New Avenues Of The Affordable Care Act

The Affordable Care Act (Obamacare) is a healthcare program created by president Obama’s administration. The goal of the Affordable Care Act is to make sure every United States citizen has health insurance. The Affordable Care Act provides “affordable” health insurance plans to citizens that do not have any and make about $15,000 a year. While the idea of providing health insurance to the millions of American’s that cannot afford it is great, everything comes at a cost. According to Emily Miller, Obamacare is causing people’s health insurance premiums to rise by around 1 to 9 percent (Miller 15-15). Not only are insurance premiums rising, but ever since the Supreme Court declared the Affordable Care Act constitutional approximately 20 tax hikes have been approved (Battersby). All the aforementioned reasons are helping pay for Obamacare. Although providing health insurance for people that cannot afford it is important, the Affordable Care Act should be revoked because it will hurt the economy.

The negative impacts of healthcare reform to health systems are significant in that health systems are preparing their resources on developing Accountable Care Organizations (ACO) for bundled payments and population-based reimbursement. In this economy the impact to health systems may require healthcare systems to figure out ways to continue to keep positive financial performance due to the cost-reduction of healthcare reform. For some time now, health systems have subsidized their losses from the Medicare and Medicaid systems by contracting with commercial payers for their premium rates. As a result of the healthcare reform, cost shifting will shrink. Another negative impact over the next few years will be the large shift in health plan enrollment. Less people will be covered by highly

Just like anything else that is first implemented out to people, there are also flaws. Not everything that first rolls out to the public is perfect. However, although this new health care may have some flaws in the beginning, some may say that there are a little more just minute flaws. Some may express that the new Affordable Care Act may be a reform that will hurt us rather than help us. “If there is any area of social policy in which Americans are likely to be aware that their system has flaws, it is in health care.” As if America it is not already the country that has the most expensive health care system , “Americans pay an average annual cost of $8,174 per person for their health care, over twice as high as the average Western

Such data suggests that rural areas were actually better off in terms of medical care prior to the enactment of the Affordable Care Act than they are now. Before ACA implementation, the rural population was significantly more likely to be covered by Medicaid (21%) or other public insurance (4%) than the metropolitan population (16% and 3%, respectively). Therefore, while urban individuals on average had more healthcare benefits due to the nature of their insurance provider, since Medicaid made up some of the gap in employer-sponsored coverage in rural areas, the uninsured rate was similar in rural and urbans populations prior to the ACA (Figure 2).

Questions are constantly circulating around the new Affordable Care Act. Many do not know what it does and the government is trying to make it out to be a big savior to the medical field for doctors and patients alike. The Affordable Care Act has also been given the name Obamacare because of its ties to the President. He believes that increasing the amount of people on insurances of any kind that meets his “standards” will help health care become more available and more profitable. Unfortunately, these claims are not true as Obamacare is clearly going to negatively impact health care in all aspects. The problems start for patients who get on government healthcare programs, such as Medicaid, with the fact that the treatment plans are extremely

Obtaining reimbursement for services provided is a necessity for the survival of many health care organizations. This paper will explain, in my opinion, why the Centers for Medicare and Medicaid Services (CMS) are involved in this development and how it affects the American public. I will offer a suggestion to ensure meeting policy and procedure. I will finish by discussing three ideas listed on the CMS website.

The Affordable Care Act passed in 2010 and signed by President Obama on March 23, 2010. The vision was to reform the health-care in America worked and dramatically decreases the number of uninsured individuals. President Barack Obama campaigned aggressively under the phrase’ “Yes We Can”. In the end “Yes he did” get the health-care reform legislation past and set into motion the overall of health insurance decades in the making. Many of the major objectives of the Affordable Care Act were setup to be implemented over time, most of which will be in place by 2016. Until then it is somewhat difficult to determine the true impact of the Affordable Care Act on individuals and their medical care and the financial impact of the costs. As,

The Affordable Care Act (Patient Protection and Affordable Care Act), commonly called "Obamacare," is a federal statute that was signed into law in March of 2010 (PDF, n.d.; Van de Water, 2011). It basically requires the vast majority of people in the United States who do not have insurance coverage to acquire that coverage or face penalties. People who already have insurance through their employers or on their own will not be asked to change companies. Additionally, anyone who is on federally-funded insurance such as Medicaid or Medicare and still qualifies for those programs will not be removed from their insurance. They will still be covered and protected. In order to find out more about the Act and really understand its main points and principles, however, it is very important to be aware of how it became a law and any changes that have taken place to it from its inception all the way through where it is today. Only then can a person have a clear understanding of the Act and form an opinion as to the value it may (or may not) provide to the American public. There is still much speculation and a great deal of misunderstanding about the Act and what it involves.

The Affordable Care Act (ACA) was signed into law on March 23rd, 2010 by President Barack Obama. This radical health care law was a much-needed step in comprehensive health insurance reform. Three important features of the Affordable Care Act are 1. Improving quality and lowering health care costs 2. New consumer protections and 3. Increased access to healthcare. (Key Features. 2014). Under the umbrella of these three key features additional benefits include free preventive care, drug discounts for senior citizens, increased protection against health care fraud, small business tax credits, increased access to health care through the health insurance marketplace, consumer assistance, and non-discrimination based on pre-existing conditions.

As the shift for HCOs is made to a PCMH model, the financial aspect also has to make a transition to accommodate to the changes. In recent years, there have been implementations of different payment and reimbursement options, health insurance programs, and the establishment of the Affordable Care Act (ACA). Between May 2009 and April 2012, one of the initial PCMH pilot programs was conducted in Colorado, appropriately named The Colorado Multipayer Patient-Centered Medical Home Pilot. More than 100,000 patients within sixteen internal medicine practices participated in the experimental PCMH model, using six different health plans (Harbrecht & Latts, 2012).

When the Affordable Care Act (ACA) was enacted on March 23rd, 2010, it transformed the lives of people all over the US, in states who expanded. It allowed families to qualify for government programs such as Medicaid, CHIP, and government subsidies, and for young adults to stay on their parent’s insurance until the age of 26. The ACA was a sign of relief and good news for all but two groups, lawful permanent residents and undocumented immigrants. In 2012, DACA recipients under the DREAM Act also became part of the groups excluded, leaving more than 6.5 million unable to access affordable care. In order to make a change, the New Mexico Rep. Michelle Lujan Grisham, from the Democratic party, introduced The Health Equity and

In 1983, the Medicare prospective payment program was implemented which allowed hospitals to be reimbursed a set payment based on the patient’s diagnosis, or Diagnosis Related Groups (DRG), regardless of what treatment was provided or how long the patient was hospitalized (Jacob & Cherry, 2007). To keep the costs below the diagnosis related payment, hospitals had to manage efficiently the treatment provided to a client and reduce the client’s length of stay (Jacob & Cherry, 2007). Case management, or internal case management “within the walls” of the health care facilities was created to streamline costs while maintaining quality care (Jacob & Cherry, 2007).

Just as the Affordable Care Act has it’s positive outcomes that can help many people, it also comes along with several downsides. The first downside is that the Affordable Care Act will not only raise taxes to help fund for it but it will affect many of the high earners because they will have to pay higher taxes. Not only that is an issue but will also hurt those middle class Americans that do not quite make enough but at the same time are not completely living in poverty. These people will be the most affected by the taxes because it will affect our American Citizens directly. Also, these taxes are not quite specified but it is stated that even larger firms will have to pay a larger sum of money due to the taxes being enforced with the Affordable Care Act. They will begin to see a negative financial effects as well as their employees because they will also be held accountable to get those taxes take from their paychecks so they too will see a negative financial effect. Quite Frankly, that is a very tough to happen to employers and employees because they work hard to make ends meet and if additional taxes are going to be added to their paychecks to deduct more of their pay it can really hurt the employee as well as their family.

Hospitals are reducing the growth rate of inpatient hospital spending, mainly by decreasing the length of time one spends in the hospital. PPS has increased the share of Medicare spending where beneficiaries have higher coinsurance. The short-run beneficiary response appears to be an increase in demand for Medi-gap health insurance rather than a dampening of demand for services. To this point it appears that Medicare's PPS has been successful in containing the growth in hospital costs while avoiding, or managing, unwanted consequences. Prospective Payment Systems Is a form of Reimbursement that is established before the healthcare services are rendered and monies are expended. Reimbursement is based upon a specific prospective payment system

I think that everyone has the same fear of growing old and not being able to take care of him or herself medically, since the health care goes up and down. I’ am one of those people, I currently have a job that provides health care and If I work for the same company for another 10 years I will get health care for the rest of my life. However I don’t know what will happen in the next 10 years, so I worry. I have friends that cannot afford the Affordable Care ACT and are perfectly fine with paying the fine when they do their taxes, because its cheaper than paying monthly a premium they don’t