The Implementation Of The Affordable Care Act

Most healthcare plans must now cover preventive services, such as depression screenings for adults and behavior assessments for children at no additional cost to patients. Also since 2014, most insurance plans are not able to deny coverage or charge more due to pre-existing health conditions, including mental illness. “The Affordable Care Act has built on the Paul Wellstone and Pete Domenici Mental Health Parity and Addiction Equity Act of 2008, which requires group health plans and insurers that offer mental health and substance use disorder benefits to provide coverage that is comparable to coverage for general medical and surgical

On March 23, 2010, President Obama signed the Affordable Care Act into law. It was intended to provide the American people with better health coverage and care. Unfortunately, many people are still not covered due to a lack of information and because they simply cannot afford insurance even at a discounted price. Many feel that there is still a good deal of confusion regarding the ACA which can prevent people, especially women, from getting the coverage and care that they need. Women who are not used to getting medical care, may not know that programs now exist that make health care services free or very inexpensive. The women who are the least informed are the ones who need it the most as they experience high rates of unplanned births and chronic illnesses. It will be financially beneficial for local and state governments to find ways to get this information to women so as to prevent health problems that will cost the government millions of dollars in the long run.

Mental health coverage has become a particularly notable topic in Indiana, made salient in the wake of the Scott County HIV outbreak related to needle sharing and the underlying issue of the unaddressed opioid crisis. (source, Source) An important response to the outbreak was Medicaid enrollment and treatment for both HIV and addiction (Source). Before the Affordable Care Act (ACA), many low-income adults could not afford health insurance that covered

Jim James, the CEO of _______, when faced with the reality of the Affordable Care Act (ACA) becoming law and taking effect, began to implement new rules and guidelines for his institution. Although improvising a strategic plan the institution is expected to follow as supplies and resources would soon be in critical demand. As CEO, he understood what was expected of the health care system, focusing mainly on the organizational needs that will help with the expanding or growing population and meeting the increased demand for the future. Via industrialized existing programs and building clinics that will accommodate the expected significant impact of the newly insured. “Eliminating ED crowding will take the collective involvement of healthcare workers, business leaders, politicians, the press, and the public” (Derlet & Richards, 2008). After much consideration, and a comprehensive evaluation of the documents for the new Affordable Care Act Jim James thought about the upcoming opportunities using a persuasive approach to transform the hospital. Since he stated that his most pressing desire is to find ways to connect the recipients in a way that will model changes in existing programs. Admittedly, we have a medical, acute care, care system- a system that waits until we become ill before it kicks into action instead of a healthcare system focused on helping us stay healthy (Schimpff, 2012). The justification, seeing the possibilities that are crucial in dealing with changes in

Through the ACA, The Mental Health Parity and Addiction Equity Act was formed to assist individuals get through specific barriers that are up within the health care of behavioral health (Huang, Fong, Duong, & Quach, 2015). Other than that, the Affordable Care Act has started to provide expansions of coverage through systems such as specific insurance and Medicaid to the services of mental health and substance abuse (Beronio, Po, Skopec, & Glied, 2013).

In today’s society, health care has become a huge issue for most Americans who are financially struggling and who also live in poverty. Obama passed an act known as Obama Care, which is also called the Affordable Health Care Act. The ACA (Affordable Health Care Act) was implemented in order to provide affordable health insurance for those living in poverty and for those who cannot financially afford health care. It was set out to improve the lives of Americans with affordable health care and affordable health insurance for all (Obama Care facts). Due to the propaganda that was put into place with the ACA, a majority of American’s today only know the positive effects the ACA has on today’s society. The first thought that comes to any

Regardless of where one stands, one must admit that the American economy is not thriving. Not only is it not thriving, but also the American economy has either been in depression or on the verge of depression for the last decade. Because of this, parity seems to be a dream. It is not the prime time to push for the ACA, perhaps during the 80’s or 90’s, but there were other political dilemmas that needed to be dealt with. Another factor to take into account is the reaction of the healthcare system once it truly has to cover for mental illness treatment. Because there is an immense amount of cost, around $131,000(Abelson), to

With the huge shift in the U.S. healthcare system, healthcare services are now trending towards value-based outcomes.1 With passage of the Affordable Care Act (ACA), it has become increasingly important to improve quality of care while simultaneously reducing health care costs.2 Pharmaceutical care services are one of the key components that has an essential impact on optimizing therapy outcomes; minimizing cost and enhancing quality of life of chronically ill patients. Community pharmacists are the third largest healthcare provider group in the world after physicians and nurses.3 Despite the fact that many studies have shown that community pharmacists’ provision of direct patient care can lead to improved patient outcomes and reduced health care costs. However, community pharmacists are the only health professionals who are not primarily rewarded for delivering health care and hence are under-utilized as public health professionals.3 Community pharmacists could help to improve health by reducing drug-related adverse events and promoting better medication adherence, which in turn may help in reducing unnecessary provider visits, hospitalizations, and readmissions while strengthening primary care delivery across the health system.

Millions of Americans use the services of health care officials on a daily basis. To aid in the increasingly high financial costs of these services, many people rely on the government, insurance companies, and other parties through managed care organizations (MCOs) (Potter & Perry, 2017, p. 15). A MCO “provides comprehensive preventive and treatment services to a specific group of voluntarily enrolled people” (Potter & Perry, 2017, p. 16). With the implementation of the Affordable Care Act (ACA), the government faces ongoing struggles to use valuable resources within the health care system to continually maintain problematic MCOs. Therefore, the administration of health care services has been greatly impacted by the ACA, bringing about

Barack Obama signed the Affordable Care Act (ACA) on March 23, 2010. This policy was implemented for all Americans regardless of race, religion, creed, sexual orientation, the language of origin or demographic location. Barack Obama saw the disparities that was facing the American people so by creating this policy it would reduce premature deaths that many Americans face.

Cuban healthcare is a unique system that came about as a result of campaign promises from Fidel Castro in 1959. Although during Batistas rule doctors were well trained and respected, most all the countrys health services and facilities were located in concentrated population centers. The lack of access to rural farmers and families had created marked disparities between the two groups. However, as Fidel rose to power, his new state would act to provide free and accessible care to all citizens of Cuba.2 He set very specific policy goals for the country such as:

The delay in the rollout and incomplete implementation of the United States of America government’s healthcare marketplace (Healthcare.gov) has been highly publicized and deliberated since before its launch in October 2013. Several researchers have sought to provide possible responses and reasoning as to why the implementation of the project did not finish as expected. Factors contributing to the unsuccessful launch of the software has been attributed to problems with project management, staffing, implementation and technology which can be further broken down into several problematic areas such as the gathering of requirements belonging to the project management category and change management which is handled in the implementation stage. Requirements gathering and poor management have been identified as major causes for the failure of Healthcare.gov at the launch date. This paper discusses the aims of the Affordable Care Act and its corresponding implementation of Healthcare.gov from an epistimological philosophical perspective.

The learning experience in this class with readings and weekly assignments allowed each of the course objectives to be thoroughly explored and met. The political process and development of political actions to develop policies to impact the provision of health care was examined through the research of the Affordable Care Act established in 2010 and through the development of MACRA legislation. Together both political changes are working to improve health care and the outcomes of patients. Both are going to work together to ensure Americans receive quality health care and to assist in decreasing health care spending. The Medicare Access and CHIP Reauthorization Act (MACRA) was developed by the Centers for Medicare and Medicaid Services (CMS) as a rule which was created to establish policies to ensure patients receive care with positive outcomes with cost-effective care (Haycock, Edwards & Stanley, 2016). Understanding MACRA legislation provided further understanding of the effect of political and government influence on the advanced practice nurses provision of care.

The ACA requires insurers to accept all applicants, cover certain conditions, and charge the same rates despite one 's sex or pre-existing health status. There are ten provisions that make up the ACA which were to be implemented over time, from 2010 through 2020. The first provision is individual insurance, which prohibits insurers to deny coverage based on one 's pre existing health conditions. States were also required to make insurance available to children who are not insured through their families. Medicaid was also expanded to include individuals and families with an average income of thirty thousand dollars a year. This mandate will not cover those who are illegal immigrants, eligible individuals who choose to not be enrolled in medicaid, those who choose to pay the penalty, individuals whose insurance would cost more than 8% of their income, and those who live in states that opt out of the medicaid expansion.

The implementation of the Patient Protection and Affordable Care Act introduced the Employer Shared Responsibility Provisions that requires employers to provide health insurance to full-time employees, or pay a tax penalty. There are dire predictions that under “play or pay”, large employers would try to eliminate health benefits or cut workers’ hours to get under the cap requiring health benefits. Employers would achieve this by re-designating full-time employees as independent contractors.