Healthcare Reform Revised We know that the burden of diseases is increasing all over the world. The percentage of people suffering from diabetes, cardiovascular and pulmonary diseases has considerably increased in the last decade. It is noteworthy here that the importance of preventive care now comes at par with the importance of curative care. Considering the prevalence of diseases and the health status of the American population, President Obama introduced a health care reform that is known as the Affordable Care Act or Obama Care. The role of medical care as a determinant for health has not been established as a fact yet it has been proved that early intervention, preventive care and the required management can go on to reduce the severity and even cure chronic disease. Due to this reason, medical care does have a very crucial role to play in the health status of the population. (Bunker, Frazier & Mosteller, 1995)

The purpose of this paper is to analyze the impact of the aforementioned reform on the healthcare facilities that are being provided in the southeastern region of Massachusetts. The target of this study will be a community hospital that is located south of the city of Boston. The emergency room of this hospital has been recorded to have a turnout of 200,000 patients every year.

Role of ACA in Massachusetts

As mentioned earlier, the prevalence of diseases is becoming a global issue of increasing concern. Needless to say, the percentage of people who are suffering from chronic illnesses like diabetes, cardiovascular diseases as well as pulmonary diseases in this area has also increased in the past couple of years. In this part of the paper, we shall focus on impacts of ACA on the health status of the people and whether or not it has been successful in saving the lives of the people. As already mentioned, the target hospital of this study is situated south of Boston; however, we shall be discussing the role of the ACA in Massachusetts, in general.

The patients of this region are covered by insurance under the Commonwealth Care and Medicaid. The aforementioned two forms of insurance are the newly acquired and the most common ones under the ACA. As compared to the privately insured, the people who have been covered by these two systems have reported increased access to the outpatient department. According to the statistics, before the introduction of this reform the people who were covered by Commonwealth Care Type 1 (also known as minimal cost sharing) or Medicaid delayed their visit to the dentist due to the high cost. On the other hand, the percentage of people who were privately insured and delayed their visit at the dentist was significantly lower than the former. Moreover, the people who were covered by Medicaid also had a hard time seeing a specialist because of cost issues. As for the people who were covered by Commonwealth Care Types 2 and 3 (also known as greater cost sharing) were seen to have even more cost related problems in obtaining health care when compared to the ones that were privately insured.

However, after the introduction of the ACA in Massachusetts, the situation has changed and more people now have access to better healthcare facilities, whereas the addition of this reform on the annual budget of the country has only increased by 1%.

According to the Massachusetts Department of Healthcare Finance and Policy, the percentage of uninsured residents of the state has declined from 6% in the year 2006 to 2% in the year 2010.

A study that was conducted by the Urban Institute (Massachusetts Division of Health Care Finance and Policy) in the year 2010 revealed that in that year, 98.1% of the residents of the state were covered by health insurance. As for the year 2009, this figure was 97.3%. The percentage of insured people among seniors and children in the year 2010 was even higher; the values being 99.8% and 99.6%, respectively. 65.1% of the residents of the state were insured by the employers, while 16.6% were covered through Commonwealth Care and other public programs and 16.4% by Medicare. According to Judy Ann Bigby, the Secretary of Health and Human Services, the achievements of the state in health care reform have been extraordinary. She also added that employers as well as the government and the individuals have been playing their role to make this reform a successful one.

At this point it is important for us to look at what good ACA...

It is therefore noteworthy that almost every resident in the Commonwealth is now covered by health insurance. Moreover, the companies that did not offer insurance to their employees before are now giving health insurance to all the people who are a part of their company. More than 90% of the state population now has access to a primary care physician. However, there are less chances of primary care being delivered in emergency rooms, since the emergency room visits cost more. Apart from curative care, the people of Massachusetts now also have access to preventive care. The health disparities that existed among women, low-income people and minorities have also declined with the introduction of this reform. Analysts agree that the state has become healthier, overall.
The aforementioned were facts that can be concluded from the reports and statistics about the status of health care delivery after the reform in the state. However, the actual stories are even better. To prove this point, I would like to mention two incidents pertaining to the health care reform.

Jaclyn is a young woman and a cancer survivor. When she was interviewed about the quality of health care delivery in the state, she claimed that if it was not for the reform, she would not have survived. She said this because she could not have otherwise afforded to get herself treated. She also went on to say that there was no compromise in the quality of health care that was being given to the residents of the state under the Commonwealth insurance or Medicaid.

Ken is a self-employed man who had been suffering from gastrointestinal symptoms for quite some time. However, he ignored these symptoms for months and years because he did not have the finances to go and see a doctor and bear the cost of the treatments. Under the health care reform he was insured and has now been treated for Stage III colon cancer and is therefore a cancer survivor.

Some of the concerns that still need to be addressed, particularly in the target hospital that is being discussed in this paper, include issues of cultural and ethnic discrimination. Moreover, the population served is predominantly Medicare/Medicaid lower socioeconomic, culturally diverse and elderly (Floyd, 2002). Approximately 20% privately insured and 17% free care. There is also a large population of mentally ill and uninsured people. There is high prevalence of diabetes, cardiac disease, obesity, and pulmonary illnesses with a moderate smoking population. There are often language barriers and the education level is limited.

Affordable Care Act

The objectives of the ACA include the increase in the affordability and quality of health insurance, decrease in the uninsured rate through the expansion of private and public insurance coverage and to decrease the cost of healthcare for the government as well as the individuals. A number of mechanisms have been provided by this act that includes subsidies, mandates and insurance exchanges so that the coverage as well as the affordability could be increased. According to this law, it is mandatory for all the companies to cover their applicants irrespective of their current health conditions or sex. The companies are also required to offer coverage within the latest minimum standards (O'harra, 2013). Moreover, this reform also aims to decrease the cost and advance the health care outcomes by making changes to the system so that quality is preferred over quantity by increasing competition, incentives to rationalize the delivery of healthcare and regulation. According to the Congressional Budget Office, the ACA will have beneficial effects on the future debts as well as spending on Medicare (Obama, 2008).

Under this act, the people with preexisting health conditions will not be denied insurance. Moreover, the people who have chronic and serious illnesses will also not be denied of any health care services by removing them from the insurance plan. Apart from this, the children can stay on the plans of their parents until they get a plan of their own.

Role of a Nurse Administrator

In order for this healthcare reform to be effective, it is important for all the stakeholders of the healthcare delivery system to play their positive role. Just like any other professionals who are a part of the health care delivery system, the nurses also have an important role to play in the provision of health care under the ACA. The responsibilities of a nurse administrator have also increased under this reform. Since the main aim of this reform is to increase the quality of health care along with a decrease in cost, it…