Balanced Budget Act of 1997 is having an impact on health care providers by making cuts in Medicare and Medicaid fees. To understand what is happening requires conducting a literature review. This will provide specific insights as to how these changes are affecting the health care system over the long-term. The Balanced Budget Act of 1997 has reshaped the way that health care providers are interacting with stakeholders (i.e. low income

Balanced Budget Act of 1997 Introduction with Background In the last several years, health care costs have been increasingly exponentially. To control the expenses associated with Medicare and Medicaid, the Balance Budget Act of 1997 was enacted. At the heart of its focus, was on reducing the total amounts of fees that are provided to health care providers, doctors and nurses. This is troubling, as these transformations will have an impact on

"Twenty-one State Attorneys General have filed suits to protect their citizens from being forced, in violation of the Constitution, to purchase government-approved health insurance" (Obamacare: Impact on States 4). Doctors are drastically being cut out of profit through Obamacare. As a result, "Nearly two-thirds of doctors are considering abandoning any kind of government-sponsored health care insurance, stating that regulations are too high and reimbursement too low" (Obamacare Facts 1). "Obamacare expands

Federal Budget Process Every year the federal administration is involved with a total revenue and expenditure of about 1.5 trillion USD as a matter of fiscal practice. (Keith, 1996) The budgetary strategy of the federal administration is an integration of the guidelines that the policy makers, legislator, bureaucrats apply for designing, continuing, regulating and accounting fro the expenditure and revenue strategy. Normally the budgetary strategy involves formulation of the budget of

Reduce the Budget Deficit Statutory budget controls in effect from 1985 to 2002 were designed "to reduce the budget deficit" (Lynch, 2011, p. 1). The Balanced Budget and Emergency Deficit Control Act (1985) and the Budget Enforcement Act (1990) were primary drivers of deficit reduction mechanisms, which provided controls to cap Congressional spending and support to the legislative process with regard to reducing the deficit. The first of these Acts actually

The independent physician groups and hospitals provide services under the organization's guidelines, but they may also care for patients who are not members. (1997) While managed care does offer employers more control in choosing the specifics of the health care plan provision at the same time the insurance companies and the profit-drive health-care organizations possess a strong role. Opponents of the government having a primary role in health care financing