INTRODUCTION The United States spends a lot of money on health care and people are starting to notice. The passage of the Affordable Care Act (ACA) was not only supposed to make health care more accessible, but also more affordable. Despite that health care spending has continued to increase and people across the country are voicing a growing concern about what it costs to keep themselves and their families healthy. Politicians on both sides of the party lines speak often and with passion about this health care crisis in America. Everyone agrees that health care takes up too much of the economic pie, but despite the enormity of this problem no one can agree on just why that is and how exactly go about fixing this crisis. The fact is that the U.S. spends more money on health care than any other country in the world, even when adjusting for relative wealth, according to a 2008 study by Mkcinsey Global Institute (MGI). In 2012 that number was about 2.6 trillion dollars or 18.6% of their gross domestic product (GDP) (13), in other words the U.S. spent about 8,915 dollars per person on health care, or more than twice what they spent on food and more than China spent on all goods and services combined (See Figure 1, MG1 2008). The amount spent on health care is expected to continue to rise , though that rise has slowed in the last three years, estimates suggest it could reach nearly 4.8 trillion dollars by 2021; which would be roughly one fifth of the U.S. GDP (15)
Understanding the Affordable Care Act (ACA) can be problematic, the goal of the ACA is to address the fact that millions of Americans do not have health insurance, yet they are contributors to the health care market, consuming health care services for which they do not pay. While this may seem to be a great idea, many Americans are not really sure how they are affected by this Health Care Reform. The goal is to make health insurance affordable, secure, and reliable for all. The ACA is a minimum coverage provision, individuals are given health insurance by amending the tax code. There is an individual mandate which stipulates all non-exempt individuals must maintain a minimum level of insurance or pay a tax penalty. ACA extends Medicaid, states have to accept or they will not receive Federal funding. The act also includes an employer mandate to obtain health coverage for employees. The Affordable Care Act has changed the way health care is provided and the way individuals will participate (The Affordable Care Act Cases. (n.d.). Retrieved September 3, 2015)
The Affordable Care Act (ACA) was created by President Obama back in March 2010 to help reduce healthcare costs and improve healthcare quality for uninsured Americans. The ACA was implemented to reduce the cost that was growing with Medicare and Medicaid because they have increased over the years threatening the entire federal budget (Amadeo, 2017). People who are not working and are unable to cover their healthcare expenses usually end up on Medicaid which is paid for by the government. The others who are over the age of 65 are on Medicare and have their premiums supported by the federal government. However, people who make too much money or who are too young to qualify for either
Primary care access is a growing concern for all Americans and the reason behind this concern is an imbalance between demand for care and capacity to provide care. Demand is growing as the population expands, ages, and faces chronic illnesses and the capacity is shrinking as the ration of primary care clinicians to population drops (Ghorob & Bodenheimer, 2012). A primary goal of the Affordable Care Act (ACA) was to improve access to quality health care for uninsured Americans, largely through public and private insurance expansions (Polsky et al, 2015). At the same time, the architects of the law recognized the need to increase the availability of primary care providers to meet the increased demand for health care (Pg. 538, 2015).
The Affordable Care Act (ACA) became law on March 23, 2010. The act has been the most significant change to the U.S. health care system since the creation of Medicare and Medicaid in 1965 (French et al., 2016). ACA created new requirements for individuals, employers, healthcare providers, and insurance organizations to follow in hopes to better serve individuals in America with access to health insurance, health care cost, and the delivery of care (French et al., 2016). Since the launch of the ACA, there has been an effect Medicare spending.
Christmas Eve 2009 marked an important date for the beginning of the Affordable Care Act Bill (ACA). It was on this day that the bill was passed through the Senate where the majority democratic party voted yes on this historically altering bill. While the main provision of the bill is to provide health care benefits for all American citizens the bill is a lot more than just that. With provisions that have nothing to do with health care reform, new taxes that will affect the businesses that have to follow the new regulations, and the questions raising the constitutionality of the bill the ACA is a very intriguing topic. Small businesses account for a large portion of job growth in America and there are fears that the ACA will squander this
The highest court in all of America is the Supreme Court. They decide and uphold
The Affordable Care Act is one of the new policy that provides Americans with better health security by putting in place comprehensive health insurance reforms. It allows people to have expand coverage. Now a child can stay under his parents insurance until age 26. The ACA holds insurance responsible by dropping health care while guarantees more choices and enhance the quality of care. The ACA facilitates long-term care services to help people whom such care need receive it and to find ways to help make such care available not only in organizations but also in the public. They try to eliminate non-discrimination language that will restrict health insurance companies from discriminating against any health care provider. The ACA includes policies
One of the primary goals of the Affordable Care Act (ACA) was to provide affordable health care coverage and increase access to affordable health care to the community. Unfortunately, since the passage of the ACA, while there has been an increase in the number of people with health care coverage, those same people do not necessarily have access to affordable health care. Currently, the public views the Emergency Department (ED) as a safety net by the community it serves; as demonstrated by the increasing number of people who continue to seek treatment in the ED for non-urgent problems. Utilization of the ED for non-urgent care contributes to the rising costs of healthcare as treatment in this setting can be upwards of three times the cost
Since the passage of the Affordable Care Act (ACA), consumers are utilizing different resources to gain more knowledge about healthcare choices. While many consumers survey websites from healthcare organizations, they also viewed websites from quality agencies and medical information sites generated by their favorite search engine. These websites provide information on medical concerns that influence the choices that consumers make regarding healthcare. By using quality agency websites, consumers can acquire essential information on healthcare organizations and providers in order to make educated decisions about the quality care they receive.
Like many, my previous opinion regarding the Affordable Care Act (ACA) was primarily based on political and philosophical differences with the legislation and its supporters/opponents. While I continue to have an ideological difference to many of the principles in the ACA, I do now realize that this legislation does have some theoretical positive aspects regarding a shift towards more managed care and the increasing encouragement of Accountable Care Organizations (ACOs). This shift has the potential to be helpful in terms of cost controls as it makes a substantial shift towards outcomes and away from fee per service care. ACOs also have great potential for helping to reduce overall costs in high risk, high cost patients (Powers & Chaguturu, 2016). This can be extremely beneficial as this high cost group is only a small percentage of our population but makes up the majority of our healthcare spending. It appears that the legislation at a minimum also helped to increased public awareness that we have a cost and quality problem, and I believe this recognition is helpful long term. However, I am still under the belief that the content of the legislation was built primarily for the benefit of the powerful lobbyists throughout the healthcare industry (i.e. insurance companies, AMA, etc.) and very little was included that would encourage the type of long term changes in the way we view healthcare and personal responsibility to be truly effective.
Today in United States all 50 states have uniform existing health policy Affordable Care Act (ACA). In 2007, San Francisco began its Healthy San Francisco (HSF) plan similar to ACA, which was designed to provide health care for all San Francisco citizens. It is a system that provides healthcare to individual’s in San Francisco utilizing its infrastructure which includes neighborhood clinics, community hospitals, and public health centers however it does not replace existing government programs such as Medicare. This paper discusses health care access in San Francisco and the disadvantages of HSF. It also discusses the role of the government towards healthy and unhealthy behavior as well as balance between personal freedom and government accountability towards providing health and welfare.
In spite of Affordable Care Act (ACA) being signed into existence in the United States, it is common knowledge that health care and its associated costs have continued to spiral out of control. The ACA is not considered a single payer health care plan. The average insurance amount paid by a business even while the ACA is in place, still spend per capita has exceeded food and housing. The premiums for health insurance have been increasing for years at a faster rate than inflation. The situation has caused a downturn in business and organizational economic growth and leaves businesses less money to spend on their employees in the form of base salary, raises, and bonuses. Rising health care costs in business and industry has affected such
Marketplace Exchange has several names that it’s known, for example; The Obama Care Health Insurance Exchanges, or Obama Care Exchanges, Patient Protection and Affordable Care Act (PPACA), which are to bring a variety of private health care providers together to compete with each other to find clients to subscribe to future clients either by online, or person to person.. Some states have their own form of “Affordable Care Act (ACA)” Insurance on this site as well. The main objective for the Exchanges determine which insurance companies are accountable. After such investigation the Exchange will allow them to participate, they are mediated to make sure, that everyone is able to obtain Health Coverage, no matter what their former health issues or financial status if they live here in the United States of America and are legal residents they are entitled.
Forecasting is an important tool to help healthcare managers prepare for the challenges associated with rising health care costs. As the healthcare landscape continues to change, managers look at the past and present to predict the future. The U.S. government is major provider of health insurance for the elderly and disable persons. The government’s portion for covering healthcare costs has risen steadily, from 43% in 1980 and 38% in 1970 (Miller & Washington, 2006 p. 40). Medicare is the single largest source of payment for beneficiary health care costs; it covers about half of the cost of health care (Healthcare Financing Administration, 2006). The Affordable Care Act (ACA), which also provides medical coverage to low income persons, must also be factored into the cause and effect analysis. As a result of the changing landscape of health insurance, healthcare managers rely of analytical forecasting to predict future healthcare costs, examine cause and effect relationships and prepare their organization to provide quality affordable care to their patients.
“We will be moving further away from humanity-based health care and more towards the patient as a commodity. This was not the way my father practiced—nor will I.” This quote, from a surgeon in Michigan, was only one of many quotes gathered by The Doctors Company, which is the largest insurer of physician and surgeon medical liability in the nation, when they asked over 5,100 doctors about their thoughts on different aspects of Health Care Reform. American health care reform is something that was nearly seventy-five years in the making; since Franklin D. Roosevelt, U.S. presidents have struggled to enact health care reform, and most failed (Health Affairs). In September of 2009, President Barrack Obama addressed Congress with his proposed solution, it was called The Affordable Care Act (ACA). In this Act, Obama attempted to address a need most every American desired: to keep health insurance companies accountable for their customers’ health by preventing the companies from dropping someone from their plan, or denying their policyholders health insurance coverage if they had a pre-existing medical condition. The ACA also implemented an individual mandate which required almost all U.S. citizens and legal residents of America to carry health insurance coverage, or they would be subject to a fine.