Obamacare: Reimbursement Analysis

The U.S. healthcare system is remarkably complex, and even healthcare workers struggle to understand it. The U.S. population gets health coverage by government programs, employers, and private insurance. Notably, because of the complexity and fragmentation of the health care system, there is a percentage of the population that remains uninsured. According to CNN Money, the uninsured rate in the U.S. dropped from 18.2% in 2010 to 10.3% in 2016, this drop was under Affordable Care Act(ACA) (). The goal of the ACA was not to give health coverage to all the uninsured population, rather it was to try to decrease the percentage of the population that remained uninsured(). There is a lot of inequality in the distribution of health among the U.S. population

The aim of the ACA is to provide affordable health care to all Americans, but it still leaves some issues unaddressed that will impact the access to health care. Covino (n.d.), “Though the intentions of the legislation are good, the Affordable Care Act does little to improve the actual health care delivery system” (para.1, page 2). According to the American Medical Association, we are facing an increasing Physician shortage. As of 2010 we faced a shortfall of 13,700 physicians, the estimate is that number will increase to 62,900 by 2015, 91,500 by 2020, and 130,600 by 2025 (Krupa, n.d.), with primary care taking the largest impact. Health Care coverage will be of no benefit if there are no doctors to treat the patients. An example of this occurred in 2002 when Thailand’s’ “30 Bhat Scheme” added (CNN n.d.) “14 million people to the country’s health care system, resulting in long waits and subpar service” (Your health is covered, but who is going to treat you?) Several factors contribute to the physician shortage. Many physicians are reaching the age of retirement, the Association of American Medical Colleges estimates nearly 15 million physicians will be eligible for Medicare in the coming years (CNN n.d.). The increasing cost of malpractice insurance also deters many from pursuing a career in medicine, and is forcing some doctors to retire. Also contributing to the physician shortage is a lack of spots in residency programs. “In 2011, more than 7,000 were left

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.

The Affordable Care Act of 2010 (ACA) had put more open doors for Americans to live healthy and longer life. Be that as it may, few individuals are living without insurance due to monetary results. They put their life in the danger of human services administrations. They are having less medicinal services results, getting low quality of care than the general population who has insurance. The proportion of uninsured and insured individuals soar by 25% in 2000. Individuals messes with medical coverage exceptionally and disregarding it in few point in view of their financing issue and lack of education. As indicated by Institute of Medicine (IOM, 2002), 18,000 individuals kicked the bucket without getting a decent social insurance benefit since they were

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

In 2010, the National Health Interview survey revealed that 16% of the American population were uninsured. Furthermore, in the year prior to the implementation of the ACA, census surveys affirmed that forty-seven (47.3) million Americans under the age of 65 were uninsured; this constituted 18% of the under 65 demographic. Moreover, of the individuals who had

In 2010, the United States took the first tangible step toward universal health care coverage, with the legalization of the Patient Protection and Affordable Care Act of 2010. According to the U.S. Census Bureau’s most recent report the total population of the United States is nearly 309 million people (U.S. Census Bureau, 2010). In 2009, it was estimated 49 % of the population was covered under an employer sponsored insurance plan (Kaiser Family Foundation, 2009). The same 2009 data reported an additional 29 % of the population was covered under some form of government or public program (Kaiser Family Foundation, 2009). Leaving 17 % of the U.S. population vulnerable without any form of health insurance coverage

The Patient Protection and Affordable Care Act of 2010 implemented to help Americans without healthcare. The realism is that there are still many Americans without any healthcare insurance. The census Bureau’s official estimated that 33 million Americans lack health insurance in 2014. The Affordable Care Act did not solve the major problems of healthcare in America. Everyday people come into the emergency room because they do not have health insurance. Woolhandler, S., & Himmelstein state, “ Access to care has improved, but remains abysmal, in part because many who gained coverage cannot afford to use it”.The hospital will not turn them away. People come in with coughs and other non life threatening illnesses because they have no other option.

The ACA has helped millions of Americans gain access to healthcare by providing affordable health insurance plans through new subsidies and by creating federal and state exchanges. Before the ACA was enacted in 2010, an estimated 49 million Americans did not have health insurance (1). As of Q1 in 2015, 16.4 million uninsured individuals obtained coverage through the exchanges, Medicaid expansion, and by extending parent’s insurance plans, bringing the total percent of uninsured adults from 18% to 11.4% (2). Across all insurance plan levels, 87% of individuals received cost assistance, and had an average monthly payment of less than $100 (2). Although individuals receiving financial assistance pay 76% less on

In 1915, reformers issued the first major proposal for national health insurance in the United States. In 1929, the first current group health insurance plan was formed. Since that time, Americans have relied on private insurance to help protect their families. Across the nation health insurance has provided a level of comfort when a medical situation arises. Policyholders know that there will be reliable services as well as assistance with the costs. Since the passing of The Affordable Care Act (ACA) in 2010, there has been agitation in Washington, and it continues to be a topic for arguments among Americans. Even though healthcare has always been a priority, an important part of our lives, the ACA, and its provisions are detrimental. The

Leading up to the enactment of the Affordable Care Act the United States of America had been in a major recession with consistent increases in medical costs in conjunction with increased rates of uninsured populations. Pre-existing conditions were a major concern for people wanting to move around in the job market or shop

The Affordable Care Act set forth millions of dollars to address the problems and concerns that are associated with existing physicians shortages. The Affordable Care Act also has provisions that are aimed to improve the education, ongoing training as well as to help with the recruitment of nursing, physicians, doctors as well as other health care personnel. In addition, there are provisions in place that help to increase workforces’ cultural competency, enhance faculty training of healthcare professionals, and diversity. The provisions also play a vital role because of the fact they are put into place to examine innovative reimbursement and care delivery models that highlight primary care services value and offer in improvement in the patient care coordination.

Five major operating components of the health care system are workforce, facilities, suppliers of therapeutics, training and research, and financing (Goldsteen, R. & Goldsteen K., 2012, pp.11). American health care system needs a health reform to influence the health care workforce. From the previous film, “The Waiting Room,” we saw so many uninsured

Throughout the 20th century and into the 21st century the United States has always had a realization that there was a problem with obtaining affordable health insurance. The Patient Protection and Affordable Care Act (ACA) also known as Obamacare, was signed into law in March 2010. This law enables people who were unable to afford healthcare the ability to obtain a healthcare plan at an affordable rate. In 2009 a survey was taken as to the amount of people in the United States that carried health insurance. In table one below you can see over 50 million people in the United States did not have any type of insurance, which is close to 17 percent of the population (see table 1 below). “According to the Kaiser Family Foundation, “32%

In 2013, health care coverage as we know it took on a new look. The new Affordable Healthcare Act like a new shiny penny had taken on a life of its own. The purpose of this act was to provide affordable health insurance coverage to those with little or no coverage at all. The Affordable Care Act increasingly focused on market approaches, and the ACA followed this trend by relying on private insurance companies to expand coverage (Field, 2013). Unfortunately this new act did not come without its flaws. The Affordable Healthcare Act had a multitude of pros and cons that ranged from no pre-existing clauses to taxing individuals who refused to purchase health insurance coverage. It was