a slight increase on 2009’s figures, when 49 million citizens or 16.1 percent of the population was uninsured” (Gamser, 2011).

Since the passage of the Affordable Care Act (ACA) or ‘Obamacare’ in 2010 and its implementation in 2014,there has been a steady decline in the uninsured population of the United States of America. The number of Americans with health insurance, has reached a historic peak. According to recent data from the Census Bureau about health insurance coverage, the number of uninsured Americans fell from 33 million the year prior to ACA implementation to 29 million in 2014.The total uninsured rate dropped by more than 4 percent since the health care law took effect. The ACA has significantly reduced the number of Americans who were not able to acquire health insurance due to poverty, unemployment, or having a pre-existing condition.

Obamacare is an unofficial name for the Patient Protection and ACA (Affordable Care Act) which was signed into law by President Barack Obama in 2010. The White House announced that in the first month, more than 100,000 Americans successfully enrolled in new insurance plans (The New America). That’s not even close to a quarter of the United States population. There have been problems with the website when it crashed. This prevented many Americans from completing the enrollment process. Which put a big hurt on the AC. But there is no question that there is a real demand for quality, affordable health insurance. In the first month, nearly a million people successfully completed an application for themselves or their families. An estimated amount 396,000 citizens have the ability to gain access to Medicaid under the Affordable Care

Reducing the number of uninsured Americans: Nationwide, since the Affordable Care Act’s coverage expansion began, about

Recently, Michael E. Martinez and Robin A. Cohen released the report, ?Health Insurance Coverage: Estimates from the National Health Interview Survey, January-June 2015?, they stated that there were nine percent (approximately 28.5 million) uninsured people at the time the survey occurred, decreasing by 2.5 percentage from 2014. The survey also indicated in the first six months of 2015 there were an increasing over seven million people in gaining the insurance in comparison with 2014 (Health Insurance Coverage).

In 2010, the federal government the Affordable Care Act, or more commonly known as “Obamacare.” This federal statute represented the largest and most significant regulatory overhaul and expansion to the healthcare system since Medicare and Medicaid were introduced in 1965. The ACA's major provisions appeared into power in 2014. By 2016, the uninsured portion of the population was cut roughly in half, with by the end of 2016, an estimated of between 20-24 million Americans additionally were covered with health insurance (Patient Protection and Affordable Care Act). The increased healthcare coverage was caused, roughly

While there are notable cutbacks in some areas of nursing, there is still a considerable shortage in many areas. It may not be as great of a shortage as in the past, but the need is still there. Bernstein points out, while some physicians may have seen a downturn in patients, free or sliding scale health clinics have seen a boom in business (4). With the number of uninsured and underinsured growing, people turn to these clinics for their care. This offers some great opportunities for nurses. Some of the recent funding for clinics has come from President Obama’s stimulus package. To accommodate the increase in patient load more nurses will be hired using stimulus money. Bill Rudman, editor for American Health Information Management Association (AHIMA) reported the “American Recovery and Reinvestment Act (ARRA) provides approximately $59 billion

High number of uninsured: The excitement in the ObamaCare camp was probably steroid induced while they were projecting to bring the number of the uninsured down to 22 million from 50 million by 2016 because there still are 31 million uninsured and is never expected to go below 29 million according to CBO. As per an estimate by the Kaiser Family Foundation, around 10 percent of the American population (32.3 million) has no basic health-insurance. They believe there are more effective ways of achieving this

The overall health care industry has undergone fundamental change over the last decade. Most of the changes have occurred within the underlying business operation of the healthcare industry. Legislation in particular has had a profound impact on the health care industry. First, due to the Affordable Care Act of 2010, the nursing profession is undergoing a fundamental shift in regards to the patient experience. The U.S. health care system is now shifting the focus from acute and specialty care to that of primary care which requires a shift in business operations. Also, due primarily to that aging of the baby boomer generation, the need for primary car overall is shifting and will be needed heavily in the future. The last 10 years in particular has seen an increasing influx of retiring baby boomers that subsequently need care. A positive impact on the ACA legislation is that more individuals are now insured. As such, the need for primary care will also increase over subsequent years, particular within the minority population. This patient centric approach will require more care predicated on specific communities in a seamless manner. Furthermore, primary care physicians will be in high demand over the coming years.