The Market : An Analysis Of The Obama's Market

Critically analyze the implications of the state’s decision to opt out of Medicaid expansion on the citizens of the state.

The term “individual mandate,” as a component of the Affordable Care Act, is a mandatory requirement according to which the majority of people in the United States has to have some kind of health insurance. Most specifically, according to the fundamentals of this regulation, any individual who can afford a health insurance policy, but chooses not to do so, will have to pay a fine. Prior to the existence of the individual mandate, health insurance companies had the choice to reject people with health conditions that would potentially incur high costs. Because of this reason, a significant number of people did not have any health coverage. In order to maintain insurance premiums reasonably steady and sustain government cost balanced,

Patient Protection and Affordable Care Act( PPACA) also known as Obama care is a healthcare reform signed in March 23, 2010 whose main goal is to conceptualizes the “ Universal affordable Healthcare Coverage “making significant impacts in the healthcare system. The purpose of this board is to discuss the challenges that effective leaders at different levels in the society should face on regards to

That mostly depends on our Presidential election in November. If a Republican wins office they could option not to enforce the act or overturn it during Legislative session. As long as Governor Perry is in office, there will be no expansion of Medicaid until at least 2014. Since, Governor Perry is not expanding the Medicaid system, as a state will need to prepare for higher insurance premiums to cover the costs that Medicaid does not. The state will need to revamp the state Medicaid system because our population is rising higher than the cost of healthcare. As of December of 2011 total enrollment in Medicaid was 3,652,591. This cost the state of Texas 12.8 billion dollars, paid for by our taxpayers. As our state population increases it is estimated 1.2 million newly eligible Texans for Medicaid, and by 2019 it will cost the state and additional 5.3 billion in taxes (Texas Health and Human Services Commission, 2012).

The potential opportunity for the state to opt into the Medicaid expansion is the fact that low-income citizens will be insured. The decision of the state to opt into the Medicaid expansion will also impact the state’s budget, and this is the main challenge (Frakt, 2013). The government will cover majority of all the cost even as Medicaid expansion provides coverage for the low-income uninsured citizens. Expansion of the Medicaid is also a broken system that has poor outcomes, not severe federal strings, high inflation and no incentive for the personal responsibility of the citizens who

This is going to lead back to some providers and higher income individuals will pay more taxes to cover the uninsured. Expanded Medicaid coverage also led to decreased rates of delayed care and decreased mortality rates especially among residents of poorer counties (Baron, 2013).

For close to 50 years, the Mississippi Medicaid program has provided health coverage for its low-income residents. “While Medicaid originally only insured Americans receiving cash welfare assistance, Congress expanded it over the years to help insure those left behind by the private insurance system”.7 Medicaid in the state of Mississippi is a health care program that help pays for medical services for its low income residents. In Fiscal Year (FY) 2009, Medicaid provided $3.9 billion in benefits which attributed to 20.4% of all health care spending in the state7 and insured 754,333 – 1 out 4 (25.6%) state residents.6

At last, the law gave new alternatives and motivating forces to help states rebalance their Medicaid long haul mind programs for group based administrations and backings as opposed to institutional care. All in all, these arrangements have quickened Medicaid advancement effectively in progress in numerous states. Also improved with the ACA besides Medicaid, is Medicare. The Affordable Care Act incorporates a progression of Medicare changes that will create billions of dollars in reserve funds for Medicare and fortify the care Medicare recipients get. The new law secures ensured benefits for all Medicare recipients, and gives new advantages and administrations to seniors on Medicare that will help keep seniors solid. The law likewise incorporates arrangements that will enhance the nature of care, create and advance new models of care conveyance, suitably value administrations, modernize our wellbeing framework, and battle waste, extortion, and mishandle. A big topic that is affected from ACA is businesses. The Patient Protection and Affordable Care Act -- otherwise known as Obamacare -- is putting such a small dent in the profits of U.S. companies that many refer to its impact as 'not material' or 'not significant. Even after a provision went into effect this year requiring companies with 50 or more full-time workers to provide coverage, and after more workers are choosing to enroll in existing company coverage because of another requirement that all Americans get

According to David Nather’s The New Health Care System: Everything You Need to Know, in 2009, 8% of premiums went to cover the uninsured (pg.38). To alleviate that problem, the Affordable Care Act created the individual mandate, which requires everyone to get health insurance. The idea is that the mandate will force healthy people to get insurance, which will then subsidize the sick and the old. If people do not get insurance, then they will pay a fine to the government. If you cannot afford health insurance then you can apply for an exemption. The new decree does not allow insurance companies to deny coverage and they cannot charge you more if you are sick. The law

Medicaid is often mistaken as insurance strictly for the poor. This is not the case as many middle income households rely on this insurance. For this reason the program will be

The Better Care Reconciliation Act would phase out Medicaid expansion beginning in 2021, a larger timeline compared to the House of Representative's health care bill, though cuts would be deeper. Older people under 65 years old would pay five five times as much for coverage than younger people, compared to the current 3-to-1 ratio.

The ACA also introduced certain incentives for applying for insurance such as subsidies as well as mandates that penalized those who refused health insurance with a tax. However, for those individuals who would see at least 8% of their income go towards insurance, are exempt from the penalty. The law requires insurance providers to accept any applicants and prohibits discrimination from preexisting conditions or sex. It also requires that insurers provide all patients with ten essential health benefits. Provisions also prevent insurers from subjecting preventive care and vaccinations and to co-payments. Annual and lifetime coverage caps on the aforementioned essential benefits were also banned by the ACA. The Centre for Disease Control reported a steep drop from 16% to 8.9% in individuals lacking health insurance from 2010 to 2016. States that chose to expand Medicaid had roughly a 7% uninsured rate compared to those that did not expand. Despite the positive effect of the ACA, it is not without its demerits, Conservatives in particular took offense at the increase in both taxes and insurance premiums needed to expand coverage to those with prior conditions as well as benefits. Several new taxes help provide funding for Obamacare such as those on pharmaceutical sales, as well as the higher income bracket. Thus there is opposition with the fact that the wealthy are in part subsidizing insurance for the poor.

Looking at the different readings which analyzed and discussed the different ways that states are handling the Medicaid expansion under the Affordable Care Act, it seems that each state has their own unique prospective on the expansion, dependent on the political leanings and wealth of the state. For example, one of the article describes Kentucky opting to traditional Medicaid, while Arkansas opted to buy coverage for the poor through the federal marketplace. The states that have limited the expansion of Medicaid seems to be typically Republican states, which obviously has an issue with not only the costs associated with the expansion but also the ideological issues that seems to be in conflict with

Public policy, such as subsidies in the form of tax credits for the purchase of health plans through the exchanges, have been in existence since the inception of the ACA, but one could contend that this falls short on many fronts. Subsidy thresholds and amounts are simply too low and premium costs too high for many middle-income earners to make ends meet. In some cases people would rather risk going without insurance and pay the penalty, than pay for a plan they can’t afford to use anyway (Bernard,

Also by rejecting the Medicaid expansion community-based providers, including hospitals are casualties. Hospitals will continue to provide care to the uninsured without sufficient compensation, increasing shift costs to the privately insured. This also has a chilling effect on enrollment in private insurance plans through the new federally facilitated marketplace. Opposing the Medicaid expansion also ignores the real needs of the uninsured and the massive financial burden shouldered not only by the hospitals but taxpayers and businesses. (Stultz, 27)