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
In the United States there has been a concern about providing health care assistance to citizens for a number of years. In the late 1980’s and early 1990’s the government began proposing various bills that would provide health care relief with opposition from both political parties due to their different agendas on what would be best for Americans. In this case study, the Patient Protection and Affordable Care Act will address its origin and impact on healthcare, an analysis utilizing Bardach Eightfold Path process, and implementation in the workplace including state and Federal standards.
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
The Patient Protection and Affordable Care Act (ACA) was implemented in March of 2010 by President Barak Obama. The Patient Protection and Affordable Care Act, more commonly known as Obama care went into effect on January 1st of 2014. More than half of the United States of America was uninsured before the ACA was put into effect. The goal of the ACA is to provide those who fall in the “gap” with health insurance.
The Patient Protection and Affordable care Act also known as Affordable Care Act, Obama Care and ACA is an act signed into law by the current president of the United States, Barack Obama in March 23, 2010. Beginning in 2014, any failure to purchase minimum coverage will result in a person being fined. Also included in the Act are individual mandate requirements, expanding public programs, health insurance exchanges, transition to private insurance, what is required of employers and cost and coverage estimates. I chose to write on this topic in support the Affordable Care Act, because as registered nurse working in the emergency room I have dealt with people that are not insured and therefore, were unable to afford healthcare. I wanted to learn more about and make the affordable Care Act work. I don 't think people should scrounge to get affordable healthcare even though sometimes it is not the best healthcare.
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).
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.
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
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.
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
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.
The Patient Protection and Affordable Care Act (PPACA) frequently known as “The Affordable Care Act” (ACA) or “Obamacare,” is the United States decree authorized into law by President Barack Obama on March 23, 2010 (Group, 2014). The principle of the Affordable Care Act was to strengthen the quality and affordability of health insurance and decrease the uninsured tariffs by magnifying public and private insurance exposure. In the community relations ambition for President Obama’s takeover of the American health care system, he assured that those who was fond of their insurance could keep it, percentages would reduce, and no one would lose their doctor. Additional vows that President Obama created was the Affordable Care Act would not subsidize abortions.
Nursing Practice continues to evolve in order to adapt to perpetual revamping and reshaping of the healthcare system. The Patient Protection and Affordable Care Act (PPACA) calls for a dramatic and rapid metamorphosis of patient care delivery models in order to provide cost effective, safe, efficient, and high quality care to every American (Cherry & Jacob, 2016).
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.