More Jobs For Nurses From The Affordable Care Act Essay

Length: 4 pages Sources: 4 Subject: Healthcare Type: Essay Paper: #70854085 Related Topics: Obamacare, Affordable Care Act, Grand Canyon, Job Satisfaction
Excerpt from Essay :

¶ … Growth and Changes in Nursing

Now that the Affordable Care Act (ACA) is the law of the land, nurses can expect to have even more responsibility and even more opportunities to use their skills. This paper reviews how the restructuring of the U.S. healthcare system impacts the nursing field. And this paper reflects on how continuum of care, accountable care organizations, medical homes and nurse-managed health clinics will be affected by the ACA.

Nursing Shortages

There already are critical nursing shortages in the United States, which is the reason that foreign nurses have become "…an integral part of the U.S. healthcare system" (Arnold, 2013). In fact, according to Arnold, healthcare organizations have been bringing nurses from abroad into the U.S. For "…over fifty years in response to cyclical nursing shortages" (1382). Now, with the Affordable Care Act in place there is expected to be an increased demand for foreign nurses; indeed, there were 267 international nurse recruitment firms in the United States in 2007, and it is easy to imagine that number growing as the shortage of trained nurses continues. The advantage for hospitals -- besides being able to fill their vacancies -- is realized in cost savings, Arnold continues: hiring a foreign-trained nurse could save a hospital up to $50,000 in a two-year period (1383).

Continuum of Care

The Affordable Care Act seeks to provide "a better continuum of care," one that is "person-centered" and that offers control while enhancing "quality" (Shugarman, et al., 2011). The ACA also sets out to improve the continuum of care in four domains: a) long-term care insurance; b) home and community-based services (HCBS); c) care coordination; and d) workforce reinforcement (Shugarman, 11).

The CLASS provision in the ACA (Community Living Assistance Services and Supports) provides, for the first time, people in the


In fact CASS actually reinvents how healthcare professions view long-term care; in the past long-term care was identified as helping those in poverty, those very sick and lonely, Shugarman continues. But with the Affordable Care Act long-term care the idea is to provide services for the "near-poor and the middle class" (Shugarman, 12).

Accountable Care Organizations

On page 14 Shugarman notes that Accountable Care Organizations (ACO) offer incentives to providers to improve service arrangements for "vulnerable populations," which would include the elderly and others who are disabled or struggling with health issues. The point of an ACO is not to solve all a person's problems, but rather to be "accountable for improving the quality of healthcare…while lowering costs" (Shugarman, 14).

In the peer-reviewed publication, Dispute Resolution Journal, the author reveals that the Centers for Medicare and Medicaid Services (CMS) has established protocols that are designed to "improve coordination and communication among doctors and hospitals," and improve the quality of care in the meantime (Ronai, 2011).

Medical Homes

D. Scott Jones writes in the peer-reviewed Journal of Healthcare Compliance that the growth of home health is driven in large part by the rapidly aging population in the United States. Also, more Americans are living longer and "more productive lives" and they wish to grow old at home rather than being institutionalized in any way. However, as positive as this program is under the ACA, there have been terribly abusive billing policies.

However, there are provisions going into the ACA that will ensure accurate compliance and patient accuracy when it comes to billing for medical home services. That is important because home health is a "robust and rapidly expanding segment of the healthcare industry"; as mentioned earlier, the American population is aging rapidly and the need for adequate nursing services and home care has never been greater (Jones, 40). Home health, as Jones explains on page 40, has "great potential to improve quality of life and care for patients."

Nurse-managed Health Clinics

The great need that has arrived along with the ACA is the need to deliver healthcare to poor people who will be getting insurance for the first time -- and nurse practitioners in "nurse-managed health centers are poised" to meet this need (Pron, 2013). This truly shows remarkable progress in the delivery of healthcare services because nurse practitioners provide nearly the same level of service as doctors, and "more NPs may choose employment"…

Sources Used in Documents:

Works Cited

Arnold, H.D. (2013). The Affordable Care Act and International Recruitment and Migration

Of Nursing Professionals. Indiana Journal of Global Legal Studies, 20(2), 1373-1391.

Jones, D.S. (2014). Home Care and PPACA: New Challenges for a Rapidly Growing Health

Care Industry. Journal of Health Care compliance. 16(4), 35-61.

Cite this Document:

"More Jobs For Nurses From The Affordable Care Act" (2014, September 18) Retrieved January 29, 2023, from

"More Jobs For Nurses From The Affordable Care Act" 18 September 2014. Web.29 January. 2023. <>

"More Jobs For Nurses From The Affordable Care Act", 18 September 2014, Accessed.29 January. 2023,

Related Documents
Affordable Care Act
Words: 7648 Length: 28 Pages Topic: Healthcare Paper #: 94272710

The Affordable Care Act means that health coverage will be required for almost every American and will be partially subsidized. However, it will not change the employer-centric, private-insurer-based system of financing and coverage. Demand for care will increase significantly and rapidly, but the underlying issues that created the need for a safety net in the first place will not be solved in the near future. Feldstein (2005) argues that if

Public Policy Obamacare
Words: 1818 Length: 5 Pages Topic: Healthcare Paper #: 71933313

Public Policy the Affordable Care Act The Patient, Protection and Affordable Care Act transformed the landscape of modern American healthcare. It is changing how people receive a variety of services ranging from primary care to specialized procedures. The current issues are showing a divide that exists between liberals and conservatives. At the heart of this approach, is the role of the federal government vs. The free market. This means that each

How the ACA Can Be Abolished
Words: 3867 Length: 12 Pages Topic: Healthcare Paper #: 31540154

Policy, Politics and Global Health Trends The Affordable Care Act The Affordable Care Act (ACA) was recently signed into law in America. This public policy impacts all citizens of the U.S.A. And has been controversial from its inception, not only because many people, who were promised by the President that if they liked their plan they could keep it, ended up having to get a new plan at a higher rate, but

American Healthcare System and Affordable Care Act
Words: 1083 Length: 3 Pages Topic: Healthcare Paper #: 92554112

Issues Driving Change in Healthcare Healthcare is driven by policy changes like those embedded in the Affordable Care Act, by shifting social norms and attitudes towards healthcare, and by demographic changes such as the aging population. The Affordable Care Act was revolutionary in that it mandated universal coverage but still fell short of transforming the ethos of a market-driven healthcare system. As a result, the Affordable Care Act did not lead

Affordable Health Care Act
Words: 8273 Length: 25 Pages Topic: Healthcare Paper #: 29213218

Affordable Health Care Act Impact of the affordable health care act The affordable health care act, commonly referred to as Obamacare, brought a set of health care reforms aimed at making health consumers to be responsible for their health care. The act brought into law the patient's bill of rights, which gives Americans stability and flexibility in making informed health choices and decisions. Enacted by President Obama in 2010 as the Affordable

Job Opportunities for Health Care Managers in 2020
Words: 976 Length: 3 Pages Topic: Healthcare Paper #: 48805443

Job Opportunities for Health Care Managers in 2020 The health care industry is in the United States is on the poise of burgeoning more than it ever has before. There are several factors that directly contribute to this situation that span diverse areas of economics, demographics, technology and behavior and personal lifestyle choices. Virtually all of these facets of contemporary health care result in the fact that people are living longer