Network Adequacy : Raising Women's Voices

The Affordable Care Act might be the best thing in American history for women’s health. The new law gave over 19 million uninsured women health coverage. Women overall are more intact with the health system than men because the majority takes care of their families. Women are usually on the forefront at doctor offices and hospitals with their children, making appointments for their spouse and for those who assist with their parents, they are the one scheduling and doing paperwork for

The state of Texas has pulled its Medicaid funding for Planned Parenthood, leaving poor residents with few options for affordable healthcare. Medicaid, a program focused on helping low-income families and individuals receive healthcare, has always been jointly operated by the state and the federal government. But to who this program would be eligible for is entirely up to the state. More conservative states, like Texas for example, strictly reserve Medicaid for only the most severe cases of poverty-stricken families, leaving a large portion of low-income residents uninsured. The Affordable Care Act, a federally mandated reform of Medicaid introduced by President Obama, would provide healthcare for many American citizens in need. Despite being

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

One of the most controversial issues in politics today is healthcare, specifically ObamaCare, also known as Affordable Care Act (ACA), which has effectively insured millions of low-income American households. Under the ObamaCare, Medicaid has been expanded to states that want to participate. It plays an exceptionally crucial role in the healthcare coverage, and access for rural communities as they are more likely to “be poorer, less likely to have insurance, and less intense users of medical services overall” (Richards et al., 2016, p. 573). A study conducted by the Health Services Research found that Medicaid patients received appointments nearly 80% of the time in rural areas, but only 60% in nonrural areas (Richards et al., 2016, p. 570).

The Affordable Care Act (ACA) extended healthcare coverage to millions of formerly uninsured individuals by expanding eligibility of Medicaid and the formation of Health Insurance Marketplaces. The ACA also included reforms to assist individuals sustain coverage and have the availability of affordable and accessible private healthcare insurance. Analysis from 2014 and early 2015 and have shown significant increases in public and private healthcare insurance coverage and have attributed the remarkable decreases of the rates of uninsured individuals from marketplace.gov and health insurance exchanges from the first year the ACA had healthcare coverage available.

There are providers, of public hospitals community and rural health centers, and local health department considered to be safety net providers that service the uninsured. But the result of increased demand has caused limited capacity and decreased treatment options due to eroding finances (KFF, 2013). In order to improve the well beings of Americans, it is imperative to establish a health care policy that will deliver comprehensive coverage for all.

In the current U.S. system the free market prevails and companies, in this case, major insurance providers “compete” for business. This competitive business approach should in theory drive costs down. For some reason, however, an argument can be made that it has produced the opposite result in profiteering. The nation’s largest insurer, UnitedHealth, boasted over a 10 percent revenue increase in 2013 according to Forbes (2013). Health insurance affordability contributes to the disparity in access to health care, as evidenced by the fact that there are millions that are still uncovered. A greater majority of certain minorities lack both health insurance and the financial resource to seek out either health care or insurance. While insurance companies reap huge profits the percent of private sector companies offering health insurance has dropped to less than 50 percent (Kaiser, 2013). There is decidedly a lack of coordination of care for this at risk population as well, since treatment is rendered sporadically and with continuously changing providers. The last major challenge is that of improving the quality of health care. According to a 2010 report by the U.S. Department of Health and Human Services, Office of Inspector General (OIG), an estimated 13.5 percent of Medicare beneficiaries experienced adverse events during their hospital stay and an additional 13.5 percent experienced a temporary

Access to care has become a buzz word in the modern healthcare theater. The prevailing thought is that our healthcare system will experience a significant amount strain as an increasing number of individuals seek care with increased number of individuals being covered by third party payers under the affordable care act. Access to care has become a catch-all term used to describe the inability for an individual or population to seek needed healthcare services. Access to care can be divided into 4 major problems within a healthcare setting to include, physical accessibility, affordability, acceptability, and supply and demand. While the current state of our healthcare delivery system in regards to the changes implemented by the affordable care act has attempted to address affordability and acceptability. The affordable care act may have strained the infrastructure of our system in regards to the supply and demand aspects as well as physical accessibility challenges to many populations.

The rising healthcare cost is an issue that affects many working class Americans. Experts have tried to come up with different ways to make health care more affordable and easily accessible to all. Despite all the efforts and even after the Affordable Care Act, there are still millions of Americans without health insurance coverage and therefore unable to access the necessary medical care. According to a 2015 report by the U.S Census Bureau, there are over 33 million uninsured Americans. (“Health Insurance Coverage in the United States: 2014 - p60-253.pdf,” n.d.) The Affordable Care Act has unquestionably made healthcare more accessible and reduced the number of uninsured Americans. However, there are still millions of

Healthcare access is a major public policy initiative to improve mothers and children's health access and utilization which began with Medicaid expansions in the 1980s and then came along (CHIP) Children’s Health Insurance Program in 1997. Greater access to prenatal care provided by Medicaid has not contributed to the declines in infant health disparities (Dubay, Joyce, Kaestner, & Kenney, 2001: Epstein & Newhouse, 1998). Studies suggest that Medicaid and CHIP the expansion has contributed to the declines in most mortalities for the external causes for children 6 to 17 years of age, but has not been resulted in the decrease in the mortality diseases between the white and black children (Howell, et al., 2010). Access to high-quality health care still remains an important goal for infants, children, and young women. To get high-quality care, Maternal Child Health population needs health insurance to help cover most of their benefits when it comes to providers and

Under the new health care reform law over 47 million women will have access to women’s services with no out of pocket costs for preventative and wellness services (Obamacare, 2013). The low-income individuals will have the opportunity of getting health insurance coverage through the state exchange, Medicare, or Medicaid; however some states have opted out of the Medicaid expansion in which some low-income individuals will not be eligible. Seniors and other individuals eligible for Medicare will see expanding benefits and coverage options; however there will be decreases in home health payments and hospital coverage as well. Obamacare will require businesses with over 50 full-time employees to provide affordable health insurance coverage to its employees however small businesses with 25 employees or less will receive federal tax credits to help offset the costs that a small business will face to encourage these businesses to provide health coverage to

Health care in the United States is driven by a patchwork of services and financing. Americans access health care services in a variety of ways — from private physicians’ offices, to public hospitals, to safety-net providers. This diverse network of health care providers is supported by an equally diverse set of funding streams. The United States spends almost twice as much on health care as any other country, topping $2 trillion each year. (WHO.INT 2000) However, even with overall spending amounting to more than $7,400 per person, millions of individuals cannot access the health care services they need.(Foundation 2009) So when the Patient Protection and Affordable Care Act (a.k.a the Affordable Care Act or ACA) was passed in the summer

The refusal of some health insurers to include contraceptives as a part of an insurance plan for women is one of the most contentious disagreements in the health insurance industry. Insurance plans today cover a variety of prescription drugs, however some still do not approve of prescription contraceptive drugs and devices. More than half of U.S. states insurance policies require that other prescription drugs along with the FDA approved contraceptive drugs and devices be included on their health care plans, as well as any related medical services. These services entitle, annual visits for womens recommended preventive care and services. Although depending on individual state policies, some states allow employers or insurers to refuse

The United States health care public safety net system largely provides healthcare services to the uninsured and the under insured. However, this vulnerable population still cannot access adequate care and compared to the privately insured population, the uninsured receive less preventative and specialty health care services. The need for safety net providers to improve the delivery and access to care has led to increased funding through the Patient Protection and Affordable Care Act (PPACA) as well the expanded community health centers (CHCs) (HealthCare.gov, 2010). Following the passage of the PPACA and increased federal support for the CHCs, the American public health care system witnessed significant changes. Some of these changes include increased access to healthcare, restructurings of private health coverages and containing Medicaid and Medicaid ().

Changes in access to health care across different populations are the chief reason for current disparities in health care provision. These changes occur for several reasons, and some of the main factors that contribute to the problem in the United States are: Lack of health insurance – Several racial, ethnic, socioeconomic and other minority groups lack adequate health insurance coverage in comparison with people who can afford healthcare insurance. The majority of these individuals are likely to put off health care or go without the necessary healthcare and medication that is needed. Lack of financial resources – Lack of accessibility to funding is a barrier to health care for a lot of people living in the United States