Prescription Drug Coverage: A Case Study

“The Patient Protection and Affordable Care Act: Implications for Public Health Policy and Practice.” Public Health Reports. Association of Schools of Public Health. n.d. Web. 14 July 2015. This paper claims that the PPACA will cut the number of uninsured Americans in half. The act attempts to provide nearly universal coverage and improve the quality and equity of said coverage through reforms to insurance standards and the marketplace. It also attempts to improve the quality of healthcare and the efficiency of its delivery by allowing consumers to edge the system into a more integrated state and measuring performance. It attempts to encourage preventive medicine by targeting chronic illnesses and funding community-based medicine. These changes will bring huge opportunities for improvement in the system, many of which are subtle and nuanced and will only be seen as the plan rolls into act over the next few

Imagine this: you are tragically diagnosed with a chronic life-threatening illness. Your only hope to survive is through medication to treat your disorder. The medicine is pricy but you can work out the costs each month. One day, you go to fill your prescriptions and realize the cost of a $13 pill has jumped to an astounding $750. You need this patented medication to survive and to afford it you end up losing your home, filing for bankruptcy, and sleeping in your car. This story sounds fictional but it is the reality for many Americans who can no longer afford their grossly overpriced medications.

The Patient Protection and Affordable Care Act of 2010 (PPACA) was designed to decrease health care costs and require health care access to all U.S. citizens. The Act has the potential for reducing the cost of health care in the United States; however, with many risks which could possibly strain the health care system, increase debt, and decrease the quality of care many are concerned.

The rapidly rising cost of health care in the United States has made access to medical care difficult for many citizens. Additionally, the number of uninsured is increasing because of job loss and reduction of employee benefits. This trend is projected to continue. The negative effect of reduced access to health care may have alarming effects on the economic well-being of the nation. The passage of the Patient Protection and Affordable Care Act (PPACA) marks the beginning of significant transformation in the United States’ health care systems. After multiple attempts to reform health care over the years, the nation’s leaders have succeeded in pushing through this landmark legislation that will ensure most Americans will have access to

The website Obamacarefacts.com states that due to Obamacare, pharmaceutical companies will pay extra $84.8 billion in fees over the next ten years to pay for closing the donut hole in Medicare. The donut hole in Medicare is a coverage gap. It’s a temporary limit on what the drug plan will cover for medicine. This is a huge loss for senior citizens. Meir Rinde from njspotlight.com says “for years, senior citizens have lamented the “donut hole” in prescription drug coverage under Medicare, the federal health insurance program for people who are at least 65 years old”. Now that that the Affordable Health Care Act is closing the gap, Rinde also states that “it will still result in hundreds or thousands of dollars in annual out-of-pocket costs for seniors with expensive daily drug

The United States (US) is distinguished for its medical advances, leading technology and astonishing discoveries in various science fields. These advancements in the health care ground have impacted and improved the health care delivery of several in the nation. The US is found among the wealthiest, most developed countries around the world; however, it is the only developed country that fails to provide universal health care to its people. Health care in the US is described as fragmented, inaccessible, and expensive. Diebel (2015) compared the health system in the US to other nations and supported that it is extremely overpriced, yet the end result does not always support its cost. Lack of coverage, high copayments plus deductibles force Americans to postpone seeking medical attention resulting in undiagnosed health conditions and complications of current diseases. In 2010, under President Obama’s mandate, Americans witnessed the birth of a controversial legislation, The Patient Protection and Affordable Care Act (PPACA). The goal of the PPACA is to improve just about every aspect of the system such the health of Americans, health care access and quality, while reversing the health care expenditure (Hahn and Sheingold, 2014). The aim of this paper is to discuss the PPACA and the Medicaid Expansion under the PPACA including its risks and benefits; as well as, the impact of the expansion in the healthcare delivery

The new policy will make the insurance companies pay for 75 percent of the drug expenses and leave the consumer to pay 25 percent. However, when the drug expenses reach the catastrophic threshold of more than $5,100, then the insurance Medicare will pay for 95 percent of the drug costs. The government has already started to try and close this gap by subsidizing those who fall into the donut hole. Each year they will slowly increase the subsidy until the consumer only has to pay 25 percent. By addressing the donut hole that has occurred in the current health coverage Americans will be better off and no longer face drug expenses that they are unable to pay (Goldstein 2010, 113-121).

The Patient Protection and Affordable Care Act (PPACA) signed into law by president Obama on March 23, 2010 is arguably the most extensive reform of health care law ever to be enacted in the U.S. It will impact the way professionals practice health care, the way insurance companies handle health care as a product, and the way consumers purchase and use health care as a service. The Affordable Health Care Act is primarily aimed at reducing the number of uninsured Americans and reducing the overall costs of health care from an administrative and consumer standpoint. The PPACA requires insurance companies to cover all applicants and offer the same rates to all applicants of the same age

The Patient Protection and Affordable Care Act (PPACA) of 2010, also known as the Affordable Care Act (ACA), is a legislation designed to extend coverage to the uninsured, eliminate practices that include rescission and denial of coverage due to pre-existing conditions, and lower health care costs. Moreover, the PPACA provides incentives to businesses to offer health insurance or impose penalties on business that do not provide coverage, and require individuals without health insurance to purchase reasonably priced polices through health insurance exchanges (Martocchio, 2014, p. 143). This health reform legislation was taken into effect in 2010, and is expected to complete implementation over the next few years.

The Patient Protection Affordable Care Act (PPACA) is a federal statute that was signed into law by President Barak Obama on March 23, 2010. The PPACA which is commonly referred to as “Obamacare” was endorsed by lawmakers based on the objective of shifting healthcare cost from the employer to the government. The enactment of the PPACA has been viewed as unprecedented by many based on the constitutionality concerns related to healthcare reform. In order to address some of the concerns related to healthcare reform it is important to go back and view the nation’s history.

The Patient Protection and Affordable Care Act (PPACA) or Affordable Care Act (ACA), is far–reaching enactment that will change how a large number of Americans access health care. The intent of the ACA was to increase the number of insured, increase quality of care and making it affordable for everyone by reducing the costs and expanding coverage. Under the act medical providers such as hospitals and primary care physicians will have to change their practice financially, clinically and technologically in order to have better outcomes, lower costs and have better methods of providing care. The ACA also includes provisions that require all Americas to secure medical coverage or pay fines and it requires insurance companies to accept all applicants.

With the enactment of the Patient Protection and Affordable Care Act (PPACA) in March 2010, health care reform has become the law. The legislation will extend health care coverage to more citizens, stabilize health insurance markets, enhance regulation and consumer protection, and improve the affordability and quality of health care in the United States. Changes in payment system of health care proposed by PPACA have led to the development of Accountable Care

The Patient Protection and Affordable Care Act (PPACA) also known as Affordable Care Act has passed to ensure that all Americans have access to quality affordable health care, with PPACA millions of uninsured Americans will have access to coverage, it include measure that will lower health care cost and improve system efficiency and to eliminate the common practice of patients getting deny coverage due to preexisting conditions. With the state the US Health Care System is in now, the Patient Protection and Affordable Care Act Is long overdue, Cost-Sharing subsidies of $350 Billion over a 10 year period is a great investment to help bring the many necessary changes and improvement that are needed in the current healthcare system. Cost Sharing

Good post Paul. The Centers for Medicare & Medicaid Services (CMS) includes the Medicare, Medicaid, and the Children’s Health Insurance Programs and together provide more coverage, better care, and improved health care for all Americans (CMS.gov, 2015). As you stated, many health care facilities and organizations depend on the funding from reimbursements from CMS and in return, these facilities need to meet certain incentive programs and quality measures created by the CMS. Meaningful Use is one such program that required health facilities show that they are committed to integrating electronic health record technology to improve the safety, quality, and efficiency of care while reducing health disparities (HRSA.gov, 2015). The programs

Imagine yourself walking down the aisle of your pharmacy like Rite Aid, CVS, or Walmart. You have been suffering from some headaches and you want to get some pain killers. As you reach for you a box of Extra Strength Tylenol (also known as Acetaminophen) that costs $8.95 , you spot a bottle of Equate Extra Strength Acetaminophen for only $41. Not only is this generic store brand less than half the price of Tylenol, it also had double the product! You mind wavers on which capsules to buy. Does the lower cost of generic indicate a lack of effectiveness compared to Tylenol? Or are generics created equally to brand name medications, but the cost of brands is driven up due to their marketing? Should doctors prescribe generics as an option for patients that are covered little or not covered at all by insurance? In the essay, we are going to put an end to the Generic vs Brand war.