The Patient Anti-Dumping Act

Without this law many individuals were denied services, and resulted in death or more serious injury to individuals. Hospitals must have a plan in place during an emergency to triage individuals. Medical care to individuals, who lack the monetary resources, have improved because of this law. As the law states, “transfers” of clients cannot be arbitrary and based on financial loss to the hospital.

“This article discusses how Medicare Carriers and Fiscal Intermediaries use coverage determinations to establish medical necessity. When the condition(s) of a patient are expected to not meet medical necessity requirements for a test, procedure, or service, the provider has the obligation under the

EMTALA is the Emergency Medical Treatment and Labor Act that was developed in 1985 as part of the Title IX of the Consolidated Omnibus Budget Reconciliation Act that went into effect in the year 1986 (Sara Rosenbaum, 2012). EMTALA was developed after an article was published in 1986 that documented how Cook County Hospital in Chicago was receiving patients that were “dumped” there that were unemployed, minorities, and lacked health insurance (Singer, 2014). This problem also occurred in 1983 in Dallas where over 200 patients were transferred between hospitals that were not stable (Singer, 2014). EMTALA is under the direction of the Department of Health and Human Services and was developed to address the needs of Americans

“Starting in 2009, Medicare, the US government 's health insurance program for elderly and disabled Americans, will not cover the costs of "preventable" conditions, mistakes and infections resulting from a hospital stay. So for instance, if you are on Medicare and you pick up a hospital acquired infection while you are being treated for something that is covered by Medicare, the extra cost of treating the hospital acquired infection will no longer be paid for by Medicare. Instead, the bill will be picked up by the hospital itself since the rules don 't allow the hospital to charge it to you” (Paddock, 2007).

[2] The law requires care providers to deliver medical services despite patients’ ability to pay. The act outlines specific guidelines for providers that deliver emergency services. If a patient has a medical emergency, such as an injury or active birth, the law obligates caregivers to stabilize the patient and provide treatment up to the point where the patient remains stabilized. If the care provider cannot deliver this service, the law mandates that the provider transfer the patient to a capable facility.

In this paper you are going to learn all about the Accountable Care Organization (ACO). Also, how does it pertain to the healthcare system? We will also be learning about the reimbursement rates for Medicare patients. Who makes up the Accountable Care Organization? We will also take a look into the Affordable Care Act and how the ACO is a part of that.

In other words, ever since the Affordable Care Act was passed, millions of Americans have insurance. This can be worrisome to non-profit hospitals due to the large number of patients. For example, there are far more patients than there are physicians, which causes the quality of care for these patients to diminish. Physicians cannot keep up with the amount of patients they need to see as well as give every patient 100% of their attention it is simply impossible. Therefore, hospitals may start to implement a policy where only certain insurances can be seen at the hospitals, excluding emergency situations of course, while others have to either see there primary doctors or specialists. In other words, physicians are discharging patients too early, which cause a large amount of them to be readmission. Therefore, this is costing the hospital millions of dollars as well as affecting the patients’ overall health. If there was a stricter policy on who can and cannot go to the hospital than patients may start to receive better care and non-profit hospitals can focus on their main mission and that is to treat the people of the community with a high and effective quality of

History was made as the President of the United States signed the Patient Protection and Affordable Care Act into law on March 23, 2010. The Patient Protection and Affordable Care Act (PPACA) delivers access to quality, affordable health care to all Americans. The breakthrough legislation, passed in March of 2010, represents the most significant government expansion and regulatory overhaul of the country’s healthcare system since the passage of Medicare and Medicaid in 1965 (Dix, 2013). The PPACA promises to reduce health disparities, improve access to preventative services, improve health outcomes and reduce healthcare spending. As stated by the Congressional Budget Office (CBO), the PPACA will provide coverage to more than 94 percent of

Signed into law by President Barack Obama on March 23, 2010, the Patient Protection and Affordable Care Act (PPACA), or Affordable Care Act (ACA), ushered in a new era in the way Americans get their medical care (coverage). Guaranteeing new consumer protections and creating insurance exchanges to facilitate greater access and affordability by reducing premiums and costs for tens of millions of Americans. When passed, the ACA allowed for states to expand access to Medicaid to those previously ineligible, including some people above the Federal Poverty Level (FPL), and in its five years since passage the law has faced challenges to its component pieces, its legality, and constitutionality all together. A Supreme Court decision in 2012 ruled a key element of the ACA, the expansion of Medicaid, to be optional for the states. From that decision, 24 states and the District of Columbia have chosen the expansion option and seen success, while opposition in other states has led to efforts to block expansion, invoking a sophistic response where those living above the FPL receive federal subsidies and the most in need are left without coverage. The success of the ACA in non-expansion states – Georgia, in particular, here - depends on the state governance to make available the expansion of Medicaid for the population of their states, including opening doors for patient navigators to reach into local communities and raise awareness.

The authors of the article examine the Patient Protection and Affordable Care Act and talks about the effects it is going to have on the U.S. healthcare system. The ACA plans to do things like lower healthcare expenditures and make healthcare more accessible. It also plans to get 25 million previously uninsured Americans insured by 2019. The Patient Protection and Affordable Care Act was enacted on March 23, 2010 by President Barack Obama marking it the greatest policy change since the 1960s when Medicare and Medicaid was created.

The Patient Protection and Affordable Care Act (ACA) was signed into law in 2010. The ACA is considered the most expansive healthcare reform legislation in the United States since the formation of Medicaid and Medicare in 1965 (Berg & Dickow, 2014). The creation of the ACA ushered in a new progression for the United States healthcare system that put an emphasis on preventive services and primary care (Berg & Dickow, 2014). The ACA also aided in the public problem of the being uninsured in this country. It worked to provide insurance coverage to millions within the United States who are currently uninsured. The ACA is also working to combat the problem areas within the current healthcare system that are of need of modification so that the consumer needs for safe care and improved health outcomes are met (Berg & Dickow, 2014). The Patient Protection and Affordable Care Act’s goals are to the address many different components of reform. It addresses implementing ways for quality, affordable health care for all Americans, the role of pubic programs, enhancing the quality and efficiency of health care, the prevention of chronic disease as well as improving public health, the health care workforce, improved transparency and program integrity policies, improve the access to innovative medical therapies, community living assistance services and supports, and lastly, revenue provisions (Berg & Dickow, 2014).

What are some words that come to mind when Americans think about health insurance in this day in age? Expensive, deductibles, out of pocket, mandatory, out of network, copayments? Those words sounds just about right. Well, thanks to the affordable care act hopefully those thoughts should and have changed. Maybe subsidy, assistance, affordable, for everyone would be some words that come to mind. All focusing on what some call Obama Care which is the Affordable Care Act (ACA) and officially called The Patient Protection and Affordable Care Act (PPACA). The ACA was designed to reform not only healthcare but health insurance industries as well. It is now a federal statue in the United States of America that was signed into law in March of 2010 by President Barack Obama. Although created 5 years ago, the major phase began in January of 2014. Hospitals and primary physicians were to turn their practices around financially and even their technology in order for better health outcomes and lower costs to come about all while improving their services. In other words, practices were to increase the quality of services that they provide and at a lower and affordable price for consumers. There were a lot of backlash and confusion that came from Americans because of the act. Yet, there are great outcomes and there are also things that can be better about the ACA. Let’s take a look at the beginning, present and even possibly the future.

The Patient Protection and Affordable Care Act (ACA) is a large bill concerning and affecting health care which was signed into law in 2010. The bill was brought about in attempts to eliminate health care disparities. The bill is divided into ten sections which are called titles. Under each title are subtitles and sections. Title I describes the goal of quality, affordable healthcare for all Americans. There are many changes to health care with the new bill. The new protections, benefits, rules, mandates, assistance and tax credits are all found under Title I (Civic Impulse, 2015).

On March 23, 2010, President Barack Obama signed the Patient Protection and Affordable Care Act in Law. The health reform law establishes a national, voluntary insurance program for purchasing community living services supports known as the Community Living Assistance Services and Supports Program (CLASS ACT). The CLASS program is designed to expand options for people who become functionally disabled and require long-term services and supports, including home care, adult day care, or a stay in a nursing home. In exchange for paying premiums during their healthy, working years, people would get a daily cash benefit to help defray the costs of these forms of assistance. The CLASS program was made effective on January 1,

health care provider that “does not provide any health care item or service furnished for the