the impact of ACA in North Carolina

In 2010, the United States created The Affordable Care Act (ACA). The objective was to share the responsibility of costs between the government, individuals, and employers to provide affordable access to quality health insurance. “However, health coverage remains fragmented, with numerous private and public sources, as well as wide gaps in insured rates across the U.S. population.” (“United States: International Health Care System Profiles,” n.d.). Each individual state within the US, generally has control over private insurance.

Americans have been faced with a new health care reform act known as Affordable Care Act initiated in 2010. Why was it so important for this nation to reform is health care system? How are we sure the ACA is improving our system for the American people? For many years, the health care industry has left many Americans uninsured. With health care costs on the rise and very few able to afford costs, and the quality of care in underserved areas not what it should be has left this nation largely unhealthy. Several landmark reports, including the Center for Disease Control factsheets and the Healthy People 2020 have astounding statistics confirming these alarming rates and clearly identifying the need for reform. The Affordable Care Act is the starting foundation for Americans to start investing in their own promotion of wellness and disease prevention. By choosing healthier lifestyle changes, individuals can make a difference which in turn will improve our nation’s overall health for the better.

The Affordable Care Act was passed to provide American’s better access to health insurance coverage. In addition to better access the ACA improved health care quality and lowered health care cost. The ACA reformed health insurance by expanding coverage, holding insurance companies accountable, lowering health care costs, guaranteeing more choices, and enhancing the quality of care. Although some states have not implemented all the benefits of the ACA, most citizens do have access to health insurance. This paper will address some of the general highlights of the ACA, how it impacted healthcare and the nursing practice.

In 2009 there were 50.7 million people, 16.7% of the population, without health insurance. Americans all over the country are working and yet they still can’t afford to pay the high cost of health insurance for themselves and their families. Under the Affordable Care Act of 2010, which was signed by Obama on March 23, 2010, thirty two million Americans who were previously not eligible for Medicaid may now have the opportunity to be covered. If this act is passed in North Carolina then it will be expanded to cover nearly all of the 1.5 million North Carolinians who are without health insurance. If more Americans are covered under the Medicaid that they need then

Many changes have occurred because of Obamacare. Some of the most important changes have occurred in Medicaid. More people are now able to get Medicaid because Obamacare increased the eligibility requirements. Gains in health insurance coverage have been largest for nonwhites, young adults, unmarried individuals, and those with incomes below the threshold for Medicaid

Since the passage of the Affordable Care Act (ACA) or ‘Obamacare’ in 2010 and its implementation in 2014,there has been a steady decline in the uninsured population of the United States of America. The number of Americans with health insurance, has reached a historic peak. According to recent data from the Census Bureau about health insurance coverage, the number of uninsured Americans fell from 33 million the year prior to ACA implementation to 29 million in 2014.The total uninsured rate dropped by more than 4 percent since the health care law took effect. The ACA has significantly reduced the number of Americans who were not able to acquire health insurance due to poverty, unemployment, or having a pre-existing condition.

Providing enhanced access to a better quality health care system is reliant upon the identification and modification of various barriers, which must be addressed. Complex health care systems and politics generate barriers to the delivery of high-quality access to care through knowledge deficits. Consumers are tasked with understanding what services are needed as well as their abilities comprehend their diagnoses are challenged. They must also over come barriers to communication to converse effectively with caregivers. Most importantly, they must understand their role in the process as patients and citizens when accessing health care services. (Ricketts, 2013) Comprehensive provisions built into the ACA help to energize endeavors aimed towards developing ways to ensured enhancements to the quality and access to health care provided in North Carolina. Accountable care organizations (ACO) were

The Affordable Care Act (ACA) extended healthcare coverage to millions of formerly uninsured individuals by expanding eligibility of Medicaid and the formation of Health Insurance Marketplaces. The ACA also included reforms to assist individuals sustain coverage and have the availability of affordable and accessible private healthcare insurance. Analysis from 2014 and early 2015 and have shown significant increases in public and private healthcare insurance coverage and have attributed the remarkable decreases of the rates of uninsured individuals from marketplace.gov and health insurance exchanges from the first year the ACA had healthcare coverage available.

The Affordable care act was enacted in order to reform the health insurance industry and to make health insurance more affordable and to provide better health care coverage for the citizens of the United States. The Obama administration set out with the goals of: expanding access to health insurance, lower the uninsured rate, and to reduce the costs of healthcare. The focus of the act is to use regulations on the federal and state level to maximize health care coverage for all citizens of the U.S. In this section I will examine the factors that have come to play into the creation of the affordable care act and the back ground

The Affordable Care Act (ACA), also known as Obamacare, was officially signed into legislation in March 2010. The ACA was a major step in achieving a system of universal healthcare, which essentially means all citizens are provided with healthcare and financial protection. In the 1960’s America introduced the Medicare and Medicaid programs, which helped guarantee some type of medical insurance cover for the very poor (Medicaid) and elderly (Medicare). Even though programs like these assisted in covering the most vulnerable groups of people, many Americans still did not have healthcare insurance. The goal of the ACA reform is to ensure that all Americans are covered by some form of health insurance. The ACA promises healthcare access to

Even though North Carolina is not participating in the ACA’s Medicaid expansion, the ACA will have an effect on North Carolina’s health care organizations. The United States’ national goal is to increase the number of people with health insurance in order to increase collective resources to pay for needed medical care (Short, 2013). This plan will not be able to be implemented as intended in North Carolina because of the state opting out of Medicaid expansion. However, insurance coverage will increase with the other provision in the health care reform law (Holahan, Buettgens, Carroll & Dorn, 2012).

The Affordable Care Act is the new health reform law that was signed into action on March 23, 2010. The Affordable Care Act attempts to reform the healthcare system by providing Americans with affordable health insurance. It helps put individuals, businesses, and families in control of their own healthcare. By the sound of it, it really looks like this is something that will positively impact the lives of Americans, and make it easier for individuals to obtain health insurance. Unfortunately, what many Americans are unaware of is that there are so many underlying issues that make the Affordable Care Act not so affordable. Issues such as penalties and taxes that certainly rack up the cost on individuals, businesses and even hospitals that make it difficult for people and businesses to be in “control” of their health care.

The Affordable Care Act has given aid to many people in several communities and the impact has changed lives tremendously. The ACA has improved their provisions in a way that has focused on improving the quality of the health care system and efficiency of the ways testing is done within and pay for within those

Another provision that the ACA provided was creating the Center for Medicare & Medicaid Innovations within the Centers for Medicare & Medicaid Services (CMS) in order to test new payment and service delivery models designed to reduce costs and increase quality of care to those that receive these benefits.² In this briefing, information about this organization, including financing and delivery, and the impact of the ACA on the Medicaid Program and the

The implementation of the Affordable Care Act (ACA), popularly known as “Obamacare”, has drastically altered healthcare in America. The goal of this act was to give Americans access to affordable, high quality insurance while simultaneously decreasing overall healthcare spending. The ACA had intended to maximize health care coverage throughout the United States, but this lofty ambition resulted in staggeringly huge financial and human costs.