The Healthcare Reimbursements Should Be Linked At The Quality Outcomes And Performance Measures

The PPACA involves many legislative changes that will affect hospital reimbursement. The PPACA requires every citizen in the United States to get health insurance and those that are noncompliant will face tax penalties. The PPACA requires all states to establish an American Health Benefit Exchange by 2014 to assure that health insurance is affordable to individuals and companies with 100 or less employees. The PPACA establishes a pay for performance program, which is a value-based purchasing (VBP) program in which Medicare pays hospitals based on their performance as compared to how they meet quality measures. Beginning in 2013 using the VBP program, hospitals will be paid based on their performance on many quality measures for acute myocardial infarction, pneumonia, heart failure, surgeries and hospital associated infections.

Over the course of our countries history, the delivery of our health care system has tried to meet the needs of our growing and changing population. However, we somehow seem to fall short in delivering our goals of providing quality, affordable and accessible healthcare to our citizens. The history of our delivery system will show we continuously changed the delivery of our system however never mange to control cost. If we can come up with efficient ways to cut cost, the delivery of quality care will follow.

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 Affordable Care Act was signed into law by President Barack Obama on March 23, 2010. The Affordable Care Act also nicknamed as “ObamaCare” faced huge amounts of adversity and challenges on its way to being ratified and upheld by the Supreme Court. Some of these arguments highlight the disadvantages of free social services, the escalating federal deficit, and the altering the healthcare industry’s landscape completely. Healthcare is generally defined as providing for the wellbeing of a personal through medical services. In America, all services come with a price, and healthcare has become an industry that is nearly only about the money and less about the patient. Needless to say, the quality of care that a patient receives is almost

The Obamacare/ACA, might have helped numerous of individuals in acquiring health care, but the health professionals are facing a shortage of reimbursement difference for their services. As a result, Hospitals and healthcare providers were force to layoff personal and come up with innovative solutions. This point is proven by the renowned author, Amy Anderson by stating as follows: “The American health care framework has had shortages of personnel for quite some time and would not be prepared to give the adequate service to this amount of patients in need of medical attention. Training new professional health services personnel could take years. There is a shortage of graduates from medical and nursing schools. Doctors, nurses and health professional are sharing responsibilities prospective patients will face a longer wait time”. (Anderson, 2014)

However, prior to the existence of the ACA, the American healthcare system left a lot to be desired and still today leaves room for improvement. The basic issues underlying efforts to improve the United States (US) health care system remain, as they have for decades, concerns for costs, access, and quality (Sultz, 2006). Even though knowledge, technology, and

In 2010, following much controversy, the Affordable Care Act (ACA) was deemed constitutional by the Supreme Court and signed into law. (Aoughsten, Johnson, Kuruvilla, & Bionat, 2015). Though this law is still relatively new, the public is reeling for a report on its effects on healthcare so far. The ACA is projected to reduce the uninsured rate by approximately 26 million by the year 2017, but people hunger for the effects on costs, the quality of their care, and any implications on their current healthcare situation (Blumenthal & Collins, 2014). The ACA strives to improve the overall healthcare system and create a patient-centered structure (Yuh, Dall’Era, Penson, & Evans, 2015). These goals have shifted the idea of healthcare we have always had in the United States and allowed healthcare to be focused on the patient as a whole and not just the disease they have. The Affordable Care Act should be continued as the United States healthcare

While there has been large media coverage about the insurance impacts of the Affordable Care Act (ACA), there has been a smaller amount discussed of the law’s changes to provider reimbursement policy, reforms to the delivery system, and investments in programs to improve the quality of care and constrain long-run growth in health care costs. And yet, the elements included in the ACA directed at cost and quality is possible to affect the practice of care for nearly every provider across the country. Although cost containment policies and initiatives are largely applied through federal health programs which including Medicare and Medicaid; cost containment in these programs has important cost-saving spillover effects to private health care markets through changes in health care practices and pricing across sectors of care.

A major change is occurring in the healthcare system as the United States continues to move toward enhancing patient care quality and access while also decreasing cost. This significant transformation is driven by a variety of forces, including changes in managed care, a shift from pay for service to pay for quality, and ever-evolving client characteristics. This paper aims to discuss each of these factors and the ways in which they make this major transformation a difficult one for the nation to undergo.

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 purpose of this paper is to present a brief overview and timeline of the Patient Protection and Affordable Care Act (PPACA) that was signed into law by President Barack Obama on March 23, 2010 and to discuss its potential impact on healthcare access, costs and quality, and insurance companies. .

Quality of care is a primary article of the ACA and a major goal is to insure every American has exactly that. Even though the “care” pillar is the strongest of the three pillars it still faces many challenges. One major component defining quality of care is technology. The medical community currently suffers from outdated technology, which leads to lapses in care and lack of communication between medical facilities and companies causing overlap and delay. Better technology is required to expedite file distribution between medical facilities and help share patient information between pharmacists and physicians. This, of course, is expensive and like other aspects of this bill is falling short in funding and again driving another nail into the potential Obama care coffin. More troubling, perhaps, is the massive costs of maintaining and operating the countries medical infrastructure. Its figured that the combination of hospitals, physicians, insurance companies, and the federal Centers for Medicare & Medicaid Services are projected to total almost $2.7 trillion between 2014 and 2022. If Americans are to receive actual quality care, then financial burdens must be solved before any real progress can be

The enactment of the Patient Protection Affordable Act has radically changed healthcare policy since Medicare and Medicaid. The Patient Protection Affordable Act (PPACA) aims to address several challenges within the Healthcare system including rising cost of care, poor access to health insurance and health services for many Americans (Shaw, Asomugha, Conway & Rein, 2014). The law promotes facilitation in the collaboration between US healthcare and public system, thus improving population and community

Today with the advanced progress of medical science and the health system capacity, the population‘s health care seeking behavior is much more improved. According to Commonwealth Fund analysis, the U.S. ranks last on every cost-related measure of access in healthcare. Therefore, healthcare becomes the top social and economic problem that American is dealing with. On March 23, 2010, the President Obama signed the Patient Protection and Affordable Care Act (PPACA) which represents the most significant regulatory overhaul of the U.S. healthcare systems after Medicare and Medicaid. PPACA is expected the coverage and expands access to health care for 32 million Americans. With the healthcare reform, it will implement many significant changes affecting hospital providers and employees. Healthcare profession shortage, heavier workloads on workers, and employer mandate will be the biggest problems that most healthcare organizations have to face with the PPACA regulation.

When the Affordable Care Act (ACA) was implemented in 2010, one of its goals was to improve the quality of medical care in the United States. Since then, many provisions have come into effect trying to reach this goal. Three of these provisions are the establishment of Medicare value-based purchasing which focuses on paying hospitals based on performance rather than quantity of services, the reduction of Medicare payments to hospitals if preventable readmissions occur which aims to lower readmission rates through better initial care, and enhanced data collection on race, sex, language, disability status and underserved populations to understand how best to reach different populations and improve their quality of care (Health Reform Implementation