On March 20, 2010 President Barack Obama signed into law the Patient Protection and Affordable Care Act (ACA). With that signature, a new healthcare paradigm set into motion. Under Title III: Improving the Quality and Efficiency of Healthcare, Section 3506 requires establishment of programs that develop, test and disseminate “patient decision aids”. Tools that are designed to facilitate collaborative shared decision making between health care providers and patient beneficiaries. This provision outlines requirements to promote engagement of all stakeholders in informed decision making, mandates provision of up-to-date clinical evidence for all treatment options and promotes decision making that accounts for individual beliefs, preferences and circumstances.
Considerable evidence demonstrates the clinical effectiveness and potential cost reduction associated with shared decision making. A review by the Cochrane Collaborative published in 2014 evaluated 115 randomized control trials with 34,444 participants for the effectiveness of decision aids for persons facing treatment or screening decisions. The data demonstrate use of decision aids results in better than usual care in several quality domains. Namely shared decision making had a positive effect on patient knowledge, communication with the health care provider, improved patient engagement in the decision making process and provided more realistic outcome expectations. Interestingly, decision aids were also
These objectives reflect a shift away from the traditional provider centered medical model, in which patients are often treated as passive recipients of care, and toward a more patient centered service model in which health decision making is expected to involve the active participation of the patient or consumer. In keeping with the Healthy People 2020 objectives and incorporating the Institute of Medicine’s goals for evidence-based care which emphasize patient centered care and respecting patients’ individual preferences (Institute of Medicine, 2001), the Health Outcomes Research Program at St. Luke’s Mid-American Heart Institute has developed a database with which patient-specific data can be used to estimate and model individual patient outcomes during clinical care. Decision aids created from these predictive risk estimates can
Patient protection and affordable care act was enacted in 2010 with the main purpose of minimizing the cost, improving the obtainability and affordability of health insurance. Uninsured rate will decreased at a faster rate.. It will achieve healthcare reachability to as many people as by extending public and private insurance. The Affordable act has included following: any one with pre-existing condition can not be denied of coverage, children under 26 may be eligible for coverage under their parents insurance, insurance companies can not cancel your coverage due to withdrawals.
The Patient Protection and Affordable Care Act is a federal statute that was signed into law in America by President Barack Obama on March 23, 2010. It is divided into 10 titles.
This paper explores the flaws within the healthcare system in America that was passed as the Affordable Care Act and Patient Protection Act (PPACA); although, the intent behind the act was meant to do no harm, it seems as if the Affordable Care Act did more harm than good within the majority of the population. There are many sides to any issue, especially concerning the healthcare system within the United States, but based off of research, statistics, and articles one can obviously perceive it to be a good effort upon the American government. Questions arise upon efficiency from a physical/quality perspective of the American people, and also the monetary aspect. As stated, the issue of the Affordable Care Act is somewhat controversial and the politics of the subject are rarely black and white, but an objective view upon the issue is necessary to fully appreciate the act and constructively analyze the issue at hand, and the concerns that arose due to the act. Signed into the law on March 23rd, 2010 by President Barack Obama were the Patient Protection and Affordable Care Act (ACA). The ACA was expected to revolutionize American healthcare insurance security by expanding healthcare coverage, lowering insurance costs, improving the quality of medical care, etc., but it seemed to have done just the opposite. One can surely assume that the intent behind the healthcare innovation was completely genuine; however, one certainty can observe the issues following the ACA and Patient
Health care cost has been constantly rising and a problem in this country for years. Millions go without much needed medical care every year due to the lack of health care. For many the emergency room is their first contact with medical care. The Patient Protection Affordable Care Act (PPACA) intends to significantly decrease the number of uninsured in American. The PPACA, is said to be most comprehensive insurance reform since 1965, (the year in which Medicare and Medicaid were implemented) was signed into law on March 23, 2010 by President Obama. PPACA will renovate the entire United States’ insurance market. PPACA requires most citizens to either purchase health care coverage privately or through their employer, or face a penalty.
When president Obama was a candidate in the 2008 election he promised wide scale health care reform that would increase the availability and affordability of medical insurance for a large portion of the American population. At the time of his campaign, millions of low-income Americans were stuck in the Medicaid gap – where they could not afford health insurance, but also were not eligible for the joint state and federal government Medicaid program. This promise eventually became the bill later named the Patient Protection and Affordable Care Act that was passed by the senate on December 24, 2010. The bill’s policy seeks to expand health care coverage to low-income families
The Patient Protection and Affordable Care Act offers many healthcare benefits to a diverse group of American citizens. However, there are a few downsides as well. The major portions of the act deal with four primary issues:
In this paper I plan to discuss an increasingly difficult topic of The Patient Protection and Affordable Care Act. I will go over the basics of the act including who founded it, when, what it states as well as what its purpose is. I will also discuss the nine titles of the Affordable Care Act. I will then go over how four of the nine titles have affected how nurses provide care. I will finalize my paper by reflecting upon what I have learned from the Affordable Care Act.
In 2010, Congress passed the Patient Protection and Affordable Health Care Act (ACA). The landmark legislation effected numerous stakeholder groups in the realm of health care. One of the most important stakeholder groups were doctors. The support of many doctors and the endorsement of the American Medical Association (AMA) proved critical in the passage of the ACA. However, there has also been skepticism regarding certain provisions in the legislation among doctors. Nonetheless, doctors’ groups have been mostly supportive of the ACA.
The Patient Protection & Affordable Care Act, by definition, is “a social contract of health care solidarity through private ownership, markets, choice, and individual responsibility. While some might regard this contract as the unnatural
It has been almost six years since the Patient Protection and Affordable Care Act (PPACA) was enacted. Before the ObamaCare Act many people living in the United States didn’t have health insurance. The Patient Protection and Affordable Care Act include a long list of health-related provisions. Additionally, it supposed to extend coverage health insurance to many uninsured Americans (Obamacare, Web).
The Patient Protection and Affordable Care Act (PPACA) has been one of the most controversial laws in the history of The United States. One of the key components of the law is the creation of health insurance exchanges. The states had the option to establish a state managed exchange, partner with the federal government, or let the federal government establish the exchange for them. Several states have opted to let the federal government establish the exchange for them. As of May 28, 2013, there are 17 State-based Marketplaces; 7 Partnership Marketplaces; 27 Federally Facilitated Marketplaces.1
The patient Protection and Affordable Care Act (PPACA) is the most debatable act which was signed into law on March 23rd, 2010 by President Obama ("Obamacare Bill: Full PPACA & Related Laws," n.d.). According to "Affordable Care Act and the IAFF" (2014), PPACA has three main objectives: expand access to healthcare coverage, shield patients against illogical actions by health insurance companies, and cut healthcare costs. The United States (U.S.) is the only advanced country that spend twice as much on patient care, yet still has greater rates of preventable deaths caused by curable illnesses. High healthcare spending, lack of access to healthcare services, and restrictions by health insurance companies to obtain crucial health services are the driving force behind the PPACA. PPACA was passed to benefit every citizen of America, but many view this law as problematic and challenging. Is PPACA constructive or destructive? This paper will discuss both advantages and disadvantages of PPACA.
On March 23, 2010, President Obama signed into law the Patient Protection and Affordable Care Act (ACA), the most comprehensive reform of the U.S. medical system in at least 45 years. The ACA transforms the non-group insurance market in the United States, mandates that most residents have health insurance, significantly expands public insurance and subsidizes private insurance coverage, raises revenues from a variety of new taxes, and reduces and reorganizes spending under the nation’s largest health insurance plan, Medicare. If fully implemented, the ACA promises to lead to a dramatically different health care landscape for the United States in the years to come. Projecting the impacts of such fundamental reform to the health care system is fraught with difficulty. But such projections were required for the legislative process, and were delivered by the Congressional Budget Office (CBO). CBO projected that the ACA would increase health insurance coverage by 32 million people and would raise federal government spending by almost $1 trillion over the subsequent decade, but would raise revenues and reduce spending by even more so that the bill overall reduced the federal budget deficit. These CBO projections were central to the legislative debate over the ACA. In this paper, I will discuss the impact of the ACA in more detail, and describe evidence that sheds light upon the accuracy of the projections. I begin by reviewing in broad detail the structure of the ACA.
system in America. (RAND, 2009). Some of the primary provisions pertain to augmenting health care