The Affordable Care Act ( Aca )

The Affordable Care Act (ACA) is a health reform law that was signed by President Barrack Obama on March 23, 2010. The full name of the law is the Patient Protection and Affordable Care Act (PPACA). One week later the President also signed a law called the Health Care Education and Reconciliation Act (HCERA), which was a supplement that made several changes the PPACA. What the country currently refers to as the ACA or "Obamacare" is both of these laws combined. (McDonough, 2012)

In the last four years, the United States has implemented a new reform in our medical system called the Affordable Care Act (ACA). Its goal is to reform the health care system, by providing Americans with a more affordable health insurance policy. It also tries to compress the growth of healthcare spending in the United States. The ACA offers Americans better health coverage because of the widespread reforms that are included. These reforms will expand our healthcare coverage, hold insurance companies liable, lower health care costs, guarantee more choice for patients, and improve the quality of healthcare for all Americans (Markette, 2011, p. 12). As the law has passed, there have been many people affected. For example, the craft supply

The Affordable Care Act (ACA) added to the Social Security Act has increased the financial accountability of healthcare organizations for preventable readmissions. Hospitals have increased their awareness and are looking for system ways to assist in the reduction. The Centers for Medicare and Medicaid Services (CMS) have initiated a process for decreasing the reimbursement for readmitted patients within a 30-day period. CMS identified readmission measures for applicable conditions of acute myocardial infarction (AMI), heart failure (HF), pneumonia and in 2015 chronic obstructive pulmonary disease (COPD) and hip and knee replacement which are included within the measurement to calculate the readmission payment adjustment for

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 cost and quality of health care and access to it is one of the foremost aspirations in national health care. And the overall main aims of reforming the American health care system is to reduce costs, enhance the quality of and access to health care [1].

The Affordable Care Act, also called Healthcare Reform, or Obamacare, is a decision that Obama administration was planning for long time to fix some problems. Many people live in this country without health insurance, and they can’t go to hospital when they become sick. Book (n page) wrote that 40 million of Americans were either permanently or occasionally without health insurance. The ACA was signed by President Obama on March 23, 2010 and became law. The idea of the President Obama is to make more people have insurance, control healthcare costs, and to make the healthcare delivery system better. Six years after Americans start ACA, many people like it, and some people don’t like it. However, the effects of this reform on the healthcare workforce are not always positive, because people who work in the medical field will now have more people to take care of. People say for long time ago that they need more staff in the hospital. Now, it is more because more people who don’t have insurance before, have it now and they go to the clinics or hospitals. The shortage of healthcare professionals, their maldistribution in the country, stress from the more new patient, the more paperwork, the penalty to reduce reimbursement, a change of reward, and the staff anger, are some problems created by the ACA on healthcare workers.

The Affordable Care Act (ACA) has been a primary debate topic since it was enacted in 2010. The conservatives completely disagree with the Affordable Care Act and believe that “Democrats used it as an assertion of power than they used it to improve health care conditions” (“Republican Views on Health Care”, 2014). They believe that the act was a waste of taxpayer’s dollars and would inevitably ruin our health care system. In contrast, the liberals supported the ACA and “pride themselves on the fact that health care costs are growing at the slowest rate since 1960” (“Democratic View on Health Care”, 2014). The liberals believe that every American should have access to health care by making premiums affordable. However, in order to do so

The Affordable care act (ACA), all so known as Obamacare, was signed into law on March 23, 2010. The ACA said that every taxpayer must have health insurance, if they have not enrolled by the deadline they will face a penalty of having to pay for not having health insurance. People were told that with the ACA that health insurance would be more affordable and for some it did but for others it changed what they already had and they can no longer afford to have insurance. Ilyma Somin wrote that because of the Commerce, Tax and the Necessary and Proper Clause because basically they say that ACA offers economic effects in some way or another (Somin, 2012).

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 (ACA) was passed in 2010 under the Obama Administration to make health coverage available to more Americans. According to Thomas Berg, a social researcher and law professor at St. Thomas University, It would have brought greater demand for health services. The increased number of health professions needed to provide those services would have motivated a younger generation to pursue a career in the medical field. The act would have raised the standard of living in America. Unfortunately a clause was added to the ACA in August of 2011 that would mandate the coverage of “Food and Drug Administration (FDA) approved contraceptive methods, sterilization procedures, and patient education and counseling for all women with reproductive capacity” be included all insurance policies (Berg). The mandate would not have been enacted until August of 2012, but religious groups came out in opposition immediately when news of the clause was released. The Catholic Church was one of the prominent advocates against the enactment of the mandate as contraceptive and sterilization methods are against their moral teachings. The government was forcing the coverage despite the objections of those wishing to practice their conservative faiths freely. The mandate stands as an intrusion of religious liberties and an attack on personal values.

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.

I agree with you, Medicaid has provided coverage to individuals and families with low incomes and few resources. In fact, Medicaid coverage includes various other programs for the betterment of the people such as the Children’s Health Insurance Program (CHIP), Early and Periodic Screening, Diagnosis and Treatment (ESPDT), The Ticket to Work and Work Incentives Improvement Act (TWWIIA) of 1999 and The New Freedom Initiative. For instance, CHIP offers health insurance coverage for uninsured children. EPSDT offers healthcare benefits like prevention, early detection, and treatment to children under age twenty-one. TWWIIA provides healthcare services to workers with disabilities. The New Freedom Initiative reduces barriers to full community integration

Another consequence of this program is the health care gap that has been created through it and the affordable care act. Several states have expanded medicaid in order to be able to cover many people. Although, some states decided not the expand their medicaid programs. Medicaid only serves and insures people of specific groups. Like stated before, some of these groups are pregnant woman, the elderly, the disabled, and most commonly, children. The affordable care act is similar to medicaid but most of the time the insurer is required to still pay, but at a lower cost. The gap is the poor adults that do not qualify for medicaid, and they do not make enough money to pay for a plan through market side subsidies (Garfield, Damico 2016 ). Although this gap is not created by medicaid itself, but it is more created by not expanding medicaid in certain states and by the affordable

Title XIX of the Social Security Act Provides for a program of medical assistance for certain low income individuals and families. The program is known as Medicaid in 49 states and Medi-Cal in California. Medicaid was established to assist individuals in certain categories such as low income, disabled, pregnant, and the blind whose income levels are 200% below the federal poverty level or those families with income 50% higher than the state’s Medicaid eligibility threshold. The Medicaid programs are funded by federal and state contributions. The state has 3 options in the design of their programs. (1) Use the State Children’s Health Insurance