The Affordable Care Act was implemented in March 2010 states several new requirements that not for profit hospitals organizations must meet to be compliant for tax exemption. The Internal Revenue Service developed new forms and guides to help implement the new section of Affordable Care Act. The requirements are listed under the Internal Revenue Code (IRC) Section 501(C)(3). This section affects not for profit organizations that operate one or more hospital organization and states four requirements that the organizations must meet at each facility they operate. The four requirements stated by the Internal Revenue Services (IRS) under the ACA are the following;
“Establishing a written financial assistance and emergency medical care policies; limiting the amounts charged for emergency or other medically necessary care to individuals eligible for assistance under the hospital’s financial assistance policy; to make reasonable efforts to determine whether an individual is eligible for assistance under the hospital’s financial assistance policy before engage in extraordinary collection actions against the individual; and conduct a community health needs assessment (CHNA) and adopt an implementation strategy at least once every three years, which are effective for tax years beginning after March 23, 2012” (New Requirements for 501(c)(3) Hospitals Under the Affordable Care Act, 2010).
The National Association of County and City Health Officials analyst Julia Joh Elligers defines a
The Patient Protection and Affordable Care Act (ACA) has created new forms of care organizations in order to provide better healthcare to Medicare and Medicaid patients at a greater value. The two types of organizations that this paper will focus on are Accountable Care Organizations (ACO’s) and Coordinated Care Organizations (CCO’s). There has been much information gathered regarding the similarities and differences between these organizations. This research has been conducted to better understand the way that ACO’s and CCO’s effect the hospitals, physicians, insurance providers, and patients involved in their implementation.
The Internal Revenue Service (IRS) recently released its report to Congress on government-owned and private tax-exempt and taxable hospitals as mandated by Section 9007(e)(1) of the Affordable Care Act (ACA). The ACA requires the IRS to annually submit to Congress a report providing data with respect to private tax-exempt, taxable, and government-owned hospitals regarding (1) the levels of charity care provided; (2) bad debt expenses; (3) unreimbursed costs for services provided with respect to means-tested government programs; and (4) unreimbursed costs for services provided with respect to non-means-tested government programs. The ACA also requires the report to include information with respect to private tax-exempt hospitals regarding costs incurred for community benefit activities.
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.
Hispanics are one of the largest groups in the United States that are uninsured. Additionally, the Hispanic population is one of the fastest growing ethnic groups in the U.S. The Hispanic population is estimated to increase over the next 25 years to 32 million out of a total of 72 million of the US population (Brice, 2000). The U.S. health care system is facing one of its most notable societal issues in years in reference to its ability to provide access to medical care for the millions of Americans who do not have health care, for whatever cause. The Affordable Care Act was signed into law on March 23, 2010, for the purpose of reducing inequalities in insurance coverage and to provide access to health care for all. A vital goal of the
During the botched 2010 roll out of the affordable care act, multiple veteran’s agencies marched on Washington with fears of how the Tax/Mandate would affect indigent veterans who could not afford the penalty and could not afford secondary insurance. In their hubris, these agents pushed an agenda that has greatly hurt the veteran population.
The Affordable Care Act has brought many changes to healthcare in the United States. Some of the changes brought on by the Affordable Care Act have had a positive impact on society and some have had a negative impact. Some of the positive effects of the Affordable Care Act include better consumer protection and equality, and healthcare coverage for more Americans. Some of the negative effects include rising insurance premiums and a shortage of doctors. There is also a new set of rules under the Affordable Care Act regarding the billing of medical claims.
Universal Healthcare in the United States has been a long time journey that dates back decades and we, as a country, are far behind other developed countries who have had universal healthcare for a long time. Today, Healthcare is obtained through employers or by people paying for it by themselves, which is incredibly expensive due to high premiums. Five years have passed since the controversial Obama care, or Affordable Care Act, was signed into law on March 23, 2010. The Affordable Care Act aimed at fixing the many problems that the United States has with healthcare by making it available to everyone, but also more efficient and this required drastic changes that made some people happy while others unhappy since some are benefiting while others are not. These people include politicians, but foremost presidential candidates. Candidate’s stance on the issue of healthcare is truly important due to the fact that if they’re the next president of the United States, it could hurt or improve the health care reform. Noteworthy candidates are: Jeb Bush, Hillary Clinton, Marco Rubio, and Bernie Sanders. Republicans and Democrats have long debated whether or not the Affordable Care Act should be repealed or replaced. Republicans believe that it is a problem while Democrats support it. The Affordable Care Act should not be replaced but instead improved because it provides quality and affordable health care to Americans. Everyone gets sick and people shouldn’t be afraid of receiving help
Modification of the requirements for electronic health care helps to improve the effectiveness and efficiency. Health Insurance Portability and Accountability Act of 1996 (HIPAA), requires any provider who accepts payment from health plans to have written agreements to make sure the medical facility complies with their rules (Kongstvedt, 2013). In other words, it helps protect the patients by making coverage available to anyone who wants to be covered as long as the eligibility requirements are met. The ACA extended these guarantee availability requirements back in 2014.
According to Jayne O’Donnell, since January 2010, more than 40 rural community hospitals have closed their doors. In addition, O’Donnell points out that,
Primary care in the United States has been in a state of neglect or of being underfunded for a long time. This dysfunctional state has been allowed to occur despite evidence, which shows the importance of primary care in creating healthy outcomes and controlling costs. The Affordable Care Act (ACA) tries to address some of these issues by:
Patients Rights can sometimes be about making choices. you would probably want your parents to go with you to make your choices of what to do when you're in the hospital and your sick because your parents would probably know more that you would know about it and you could make the wrong choice if you're not thinking correctly. If you were in an a comma and you already made choices about what you want to do before you were in an a comma,your parents should have the right to decide something else for you because your choice of what you want to do may not be the right choice as you think it would might be.
Although the Affordable Care Act (ACA) became law nearly five years ago, the rhetoric overt the law and its provisions continue in Congress and around every kitchen table in America. While no one disagrees the healthcare system prior to the passage of the ACA was flawed, healthcare reform under the ACA continues to evolve and is likely to continue evolving in the future. Despite this, it is the law, and the healthcare industry is doing its best to keep up with the law’s mandates. For the hospital healthcare administrator, there are numerous changes affecting how hospitals do business, not only with the insurance industry, but with patients as well. The following overview discusses the basics of the ACA, the positive and negative ramifications for hospitals, and the impact the law will have for years to come. Although the final incarnation of the Affordable Care Act will develop over time, its premise of ending healthcare disparities and quality care for all citizens is long overdue.
The Affordable Care Act has changed the way hospitals are reimbursed. Although hospital charges are federally regulated all payments do not correspond, and payments may vary greatly depending on the patient’s insurance.
In 1969, the IRS established broader standards for nonprofit hospital tax-exemption status based on the extent to which these hospitals provide community benefit to the communities they serve. (Somerville, 2012) From 1969 to the implementation of the Patient Protection and Affordable Care Act (ACA) in 2010, there were some attempts to change this policy, however these attempts largely failed. Prior to the implementation of the ACA, community benefit activities included providing free and discounted care to uninsured and low-income patients, reimbursement shortfalls associated with participation in Medicaid programs, activities to promote population health improvement, programs to increase access to care, medical research, training for health professionals, and other contributions that benefit the hospital’s community. Under the ACA, additional requirements were established for hospitals to be qualified as tax-exempt including conducting a community health needs assessment at least every 3 years and develop an implementation strategy to address the needs identified by the assessment, adopting and publicizing a written financial assistance policy, and limiting charges, billing, and debt collection practices directed to individuals who qualify for financial assistance. (The Hilltop Institute, 2013b) While the IRS
The Affordable Care Act puts consumers back in charge of their health care. Under the law, a new “Patient’s Bill of Rights” gives the American people the stability and flexibility they need to make informed choices about their health. The Patient Protection and Affordable Care Act (PPACA) is a multi-faceted reform of the nation 's health care system. The Wow Hospital Association is working with members, stakeholders and lawmakers to facilitate implementation of the law. Wow Hospitals will experience as a result of the ACA. Common themes in all of these reforms are accountability, efficiency, and quality. Furthermore, these plans provide new opportunities for WH to invest in upstream interventions– working to make policy, systems and environment improvements that will impact the communities in which we serve.