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"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 government's role as the primary payer of health care by adding 18 million people to the Medicaid program, which on average reimburses doctors only 56% of the market rate for medical procedures. Due to increased regulation and less reimbursement, 66% of doctors are considering no longer accepting government health programs" (Obamacare: Impact on Doctors 6).
It is scary to think of our country if there was to be a shortage of doctors. One would think that the President would…
1. Amadeo, Kimberly. "Obamacare Facts." About.com. N.p., n.d. Web. 7 April 2013.
The Cons of Obamacare
As the beginning of 2014 rapidly approaches and the Affordable Care Act, more commonly known as "Obamacare," begins to take effect it is becoming more and more obvious that the system, as defined, is economically infeasible. Through a series of new taxes, as well as the individual mandate, the Obama administration has assured every American that the new system will be fully funded and the price of their insurance will drop significantly. However, just as his promise of that every American could keep their own health plan or doctor if they wanted is proving to be a falsehood, his promise that the new law will add millions of new people to the insurance rolls while simultaneously lowering prices for the individual American is also proving to be false. The primary means by which the president has guaranteed financial stability, the individual mandate, will not provide…
Murphy, Robert. "The Economics of Obamacare." Ludwig Von Missus Institute 13 Nov.
2013. Web. 9 Dec. 2013. http://mises.org/daily/6587/
Obamacare Individual Mandate. Obamacare Facts. Web 9 Dec. 2013.
When campaigning for the presidential elections to be held in 2008, the two forefront candidates, Barack Obama and John McCain both announced that they wished for a health reform to be made for the welfare of the American people. It was planned that the next president would implement the reform they personally supported.
The reform that Barack Obama campaigned was meant to provide 'universal healthcare' to all of the United States of America. Statistics have shown that almost 40 million people living in America do not have health insurance, and therefore not only are they left unsecured, they also leave a burden on tax payers, with whose money, health care is provided for such people. The reason why so many people were uninsured was because people could not afford its cost.
The health care reform formally got passed on March 23, 2010 in the East oom of the White…
Parmet, Wendy. Populations, Public Health, and the Law. Georgetown University Press, 2009. Print.
United States of America. U.S. Department of Health & Human Services. What's Changing and When . Washington, D.C.:, Web. .
Wolverton, Ii Joe. "The Unconstitutional Healthcare Bill." New American. 21-12 2009: n. page. Print.
Obamacare: The Details
Obama's health care bill (23 March, 2010), passed by 219 votes to 212 in the House of Representatives with no Republican support, has been the biggest change in many years. In many ways a landmark, it will affect virtually every American depending on age and income, and will bring about changes in the health care industry, whilst also affecting coverage.
Changes are manifold and include the following:
million American, who are currently uninsured due to inability to afford insurance, or who are deemed too sick by insurance companies -- children included - to qualify for coverage, will be assisted
Insurers will be prevented from putting lifetime caps on coverage
Restrictions will be placed on the use of annual limits to ensure that people can access care.
million individuals, who lack health insurance due to economic reasons, will be afforded tax credit that will help them buy insurance…
Obamacare good for the economy?
The issue must be looked at from three points-of-view, One the development that goes on in the health care and how the policy ahs affected the health care industry and particularly various sections of the society, secondly the economic changes and developments that have come about in the medical care industry, and the burden and changes in the nations economy as a whole and whether all these changes are good, or have a favourable impact. It must be noted that health care is a very contentious subject that is often made the issue in elections and therefore have a political angle too.
Why must there be Obamacare?:
In the American system, there is no concept of social support in the economy that is largely controlled by the capitalist system. However social concerns have become paramount in the changing society. Fundamentally even doctors are divided on…
Blau, Francine D. (2006) "The Declining Significance of Gender?"
Russell Sage Foundation.
Boskin, Michael J. (2010) "Time to Junk the Corporate Tax Opinion"
The Wall Street Journal,
Obamacare health care premiums depends on location by Maureen Groppe (2013) narrates the story of how insurance premiums vary by different locations in the U.S. While many forms of price discrimination are disallowed under the Affordable Care Act, discrimination by zip code is still allowed. Insurance companies therefore discriminate based on differences in local health rates, and in services rendered in that community by health care providers. This information has just recently been made public through the information exchanges set up as the result of the ACA. There are other different facts presented, gleaned from the exchanges, for example average plan rates depending on the level of competition. Lack of competition was cited as a major contributor for the higher cost of rural plans. Competition is known to have a significant impact on pricing strategy, and the exchanges are actually designed to increase competition (Griffin, 2013).
There are a lot…
Griffin, D. (2013). The effect of competition on pricing strategy. Houston Chronicle. Retrieve November 12, 2013 from http://smallbusiness.chron.com/effect-competition-pricing-strategy-1109.html
Groppe, M. (2013). Cost of Obamacare health care premiums depends on location. Indianapolis Star. Retrieved November 12, 2013 from http://www.indystar.com/article/20131109/NEWS05/311090043/Cost-Obamacare-health-care-premiums-depends-location-nclick_check=1
When it comes to the Patient Protection and Affordable Care Act, all three branches of the United States government play their own role when it comes to this enacted legislation. Beyond that, the idea of federalism and federal supremacy clearly come into play given that the states are largely at the mercy and whim of what the federal government mandates. Even with that, the individual parts of the government at both levels and the roles that they have to play (at the federal level in particular) need to be mentioned and covered. While there has been a lot of acrimony and testy exchanges when it comes to the Patient Protection and Affordable Care Act, the program is established and verified law in the United States right now and there is not any current prospects of that changing.
As noted in the introduction, there are three distinct parts of…
NCC Staff. (2015). How Obamacare has faced five years of constitutional challenges. Constitution Daily. Retrieved 10 September 2016, from http://blog.constitutioncenter.org/2015/03/how-obamacare-survived-five-years-of-constitutional-challenges/
WSJ. (2016). Federalism and Obamacare. WSJ. Retrieved 10 September 2016, from http://www.wsj.com/articles/federalism-and-obamacare-1425513815
government actors discussed in Chapter 10 of the text, Health Policy Analysis: An Interdisciplinary Approach are federal government actors, state governments, and local government. They are the ones that form policy and pass laws that protect and enforce policy. The United States during its infancy formed a system of checks and balances that keep one-sided political agendas from taking over and that can be seen in recent legislature. "The Constitution that took effect in 1789 created a stronger national government, but it established a three-headed state with legislative, executive, and judicial branches and a system of checks and balances to ensure that no one branch would dominate" (McLaughlin & McLaughlin, 2015, p. 28).
ACA or the Affordable Care Act for example, is a step government actors have taken to reduce healthcare spending. States like Maryland have taken action in implementing sustainable ways to curb spending and promote wellness. The 2010…
McLaughlin, C., & McLaughlin, C. (2015). Health policy analysis. Burlington, MA: Jones & Bartlett Learning.
Wartman, S. (2015). The Transformation of Academic Health Centers. Academic Press.
Politics: Obamacare-Protection of Individuals With Pre-Existing Conditions
The Patient Protection and Affordable Care Act (PPACA) commonly referred to as Obamacare was signed into law on March 23, 2010 by President Barack Obama. The law was instituted to decrease the number of uninsured Americans and reduce the overall cost of health care. This paper seeks to show that PPACA Act, that was intended to decrease the number of uninsured Americans and reduce overall health care costs, actually contains misconceptions that are yet to be resolved almost two years after it was signed into law.
You and I know that under PPACA Act, insurance companies are compelled to cover all applicants regardless of pre-existing conditions or gender with the Congressional Budget Office projecting that the Act stands to lower future deficits and Medicare spending. The "pre-existing conditions" clause is particularly mind boggling. Is this health insurance scheme all inclusive or it tries…
Having shed some light on the provisions of the PPACA Act, let's now revisit the issue of "pre-existing conditions" bearing in mind that it was an emotive subject of debate in health care debate in the United States in 2009 and 2010 with majority of people opposing its exclusion by insurance industries and preferring its subsequent ban. Pre-existing condition is a medical condition that occurred before a program of health benefit comes into effect. Based on this definition, it is evident that "pre-existing condition" clause serves no purpose than rationing health care. Regardless of the definition which insurance companies give, "objective standard" or "prudent person," rationing of healthcare is still evident.
Definitions used by insurance companies are dictated by states where these insurance companies operate. Some states compel them to use objective standard definition where as other states require insurance companies to use prudent person standard definition. McCarran-Fergusson Act of 1945 bestows upon individual states within the United States the power to regulate pre-existing condition exclusions in individual and small group health insurance plans. The Act delegated insurance regulation responsibilities to individual states.
Tobacco has particularly been pointed out as pre-existing condition. This therefore implies that those who suffered from lung cancer or cancer of the pharynx as a result of using tobacco products, sought medical intervention, and have since recovered cannot enjoy the full benefits of Obamacare. The federal pre-existing condition exclusion regulation calls for setting up for premiums at standard rate for a standard population while the premiums for older individuals are allowed to be up to 4 times those of younger individuals. Despite the fact that pre-existing condition exclusions are prohibited for children under the age of 19 and in all health insurance plans, premium for tobacco users are only allowed to be up to 1.5 times the premium of non-tobacco users. This is an act of discrimination since you and I only know too well that pre-existing condition rules cruelly deny needy people treatment. Since insurance companies have made it a habit of wanting premiums without any risks, the pre-existing condition rule is most likely make them do anything within their means to make profits. If proper care is not taken, the Obamacare that was initiated to protect individuals from very high costs of health care may as well end up profiting unscrupulous commercial insurance companies that are ever keen on trying to avoid risks to maximize their profits.
Conservatives consistently argue for less and less support of the poor and those who cannot fully care for themselves, like children, the elderly, and those with disabilities while progressives argue precisely the opposite. Indeed, this is one of the most important divides between American liberals and American conservatives.
Welfare as we understand it today really begins with the New Deal of FD. Since then it has become more or less generous from one administration to another, with some surprises. onald eagan, as one might expect, cut welfare benefits, as did George W. Bush. But Bill Clinton did as well, as a part of what he called the "third way," which he intended to be a middle way between traditional conservative and liberal strategies (Fraker & Jacobson, 2000).
Current welfare support for the American poor is at levels far too low to provide evenly minimal care by any decent standard. This…
Citro, C.F. & Michael, R. (1995). Measuring Poverty: A new approach. Washington, D.C.: National Academy Press.
Fraker, T.M. & Jacobson, J.E. (2000). Iowa's Family Investment Program: Impacts during the first 3-1/2 years of welfare reform. Washington, D.C.: Mathematica Policy Research.
Discuss how one can recognize the merit system principles and prohibited personnel practices. Focus on the various mandates for personnel within the public sector and how those practices may need to be re-examined.
Explain how the grouping of activities helps to attain program objectives. How do they apply in public management?
Political Structure in Obamacare
ObamaCare is a law that the President Obama is extremely passionate about. He built a big part of his political career around healthcare reform. This law will allow millions of Americans who cannot afford health insurance or cannot quality for health insurance to get affordable coverage. Millions of Americans live with treatable diseases, because they cannot afford health care cost associated with getting treatment. In 2009, 16.7% of the U.S. population was uninsured (50.7 million people). Of this population, there are 7.5 million children under the age of 18 that is uninsured and 676,000 senior citizens (Kondro, E756). ObamaCare is law that was passed in March 2010, allowing this uninsured population to get health care insurance at an affordable cost. In this paper I will discuss our political structure and some of the processes that ObamaCare passed through, going from a bill to a law, and…
Cannona, Michael. "Federal Court Declares ObamaCare's Individual Mandate Unconstitutional." Retrieved on February 23, 2011 from http://www.cato-at-liberty.org/federal-court-declares-obamacares-individual-mandate-unconstitutional/
Kondro, Wayne. "Uninsured Americans." Canadian Medical Association Journal.182.17 (2010): E756. Print.
Roller, Dough. "Health Care Reform Bill -- 26 Facts and Figures." Health Insurance News. Insurance News, 2011. Web. 13 Feb 2011. .
Weintraub, Arlene. "Health Benefits: Medicare's Costly Doughnut Hole." Business Week Online. 10.16/2008 P19
Universal healthcare does not provide adequate access to primary care and preventive services. Patients under Medicaid program find it extremely difficult to access healthcare system. Physician participation in Medicaid has been hampered by their lower payment rates relative to private insurance. Primary care physicians, medical, and surgical specialists are especially not so keen on participating in Medicaid. This reduces enrollees' access to medical care.
Medicaid patients with non-ST segment elevation acute coronary syndrome (NSTSE ACS) are less likely to receive evidence based therapies compared to patients under private insurance who benefit significantly from innovative therapeutic approaches including early invasive management strategies. A major predictor of treatment and outcome is whether a patient has Medicaid or private insurance. Scheduling adequate and timely follow-up after initial treatment is a major issue for patients under universal care as opposed to patients who are privately insured. High cost of Medicaid unfortunately translates into enrollees'…
Donovan, C. (2011). HHS's New Health Guidelines Trample on Conscience. The Backgrounder,
Feldstein, M. (2009). Obamacare Is all About Rationing. The Wall Street Journal, pp. 1-2.
Graham, J.R. (2010). Should Your State Establish an Obamacare Health Insurance Exchange?
Affordable Care Act
Health policy issue in the United States
The Affordable Care Act (ACA)
The United States ACA is a vital healthcare law for the benefit of the multitude of American citizens unable to pay for quality healthcare for themselves and their families. President of the U.S., Barack Obama put the Act into effect on 23rd March, 2013. It was created for the purpose of according every citizen the opportunity of receiving quality healthcare services for prevention and cure (U.S. Department of Health and Human Services, 2013).
Timeline of evolution and events that led to the policy's creation
Autumn 2008: U.S. Democratic party presidential candidate Obama mentions a new healthcare policy
July 2009: Democratic legislators reveal their plans, in the form of a 1,000-page document, for revolutionizing the present U.S. healthcare system.
August 2009: Policymakers discover concerns among citizens with respect to "Obamacare," with one policymaker stating that citizens…
Affordable Health California. (2015, September 11). Timeline: Affordable Care Act. Retrieved from Affordable Health California: http://affordablehealthca.com/timeline-obamacare/
AFL-CIO. (2015, September 11). The Affordable Care Act Timeline. Retrieved from AFL-CIO: http://www.aflcio.org/Issues/Health-Care/The-Affordable-Care-Act-Timeline
The New York Times. (2014, October 26). Is the Affordable Care Act Working? Retrieved from The New York Times: http://www.nytimes.com/interactive/2014/10/27/us/is-the-affordable-care-act-working.html?_r=0#/
U.S Department of Health and Human Services. (2013). Key Features of the Affordable Care Act By Year. Retrieved from U.S. Department of Health and Human Services: http://www.hhs.gov/healthcare/facts/timeline/timeline-text.html
Affordable Health Care Act/Obama Care
hat is Obama Care?
Health issue is a critical concept in relation to the growth and development of any nation. It is essential for the healthcare to be affordable and accessible with the aim of enhancing the health conditions of the citizens of the relevant nation. In the context of the United States, there is the adoption and implementation of the concept of Obamacare in the healthcare system. The President of the United States, Obama, in association with the Congress signed Obamacare into law in 2010. The main aim behind this development is to ensure that all Americans have access to healthcare programs through enhancing accessibility to health insurance. This is because in the modern economy and health sector, it is expensive when visiting doctors for healthcare services and products (Klosek p. 32).
According to analysis of the economic resources, it is essential to note…
Klosek, Jacqueline. Protecting Your Health Privacy: A Citizen's Guide to Safeguarding the Security of Your Medical Information. Santa Barbara, Calif: Praeger, 2011. Print.
Tate, N. (2013). ObamaCare survival guide.
Pipes, Sally. The Truth About Obamacare. Washington, DC: Regnery Pub, 2010. Print.
Healthcare Economics and Perspective of Sociology
Five years from now, the ACA will improve American health care delivery as well as reduce costs of health care services. Health insurance coverage reforms will uphold the principles of ACA through numerous provisions of direct targets of how health care systems are organized, paid for, and delivered in United States (Cimasi, 2014). The rules aim at addressing identified shortcomings in U.S. health system. The inefficiencies and high costs of fee-for-service systems will be directed to reduce variability in the quality of care among patients receiving viable roles between regions (Teitelbaum, 2013).
Health care providers will show interest in fixing daunting problems and obstacles. One of the areas of improvement includes the establishment of reimbursement systems that are aimed at rewarding physicians and hospitals for treating patients infected with acute conditions. The solutions surpass those with the ultimate focus on the prevention of such…
Lange, P. A. M., Kruglanski, A. W., & Higgins, E. T. (2011). Handbook of Theories of Social Psychology. New York: SAGE.
Affordable Care Act (ACA)
• Differentiate between at least three groups of stakeholders impacted by the ACA.
Obamacare or the ACA (Affordable Care Act) was primarily designed and put into effect in the year 2010 with an objective of offering better healthcare insurance coverage for the American people and minimize the heavy costs incurred by the American people to access healthcare (Thompson, 2014). Although ACA has achieved sizeable success in coverage there are still many challenges facing it including slow adoption across America, funding problems and problems getting the support of the public (Center for Public Impact, 2017). The main stakeholders of ACA include the healthcare providers, healthcare consumers, employers, and the States.
Consumers: Healthcare consumers in America details about 55% Americans who have healthcare insurance cover through the employer. 33% Americans have healthcare insurance cover through government program. These people may not be impacted by the variations and tides…
affordable Care Act (also known as the ACA or Obamacare) on the elderly
Obamacare: Its impact upon the elderly
The impact of the Affordable Care Act (ACA) (often called 'Obamacare') upon America is often discussed by politicians as if it had a uniform impact upon all citizens. However, the ACA's effects have been relatively disparate, depending upon the nature of the population. This paper will specifically focus upon the impact of the ACA on the elderly of a variety of socio-economic categories.
One of the criticisms of the American healthcare system before the passage of the ACA was the spiraling cost of entitlement programs such as Medicare, the federally-provided health insurance program for seniors. "One good result of all this [ACA] is that the burden of Medicare for taxpayers in future years has been drastically lowered. In fact, the day Barack Obama signed the ACA into law he cut the…
ACA. http://www.hhs.gov/healthcare/rights / Accessed November 6, 2014.
FAQ: What retirees and seniors need to know about the ACA? NPR. October 11, 2013.
http://www.npr.org/2013/10/11/231101137/faq-what-retirees-and-seniors-need-to-know-about-the-affordable-care-act Accessed November 6, 2014.
Goodman, John. What seniors have to fear from Obamacare? Forbes. October 28, 2014.
ACA has had on physicians. This is related to my field of study, and to the article that I worked with last week. This issue can be examined in terms of how it affects private practice, how the demand conditions have changed and how the workload has changed. There are a lot of different dimensions to this story. I have chosen this focus because it interests me.
The Affordable Care Act allowed millions of Americans to enjoy medical insurance coverage, when they previously had not been able to do so. One of the predictions before the ACA was brought into force was that bringing millions of people into the health care system would strain the system's existing resources. The theory is that the system was already near capacity, so adding that much new demand would strain that capacity.
There have been a number of articles providing anecdotal evidence that there…
Riggs, K., Buttorff, C. & Alexander, C. (2015). Impact of out-of-pocket spending caps on financial burden of those with group health insurance. Journal of General Internal Medicine. Vol. 30 (5) 683-688.
The Affordable Care Act (a.ka. Obamacare) has created some interesting implications for financial reporting. The issues revolve around the determination of benefits, particularly when companies opt to put their employees through Obamacare insurance exchanges where they had previously been on a company plan. The Affordable Care Act was signed into law in 2010, and reshaped the health care insurance industry in particular. With the creation of health care insurance exchanges, competition in health insurance was increased and some of the information asymmetry in the health care market decreased -- though not nearly enough for the market to be considered competitive.
One of the implications for accountants of the Affordable Care Act is that many employers have taken the opportunity to move their employees off of employer-sponsored plans and onto the exchanges as a means of reducing the cost of their benefits programs. As the ACA implementation process accelerates, the…
CalCPA. (2014). ACA mythbuster. California CPA Education Foundation. Retrieved May 2, 2014 from http://www.calcpa.org/content/27238.aspx
FASB (2010). Contingencies (Topic 450). Financial Accounting Standards Board. Retrieved May 2, 2014 from http://www.fasb.org/cs/BlobServer?blobkey=id&blobnocache=true&blobwhere=1175823559187&blobheader=application%2Fpdf&blobheadername2=Content-Length&blobheadername1=Content-Disposition&blobheadervalue2=309726&blobheadervalue1=filename%3DProposed_ASU_Contingencies_Topic_450_Disclosure_of_Certain_Loss_Contingencies.pdf&blobcol=urldata&blobtable=MungoBlobs
FASB Summary of Statement No. 158. Financial Accounting Standards Board. Retrieved http://www.fasb.org/summary/stsum158.shtml
Kastrup, L. (2013). Financial reporting implications under the Affordable Care Act. American Academy of Actuaries. Retrieved May 2, 2014 from http://www.actuary.org/files/HPFRC_White_Paper_on_ACA_and_FR_final_062513.pdf
When the Affordable Care Act was upheld by the Supreme Court, several people commended the Court for refusing to remove the only social protection they had which was established and improved by the New Deal as well as the Great Society. The House of Congress agreed to allow certain states have a significant level of command on the way federal programs such as Medicaid were implemented on the condition that it would be free to set up and enlarge its planned national entitlement schemes (Brown-Nagin, 2013). A huge disagreement in the beliefs of federalism has been bared for all via the suits contesting the Obamacare mandate. A school of thought believes that the government should get involved even constitutionally in situations when certain states do not have individual capabilities to settle a particular dispute. This school also believes that the main reason why the Constitution clearly specifies national bodies is…
Affordable Care Act
Since its enactment in 2010, the Affordable Care Act (ACA) has transformed the way in which healthcare is provided in America. With its primary aim being to address "long-standing challenges facing the U.S. healthcare system related to access, affordability, and quality of care," the ACA has increased healthcare coverage for more Americans by mandating that health insurance be purchased and that insurance providers not discriminate against applicants (Obama, 2016). When considering the ACA, however, it is important to realize that this piece of healthcare legislation is far more impactful on the lives of Americans than simply in a healthcare context: in fact, the ACA affects lawmakers at both state and federal levels, workers, politicians and voters tasked with electing officials who will either pledge to carry the mantle of the ACA -- or repeal and replace it, as President-Elect Donald Trump has pledged to do. This paper…
Benitez, J., Creel, L., Jennings, J. (2016). Kentucky's Medicaid expansion showing
early promise on coverage and access to care. Health Affairs, 35(3): 528-534.
Leflar, R. (2013). Reform of the United States health care system: an overview.
Arkansas Law Notes, 1171. Retrieved from http://media.law.uark.edu/arklawnotes/2013/07/12/reform-of-the-united-states-health-care-system-an-overview-2/
Health Care eforms
Healthcare reform has been a national issue for some time and the ability to afford citizens the opportunity to adequate healthcare services is an interesting debate with many ideas and arguments both for and against the practice. To help understand the finer meanings of what health care reform laws can impact on a region it is necessary to examine the impact of such reforms on a selection of states.
The purpose of this essay is to compare and contrast the varying health care reform laws of three differing states. This essay will examine Maine, Vermont and Massachusetts transformations in healthcare laws to help contextualize the law and demonstrate its feasibility, or lack of feasibility within the real world
The impetus for the attention given to health care reform has no doubt started due to the efforts of the Federal Government's involvement in regulating medical treatment through policy…
Bragdon, T. & Allumbaugh, J. (2011). Health Care Reform in Maine: Reversing "Obamacare Lite.." The Heritage Foundation, 19 July 2011. Retrieved from http://www.heritage.org/research/reports/2011/07/health-care-reform-in-maine-reversing-obamacare-lite
Grubb, L. (2013). Lessons From Vermont's Health Care Reform. The New England Journal of Medicine, 4 April 2013. Retrieved from http://www.nejm.org/doi/full/10.1056/NEJMp1212974
Maine.gov (nd). Individual Health Insurance in Maine. Viewed 6 June 2014. Retrieved from http://www.maine.gov/pfr/insurance/consumer/IndividualHealth.html
Vermont State Senator Tim Ashe Website (2011). Vermont Health Care Reform Explained. March 2011. Retrieved from http://www.timashe.com/vermont-health-care-reform-explained-in-simple-terms/
Laws and Health Care
The health care industry has undergone massive overhaul in recent times and the impact of the laws and regulations that accompany this change have deep and resounding effects on the way professionals approach their industry. The purpose of this essay is to explain the role of governmental regulatory agencies and their effect on the health care industry.
This essay will first provide two examples of laws and regulations that have empirically demonstrated a noticeable and impactful transformation of the system. The next section of this essay is how these laws have personally affected me and my environment in Samaritan Hospital and how these regulations both serve and detract from our overall objectives of patient quality and healing those who seek our help.
Example 1: Affordable Care Act
Laws and regulations are present at many different levels within the health care industry. Private practices surely have their…
Anderson, A. (2014). The Impact of the Affordable Care Act on the Health Care Workforce. The Heritage Foundation, 18 Mar 2014. Retrieved from http://www.heritage.org/research/reports/2014/03/the-impact-of-the-affordable-care-act-on-the-health-care-workforce
Emanuel, E.J., Daniels, E.R., Fairclough, D.L., & Clarridge, B.R. (1996). Euthanasia and physician-assisted suicide: attitudes and experiences of oncology patients, oncologists, and the public. The Lancet, 347(9018), 1805-1810.
McClanahan, C. (2012). Cliffs Notes Version of the ACA. Forbes, 9 July 2012. Retrieved from http://www.forbes.com/sites/carolynmcclanahan/2012/07/09/cliffs-notes-version-of-the-affordable-care-act/
Pereira, J. (2012). Legalizing euthanasia or assisted suicide: the illusion of safeguards and control. Current Oncology, Apr 2011, 18 (2). Retrieved from http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3070710/
In an ideal world, every single person would be able to afford the medical care and attention they need throughout their lifespan. The Affordable Care Act, colloquially called Obamacare, set as its goal eventual universal healthcare coverage. Unfortunately, Obamacare has not promoted the ultimate goal of providing affordable healthcare for all Americans. Mandating healthcare insurance does help reduce disparities in access to affordable and necessary interventions, tests, and treatments. As idealistic as Obamacare is, the policy has not reduced the costs of healthcare but it does represent a step in the right direction towards distinguishing between the profit motive in healthcare insurance and the ethical obligation to create a more caring and egalitarian society.
The Affordable Care Act used mandated insurance coverage as its main policy initiative for several reasons, both fiscal and humanitarian. As Gruber (2012) points out, about 12 million employed Americans were not receiving coverage from their…
State of Florida: Affordable Care Act (ACA) Implementation
The Affordable Care Act (ACA) was designed to extend healthcare coverage to more Americans, ideally to cover all Americans. Yet the passage of the bill was relatively turbulent, and resulted in a somewhat inconsistent implementation of its fundamentals on a state-by-state basis. Before the ACA, the state of Florida had one of the highest uninsured rates in the nation and after the implementation of the ACA and the healthcare exchange, “the uninsured rate has reportedly dropped from around 20% in 2013 to 15.2% in 2015,” although this rate is still higher than the national average of uninsured persons (Born, 2017, p.3). Florida is one of the states that has elected to have its citizens research and obtain healthcare coverage on the national exchange, rather than implement a state-specific healthcare exchange. As noted by Norris (2018), using the most recent data available, Florida…
The Affordable Care Act: Can It Be Fixed?
The Future of the Patient Protection and Affordable Care Act
The Pros and Cons of Obamacare
The Effects of Obamacare on American Small Businesses
What are the main arguments for and against Obamacare?
How much should Americans pay for healthcare insurance?
Why do Americans pay more for their healthcare than consumers in some other countries?
Is Obamacare’s individual mandate unconstitutional?
A. Background and Overview
B. Pros of Obamacare / Advantages
C. Cons of Obamacare / Disadvantages
The Future of Patient Protection and Affordable Care Act also known as Obamacare
The future of Obamacare? Probably the same as its past:
A bit of a mess. – Ben Boychuk, 2014
Signed into law by former President Barack Obama in March 2010, the Patient Protection and Affordable…
Obamacare, or formally known as the Affordable Care Act, is a recent healthcare law that will reach its implementation stage in 2014. Healthcare is certainly a fundamental necessity and indispensable to a growing human population. he United States is known for its adequate healthcare, servicing low income people through Medicaid, and the elderly through Medicare. However, recent events have led to a shift in what can possibly negatively impact the healthcare system for the United States.
Obamacare has good intentions in having its purpose be to supply affordable healthcare to everyone within the United States, but certain clauses and modifications have turned it into a dicey and uncertain situation. Not only are the costs piling up, and continue to increase, but the distribution of healthcare services is primarily execute through health insurance coverage. his means that there will be a change in how the healthcare system functions at the core…
The way that Affordable Care Act works, however, is that plans that would have failed to meet the standards of Bronze plan can no longer be offered. Such plans were often popular with either poor people who could not afford a better plan, or young people who are unlikely to have to make a claim. For such individuals, the increase in their health premiums might be significant, and political opponents of the Act are making every effort to collect anecdotes from such people to use as scare tactics (Radnofsky, 2013). The reality is that most young people were almost always going to have to pay more, which in part explains why it is older people who have signed up for plans on the exchanges (Mangan, 2013).
Are there Risks to the ACA?
There also risks with the Act that could jeopardize the way the system works. John (2013) notes that if not enough people sign up, then insurance companies will make smaller profits. He does note that the signups at higher rates
The Affordable Care Act works on the premise that all Americans should have access to health care insurance. Because this is provided through insurance companies, the system is only enforceable under certain conditions. One of the key tenets of health care reform is the idea that those with pre-existing conditions cannot be denied insurance coverage. This group of people has long had problems getting insurance, and insurance companies spend tens of millions to invent pre-existing conditions that would then be used to deny coverage. Even insurance commissioners have been known to take offensive and absurd stances on pre-existing conditions, arguing that insurance companies should not have to take customers with such conditions because the person is to blame for their pre-existing condition (Ferguson, 2013). With attitudes like this from people connected to the insurance industry, the only way that the Obama Administration was going to achieve universal health care…
Ferguson, D. (2013). Georgia insurance commissioner: It's your fault if you have a pre-existing commission. Raw Story Retrieved December 6, 2013 from http://www.rawstory.com/rs/2013/12/05/georgia-insurance-commissioner-its-your-fault-if-you-have-a-pre-existing-condition/
Klein, E. (2012). Unpopular mandate. The New Yorker. Retrieved December 6, 2013 from http://www.newyorker.com/reporting/2012/06/25/120625fa_fact_klein
Kliff, S. (2013). Washington State provides case study on effects of health care reform. Washington Post. Retrieved December 6, 2013 from http://articles.washingtonpost.com/2012-06-16/national/35461636_1_individual-mandate-health-insurance-insurance-reforms
AARP. (2013). For people 65+. American Association of Retired People. Retrieved December 6, 2013 from http://www.aarp.org/content/dam/aarp/health/healthcare_reform/2013-07/aca-factsheet-for-65-aarp.pdf
Affordable Care Act decreased the number of Americans without health insurance by the millions, which was its primary objective. It used three different mechanisms to achieve this goal -- the expansion of Medicaid, the insurance exchanges, and the extension of coverage to young adults up to age 26. These changes have also helped to stem the growth of health care costs, and have delivered greater health care savings throughout the system, even private insurance customers, than was originally expected. There were some initial costs to the ACA, running from 2014-2019 but after the point the Congressional Budget Office expects the ACA will have a net benefit in terms of its impact on the budget, because of the new taxes it created.
The incoming government is expected to unwind the ACA, as this has been a stated goal of Trump, and of the epublican party. What this means has been studied.…
Abbott, R. K. (2015). The Impact of the Affordable Care Act on Large Employers: A Retrospective. Benefits Quarterly, 31(1), 8-14.
CBO (2016) Budgetary and economic effects of repealing the Affordable Care Act Congressional Budget Office. Retrieved December 4, 2016 from https://www.cbo.gov/sites/default/files/114th-congress-2015-2016/reports/50252-Effects_of_ACA_Repeal.pdf
CBO (2016) Payment of penalties for being uninsured under the Affordable Care Act Congressional Budget Office. Retrieved December 4, 2016 from https://www.cbo.gov/publication/45397
HHS.gov (2016). The Affordable Care Act is working. Department of Health and Human Services. Retrieved December 4, 2016 from http://www.hhs.gov/healthcare/facts-and-features/fact-sheets/aca-is-working/
Affordable Care Act & Nursing
There are a number of different provisions of the Affordable Care Act that were designed to improve the health care system -- well, all of the provisions were designed to do that. The most immediate improvements will be the provisions that low the cost of drugs (such as the Medicaid rebate for brand name drugs) and the generics approval change. The biggest change that affects the quality of care is probably the provision regarding readmissions. The core of this provision is the idea that high rates of readmissions indicates a relatively poor standard of care is being given; so penalties for high readmission rates will encourage hospitals to have a higher standard of care in the first place, doing more for underlying conditions instead of just treating symptoms. Another beneficial provision is that plans now need to cover several types of preventative screening.
Djukic, M. & Kovner, C. (2010). Overlap of registered nurse and physical practice: implications for U.S. health care reform. Policy, Politics & Nursing Practice. Vol. 11 (1) 13-22.
Sommer, A. (2001). How public health policy is created: Scientific process and political reality. American Journal of Epidemiology. Vol. 154 (12) S4-S6
Winkelstein, W. (2009). The development of American public health, a commentary: Three documents that made an impact. Journal of Public Health Policy. Vol. 30 (1) 40-48.
ACA International Implications
The 2010 Affordable Care Act (ACA) seeks to impose new requirements for both employers and individuals in terms of health insurance coverage. However, is the ACA affecting globally mobile workers (those on long-term assignment abroad or in the U.S.), is the ACA altering the Federal Employees Health Benefits Program? The details of the ACA provisions are complex and still evolving. The ACA is altering America's healthcare landscape, affecting insurers, individuals, and employers, including the state and federal governments (Kongstvedt, 2013). Among the notable changes include new marketplaces or public exchanges where persons can buy healthcare coverage and penalties on people who lack health insurance. It is believed that penalties on employers failing to provide coverage will take effect by the end of 2015.
In terms of Federal Employees Health Benefits Program, the Act sets in motion for greatest reform in the employer-offered health benefits in the post-World…
Emanuel, E. J. (2015). Reinventing American Health Care: How the Affordable Care Act Will Improve Our Terribly Complex, Blatantly Unjust, Outrageously Expensive, Grossly Inefficient, Error Prone System. Perseus Books Group
Herzlinger, R. E. (2004). Consumer-Driven Health Care Implications for Providers, Payers, and Policy-Makers. Hoboken, John Wiley & Sons.
Selker, H. P., & Wasser, J. S. (2014). The Affordable Care Act as a National Experiment: Health Policy Innovations and Lessons. Springer Science & Business Media
Kongstvedt, P. R. (2013). Essentials of Managed Health Care. Burlington, MA, Jones and Bartlett Learning.
Affordable Care Act
Affordable Health Care
Healthcare is very expensive in the U.S. today but it is also something that everyone needs. That is why affordable healthcare would be a great program for families in America: they could have the care they require at a cost that would not impoverish them at the same time. However, with the passing of the Affordable Care Act (ACA), healthcare costs and premiums have actually gone up for many families (Durden, 2015). Through the ACA, the government is requiring healthcare insurance be mandated for every citizen in the U.S.; however, those citizens with a limited income or who cannot afford to pay for health insurance are penalized because the premiums offered by the insurance companies are too high. This paper will show how even though having mandatory healthcare for everyone is a great idea, seniors and low income families cannot afford the insurance premiums.…
Durden, T. (2015). Meet the family that just spent half its annual income paying for Obamacare. Zero Hedge. Retrieved from http://www.zerohedge.com/news/2015-11-15/meet-family-just-spent-half-its-annual-income-paying-obamacare
Goodman, J. (2014). A Costly Failed Experiment. The Wall Street Journal. Retrieved from http://www.wsj.com/articles/SB20001424052702303802104579451162959061196
Health Care Reform. (2012). Supreme Court Debates, 15(5): 47-61.
Puffer, J. et al. (2015). Envisioning a New Health Care System for America. Family Medicine, 47(8): 598-603.
The ACA does not by any means fully resolve this, but it makes strides towards addressing this critical issue of morality. The individual mandate is similar -- where the profit of one individual leads to the suffering of another, the suffering takes precedence -- the money is not as important. Not doing harm to others is the more important imperative, so the sacrifice for the greater good in this case would be the moral course of action according to Kant.
Locke's moral philosophy comprises two parts. The first is natural law, in that there are divine laws, they are obligatory and humans can understand these. The second is more hedonistic, that pleasures and pains serve to "provide morality with its normative force" (Sheridan, 2011). That these two views seem to contrast is well-established and indeed they lead to different interpretations of the key tenets of the Affordable Care Act.…
HHS.gov (2014). About the law. Department of Health and Human Services. Retrieved May 10, 2014 from http://www.hhs.gov/healthcare/rights /' target='_blank' REL='NOFOLLOW'>
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 also because the very individuals who promoted the policy demonstrated a clear conflict of interest in doing so (Cesca, 2010).
The financial impact of the policy has been a serious one: rates have increased and people who cannot afford to buy health coverage are to be taxed if they do not buy it. Moreover the Act asserts that "healthcare is a right, not a privilege" (ak, Coffin, 2014, p. 317). However, by "enforcing" everyone to exercise that "right,"…
Cesca, B. (2010). Punishing the Health Insurance Cartel for Extortion and Fraud.
Huffington Post. Retrieved from http://www.huffingtonpost.com/bob-cesca/punishing-the-health-insu_b_321420.html
Coaltion for DSM-5 Reform. (2012). DSM5-Reform. Retrieved from http://dsm5-
health care industry, in terms of the economics of that business, and how it is structured. The Affordable Care Act was introduced in 2010 in order to address some of the issues that are inherent in the health care industry, namely a high rate of uninsured and skyrocketing costs that were threatening the quality of care for everybody else. The reality is that the ACA has been highly successful. While there are still too many uninsured, some 20 million Americans have gained health care. The costs have been fairly high, but they are decreasing, the from a fiscal point-of-view the Congressional Budget Office sees the ACA as actually contributing positively to the federal budget by around 2019.
So the benefits of the ACA have basically been realized, and at a fairly reasonable, and declining, cost. The law has met its primary objective, and performed fairly well. There were some issues,…
Bryan, B. (2016). The percentage of Americans without health insurance just hit an all-time low. Business Insider. Retrieved December 4, 2016 from http://www.businessinsider.com/americans-without-health-insurance-all-time-low-uninsured-rate-2016-9
CBO (2016) Budgetary and economic effects of repealing the Affordable Care Act Congressional Budget Office. Retrieved December 4, 2016 from https://www.cbo.gov/sites/default/files/114th-congress-2015-2016/reports/50252-Effects_of_ACA_Repeal.pdf
Kaiser Family Foundation (2016) Status of action on the Medicaid expansion decision. Kaiser Family Foundation. Retrieved December 4, 2016 from http://kff.org/health-reform/state-indicator/state-activity-around-expanding-medicaid-under-the-affordable-care-act/?currentTimeframe=0
Lorenzetti, L. (2016). Here's why you'll likely pay more for your employer-sponsored health insurance. Fortune. Retrieved December 4, 2016 from http://fortune.com/2016/06/21/health-care-rising-costs/
Affordable Care Act and EMS
The affordable care act is a medical insurance program that came into existence during the Obama regime. This came as a subsequent addition to the Medicaid and Medicare programs as fronted in the year 1965. The motive behind the creation of this scheme was to improve the affordability and accessibility of medical care to all the American citizens. Just like America, every society around the globe is made up of the less privileged and the rich. Therefore, the country's leadership opted to have this kind of insurance scheme so that everyone, regardless of the economic status can access cheap medical attention and in a convenient way. This forms the basis of the Affordable care act. This program offers many opportunities in the future for the Emergency Medical Services (EMS) organization. In this case, there are chances for the people to benefit from the same.
Catalano, J.T. (2015). Nursing Now! Today's Issues, Tomorrow's Trends. New York: F.A. Davis
Cone, D. et al., (2014). Emergency Medical Services: Clinical Practice and Systems Oversight, 2 Volume Set. New York: John Wiley & Sons
Copeland, C.W. & Carey (au), M.V. (2011). Upcoming Rules Pursuant to the Patient Protection and Affordable Care Act (PPACA). New York: DIANE Publishing
Faguet, G. (2012). The Affordable Care Act: A missed opportunity, a better way forward. New York: Paperbag.
epublican stance on the Affordable Care Act has been decisively antagonistic and contrarian, and was machinated to address the main problem with the ACA, which is that it was authored by Obama. Likewise, epublican hostility toward the ACA represented the conservative platform's ignorance of the issues and the reasons underlying the ACA in the first place. The ACA was a step forward in creating a more progressive United States in which healthcare would be seen as a basic human right, and in fact did not go far enough in driving down healthcare costs. Instead of suggesting a new policy that would improve upon the ACA by restructuring the way insurance and privatized healthcare works, the epublicans introduced a bill that quickly died.
Specific problems the epublicans identified in the Affordable Care Act center on paranoia over federalism, what the epublicans call "federal entitlement," and the perceived pitfall of mandating that…
Fox, L. & Walsh, D. (2017, March 7). Republicans unveil bill to repeal and replace Obamacare. CNN. Retrieved online: http://www.cnn.com/2017/03/06/politics/republicans-public-obamacare-plan/
Goldstein, A., DeBonis, M. & Snell, K. (2017, March 6). House Republicans release long-awaited plan to replace Obamacare. The Washington Post. Retrieved online: https://www.washingtonpost.com/powerpost/new-details-emerge-on-gop-plans-to-repeal-and-replace-obamacare/2017/03/06/04751e3e-028f-11e7-ad5b-d22680e18d10_story.html?utm_term=.75cce2e46293
Holan, A.D. (2017, March 7). 6 takeaways from the GOP health care plan to replace Obamacare. Politifact. Retrieved online: http://www.politifact.com/truth-o-meter/article/2017/mar/07/7-takeaways-gop-health-care-plan-replace-obamacare/
Ethics of Repealing and Replacing the Affordable Care Act (ACA)
Before President Donald Trump was elected into office, he promised to repeal and replace the ACA within the first 100 days in office. This was probably a ray of hope for all the people suffering under the act. Surprisingly, however, the term 'suffering' is subjective. It is not yet clear whether the majority of citizens prefer the existing health care system or not. According to statistics, the number of people who view the system as unfavorable almost matches the number of those who view it as favorable. This leaves one question; is repealing and replacing the act an ethical and viable solution?
The Act offers a number of benefits and disadvantages in almost equal measures. For instance, many have complained about the high cost of insurance plans and limited access to services. However, citizens are enjoying benefits such as coverage…
The Affordable Care Act (ACA) was passed into law under the Obama Administration and was responsible for reshaping the health care system in many different ways. From overhauling procedures regarding how health care providers deal with patients and practice quality care to providing more people with coverage, the ACA was meant to make fix many of the problems that Americans had with health care. While some have found the ACA to be highly positive, others have found it to be a complete disaster.
Obama noted that the aim of the ACA was to address “long-standing challenges facing the US healthcare system related to access, affordability, and quality of care” (525). Those three points—access, affordability and quality—were the main selling points of the ACA. The legislation was supposed to provide more access to care for people. It was supposed to make care more affordable, and it was supposed to increase the…
The ACA and the U.S. Health Care System
· The Affordable Care Act (ACA) was meant to promote greater quality care through increased implementation of preventive care; but as Lichtenfeld (2011) and Moynihan (2015) have shown, the health care industry remains committed to a course of treatments and tests because both are generally subsidized by the federal government—and, frankly, preventive care does not ensure that customers will keep coming through the door to make the industry money.
· The problem with the ACA has been that it has done little to reduce the putting of profits before people mentality that plagues the health care industry.
· It idealistically identified the right objectives—increasing access to care, increasing quality of care, lowering the cost of care, and increasing preventive care (Obama, 2016).
· However, in practice it failed to ensure that a mechanism was in place to actually enable the achievement of…
Healthcare as an Obligation of Each Citizen
The commercialization of services and goods has been on the rise with the prevalence of globalization to an extent that even essential services that human cannot survive without like the health care have widely been commercialized. The provision of healthcare especially in the cases of delicate surgical procedures and extensive medication has been left the selected few who go for it from the high end private hospitals with personal doctors and consultants. This privilege however comes at a cost, one that the poor and average Americans cannot afford hence they miss out on them and are rendered to make do with the public health services provided by the government.
It is hence an obligation of each individual to uphold the contributions towards the provision of the free and comprehensive universal healthcare for all the citizens of America. We all have the…
Michelangelo S., (2014). Obamacare Success Story: Man With HIV Thought He'd Be 'Dead Within 6 Months,' Now Has Awesome, Cheaper Insurance. Retrieved May 15, 2015 from http://www.huffingtonpost.com/michelangelo-signorile/obamacare-success-story-m_b_4413329.html
The Atlantic Monthly Group, (2015). The Precarious Success of Obamacare. Retrieved May 15, 2015 from http://www.theatlantic.com/health/archive/2015/03/for-those-that-hate-obamacare-do-you-know-why/387913/
Healthcare and evenue Cycles
When it comes to the revenue cycle and receivables management, a healthcare organization faces unique challenges. These challenges include the fact that many clients (patients) cannot afford the care they are there to receive because of the extremely high cost of healthcare. Thus, they are either covered completely by insurance, covered partially, covered by the state (Medicaid or Medicare), or are self-payers or indigent patients (cannot pay at all and rely on financial assistance from the organization). The facility cannot deny care to patients so must be able to balance providing quality care with the need to maintain a functioning, financially stable facility (the facility after all does have its own costs). For that reason, a healthcare facility must seek to prevent denials of claims while effecting a clear and apparent process of billing for patients. evenue cycle management must also be efficient so that billings…
Fishbowl. (2013). 3 popular inventory management techniques -- business quick tips.
YouTube. Retrieved from https://www.youtube.com/watch?v=2yEcJIgN16I
RevCycle Intelligence. (2016). How the Affordable Care Act impacted healthcare revenue cycle. Retrieved from http://revcycleintelligence.com/news/how-the-affordable-care-act-impacted-healthcare-revenue-cycle
Evidence Based Practice
University of Illinois Evidence Based Medicine Resources: Lessons Learned
From the search resources I learned that in evidence based medicine, patient values comprising of their unique concerns, preferences, and expectations introduced to the clinical encounter ought to be integrated in determining the ideal care for patient. This integration will guarantee that the individual patient’s clinical state, the clinical setting and best patient outcome prevail in ideal decisions on optimal service delivery to the patient (Sackett, Rosenberg, Gray, Haynes, & Richardson, 1996).
The second aspect learned is that in order to integrate Evidence-Based Nursing and clinical care, there is the need for a basic comprehension of the attributes related to the inherent published evidence. Resources in Evidence-Based Practice are categorized in a hierarchy relating to the quality of the research or evidence. In Evidence-Based Practice, decisions making on best care to patient are not just basically guided by…
Insuring the Uninsured
The author of this report has been charged with offering solutions for the millions of Americans that are uninsured or under-insured. Some people that are under-insured or uninsured are in that situation through little to no fault of their own. However, others are able to afford insurance but simply choose not to enroll in coverage. However, everyone should be insured because accidents and illnesses do happen to everyone at some point and the cost needs to be spread evenly among everyone. Certainly, the expense should be subsidized or fully covered for those that cannot afford coverage but the need to cover everyone still remains. While some of the opinions in this report are not going to be popular with some people, the author of this report sticks by them without question.
One major provision of the Patient Protection and Affordable Care Act (PPACA) was that people…
Healthcare.gov. (2015). Individual Mandate Penalty You Pay If You Don't Have Health Insurance Coverage. HealthCare.gov. Retrieved 7 July 2015, from https://www.healthcare.gov/fees-exemptions/fee-for-not-being-covered/
Somashekhar, S. (2015). You're already paying for some undocumented immigrants' health care. Washington Post. Retrieved 7 July 2015, from http://www.washingtonpost.com/blogs/wonkblog/wp/2013/06/14/youre-already-paying-for-some-undocumented-immigrants-health-care/
Tracer, Z. (2015). Employers' Shift to Private Health Exchanges May Cost Employees More. Insurancejournal.com. Retrieved 7 July 2015, from http://www.insurancejournal.com/news/national/2015/04/07/363490.htm
Affordable Care Act
What is the ACA?
The 2010 Affordable Care Act or the PPACA (Patient Protection and Affordable Care Act - H3590), nicknamed Obamacare, is the latest American healthcare reform legislation. The PPACA encompasses the Patient Protection Act, the Affordable Health Care for America Act, and portions of the Student Aid and Fiscal esponsibility Act and Health Care and Education econciliation Act, connected with health care. Additionally, it encompasses revisions to the Food, Drug and Cosmetics Act, Health and Public Services Act, and other legislations. Further regulations and rules have served to expand upon the ACA since its enactment in March 2010 (Affordable Care Act Summary). Summaries of the act have been updated as and when changes were effected.
The 2010 ACA represents an extensive, elaborate law which is designed to transform the U.S. healthcare system, through the provision of quality healthcare coverage within the means of nearly all…
"Affordable Care Act Summary." Obamacare Facts: An Independent Site for ACA Advice. Web. 14 Sep 2016. .
Fuscaldo, Donna. "ACA Changes: More Small Business Owners to Offer Coverage, Face Increased Compliance - Health Insurance - U.S. News." Health News Articles - U.S. News Health - U.S. News. 2016. Web. 15 Sep 2016. .
"Health Insurance Exchanges." Health Plans & Dental Coverage - Aetna. Web. 15 Sep 2016. .
Jost, Timothy and Harold Pollack. "Key Proposals to Strengthen the Affordable Care Act." The Century Foundation - Home.2015. Web. 15 Sep 2016. .
Patient Protection and Affordable Care Act/Impact of ACA from the Organizational and the Patients view
Impact of the Affordable Care act (ACA) on the population that it affected
Impact of the economics of providing care to patients from the organization's point-of-view
How will patients be affected in relationship to cost of treatment, quality of treatment, and access to treatment?
Ethical implications of this act for both the organization and the patients
Impact of the Affordable Care act (ACA) on the population that it affected
The Affordable Care Act (ACA), as initially passed, mandated Medicaid expansion, for covering a majority of low-income, as-yet-uninsured American citizens and immigrants (with legal residency in the U.S. for a minimum duration of 5 years). The United States Supreme Court, however, in the historic National Federation of Independent Business v. Sebelius, 132 S. Ct. 2566 (2012), maintained that the obligatory Medicaid expansion proved to be unconstitutionally…
ACA. (2015). The Patient Protection and Affordable Care Act. Retrieved on 13th September, 2015 from http://www.dpc.senate.gov/healthreformbill/healthbill52.pdf
Howard, P. (2015). The Impact of the Affordable Care Act On the Economy, Employers, and the Workforce. edworkforce.house.gov. Retrieved on 13 th September, 2015 from http://edworkforce.house.gov/uploadedfiles/02.09.11_howard.pdf
Kengmana, R.T. (2015). An Ethical Perspective on the Affordable Care Act. MA: Psych Central. Retrieved on 13th September, 2015 from http://googleweblight.com/?lite_url=http://psychcentral.com/about/feedback&lc=en-IN&s=1&m=101&ts=1442202299&sig=APONPFlqjqQURNK5jFIewCvXRMJzyhz8zA
NCIOM. (2015a). Examining the Impact of the Patient Protection and Affordable Care Act in North Carolina. Chapter 7: Quality. Retrieved on 13th September, 2015 from https://www.google.co.in/url?sa=t&source=web&rct=j&url=http://www.nciom.org/wp-content/uploads/2013/01/Final-Ch7-Quality-FINAL.pdf&ved=0CCYQFjABahUKEwjv_JDfr_XHAhVIB44KHfLKAPg&usg=AFQjCNEdTlwW2QuvqN5Rn6qM31poi4lBUA
Health Policy Analysis for Maryland AC (Affordable Care) Act
McLaughlin, & McLaughlin (2014) rank 11 areas of health innovation based on their impact on costs and quality of healthcare delivery. The process improvement is the highest ranking item. However, the authors identify data analytics, disease management, "non-physician delivery alternatives," and "alternative to fee-for service" (McLaughlin, & McLaughlin, 2014 p 335) as other innovation items that can enhance quality and reduce costs. Additionally, the authors point out that innovation in electronic medical records, diagnosis, and pharmaceuticals can also assist with quality and cost.
Objective of this health policy paper is to evaluate the items that can play important role in the health policy process of Maryland's ACA (Affordable Care Act).
Healthcare items for Health Policy Process for in Maryland Affordable Care Act
The ACA (Affordable Care Act) is a federal government legislation focusing on healthcare coverage for small groups and individuals.…
Abrams, M. Nuzum, R. Mika, S. et al. (2011). Realizing Health Reform's Potential How the Affordable Care Act Will Strengthen Primary Care and Benefit Patients, Providers, and Payers. The Commonwealth Fund.
Chin, W.W. Hamermesh, R.G. Huckman, R.S. et al.(2012). 5 Imperatives Addressing Innovative Challenge. Harvard Business School.
McLaughlin, C.P. & McLaughlin, C.D. (2014). Health Policy Analysis: An Interdisciplinary Approach.(2nd Edition). Burlington, Jones & Bartlett Learning.
Resnik, D.B. (2007). Responsibility for Health: Personal, Social, and Environmental. J Med Ethics. 33(8): 444-445.
Practicum Project in Health Informatics
• This practicum thesis allows the student to work on developing informatics-based applications while also applying informatics science and skills.
• Uses technology to help streamline processes that ultimately aid in the patient experience
• Lowers costs while increasing efficiency
• Does not focus on the "human component" of technology
• Focuses on the benefits of informatics but does not take into account the costs as it relates to onboarding. People must be training on the technology; stakeholders must know how to fix problems that arise. All employees must be willing to adopt the technology.
• Does not properly take into account the threat of cyber security and its implications on training nurses. A hack may disrupt the overall application of the technology
"Preceptor Training and Nurse etention"
• Strong emphasis on a team approach as it relates to training and retention…
1) American Association of Colleges of Nursing Essentials. (2006). The essentials of doctoral education for advanced nursing practice. Retrieved from http://www.aacn.nche.edu/publications/position/DNPEssentials.pdf .
2) American Nurses Association. (2010). Scope and standards of practice. Silver Spring, MD: Nursebooks.org.
3) Bae, S., Mark, B., & Fried, B. (2010). Impact of nursing unit turnover on patient outcomes in hospitals. Journal of Nursing Scholarship, 42(1), 40-9. doi:10.1111/j.1547-5069.2009.01319.x.
4) Baker, S. L. (2010). Nurse educator orientation: Professional development that promotes retention. The Journal of Continuing Education in Nursing, 41(9), 413-7. doi:10.3928/00220124-20100503-02.
Repealing and replacing Obamacare was one of the rallying points for President Trumps presidential campaign, but has proven to be difficult even with a Republican-controlled Congress. There are a number of reasons that repeal and replace has been difficult, even though the Affordable Care Act (the ACA) was, at best, an imperfect solution to the modern healthcare crises. Public support for repealing Obamacare has lessened as people have become aware that Obamacare and the ACA are the same thing. Republicans have not been able to develop a plan that would provide better care for the American people without having an individual mandate. Finally, the for-profit medical structure currently in the United States makes it difficult, if not impossible, to provide significant reform. These barriers make it seem unlikely that Obamacare will be repealed or replaced in the near future.
Perhaps the most significant barrier to repeal and replace is the…
Affordable Care Act signed law President Barack Obama March 2010. Many provisions law directly affect
Several different important elements exist as part of the Affordable Care Act, specifically as it pertains to community and public health. One of the most salient of these is the commitment that the act makes towards preventative care -- which directly impacts public health. A large part of the goal of this act is to improve the general wellness of the community by helping people to maintain their health. A healthy community, quite frankly, will have less need for more expensive medical care if it can maintain its health in the first place. In this respect, the fact that individuals can now get a free checkup from their doctors helps to reinforce this preemptive approach to enforcing wellness. Also, the act has made many diagnostic procedures related to a general examination free or available to…
U.S. Department of Health and Human Services. (2014). Key features of the Affordable Care Act. www.hhs.gov Retrieved from http://www.hhs.gov/healthcare/facts/timeline/index.html
American Nurses Association. (2014). Health care transformation: the Affordable Care Act and more. www.nursingworld.org Retrieved from http://www.nursingworld.org/MainMenuCategories/Policy-Advocacy/HealthSystemReform/AffordableCareAct.pdf
The Impact of the Affordable Care Act on North Carolina's Uninsured Population
Tens of millions of Americans are uninsured in regard to their health, many at least partly because of rising health care costs. Spending on healthcare has outpaced the growth in the rest of gross domestic product by 2.5 percentage points annually throughout the past four decades and has doubled every decade and, at that rate, health spending will absorb 40% of GDP by 2050 (Reinhardt, 2010). Currently healthcare related bankruptcies are the leading driver of personal bankruptcies in the country because many families have fallen victim to overwhelming health care related financial burdens. There is an estimated one million six hundred thousand individuals (about seventeen percent) in North Carolina that currently do not have health insurance. This analysis will look at how the Affordable Care Act will affect this population.
The Affordable Care Act
Covington, O. (2013, September 5). Report: 40% of uninsured adults in NC likely to miss out on affordable care. Retrieved from Triad Business Journal: http://www.bizjournals.com/triad/news/2013/09/05/two-in-five-uninsured-adults-in-nc.html?page=all
Hobban, R. (2014, September 17). New Statistics Show Drops in the Rate of Uninsured. Retrieved from North Carolina Health: http://www.northcarolinahealthnews.org/2014/09/17/new-statistics-show-drops-in-the-rate-of-uninsured/
HRSA Press Office. (2011, December 8). Affordable Care Act support for school-based health centers will create jobs, increase access to care for thousands of children.
Kaiser Family. (2014, January 6). How Will the Uninsured in North Carolina Fare Under the Affordable Care Act? Retrieved from The Henry J. Kaiser Family Foundation: http://kff.org/health-reform/fact-sheet/state-profiles-uninsured-under-aca-north-carolina/
IS Off your Health Care Act of 2013 - [H..2009]
KEEP THE IS OFF YOU HEALTH CAE ACT OF 2013-1
KEEP THE IS OFF YOU HEALTH CAE ACT OF 2013-2
It has been two months since they have introduced H.. 2009, the Keep the IS Off Your Health Care Act. During this time, people have been watching seen a growing amount of support from people living all over the nation for this common proposal seen as just common sense by many. Thanks to that drive, it has been proclaimed that the House of epresentatives will have a vote on the Keep the IS Off Your Health Care Act before deferring for the August egion Work Period. In this essay, it touches on how this simple, two-page bill barricades the Internal evenue Service (IS) from imposing or applying President Obama's health care law. This essay makes the point of how in…
H.R. 2009, Keep the IRS Off Your Health Care Act of 2013. (2012, May 4). Retrieved from Congressional Budget office: http://www.cbo.gov/publication/44466
House Vote 447 - H.R.2009: On Passage. (2012, May 2). Retrieved from The New York times: http://politics.nytimes.com/congress/votes/113/house/1/447
King votes for Keep the IRS Off Your Health Care Act . (2013, September 23). Retrieved from NorthIowaToday.com: King votes for Keep the IRS Off Your Health Care Act
Kibble, M. (2012, May 3). Tell Your Representative to Co-Sponsor the "Keep the IRS Off Your Health Care Act"! Retrieved from Freedom Works: http://www.freedomworks.org/blog/mkibbe/tell-your-representative-to-co-sponsor-the-keep-th
Veterans and the Affordable Healthcare Act
The veterans suffer various challenges emanating from their roles they actively in the battle frontlines. They suffer mental problems like the posttraumatic stress disorder (PTSD), depression, anxiety, aggression, bipolar disorder, and schizophrenia. This challenge is further compounded by the lack of mental health providers and the necessities related to the VA benefits. The veterans challenge is not recent but has been around for many decades yet has not been effectively resolved.
The Affordable Care Act was crafted purposefully to help more Americans, especially those of lower economic standards, and expose them to greater accessibility to affordable health insurance. This policy is meant to enhance the quality of health care and health insurance, as it diminishes the health care spending within the USA as well availing more choices for the consumers and putting the insurance more to accountability than before (Obamacare Facts, 2017). These are…
Canadian Healthcare Legislation
The people of Canada did not have elected officials who were creative enough or bold enough to put universal healthcare legislation on the books until 1984, although there were attempts to provide healthcare coverage for Canadians before that date. This paper reviews the way in which healthcare coverage was introduced in Canada and reviews two programs, Canada Health Act and Medical Care Insurance Act.
Development of Health Services in Canada
Before the end of orld ar II, the Saskatchewan government -- moved by the Cooperative Commonwealth Federation Party (CCF) -- began plans to introduce a publically financed health care system. The Saskatchewan government hired Johns Hopkins professor Henry Sigerist to help devise a plan, and he urged the government to go ahead and develop a "total health care organizations that would ensure that all citizens ... " could get good medical care (Crichton, 1997). There had been…
Crichton, A. (1997). Health Care: A Community Concern? Developments in the Organization of Canadian Health Services. Calgary: University of Calgary Press.
Affordable Health Insurance
The Need for State Participation in Health Care Insurance Exchanges to Provide for Affordable Health Care for Millions of Americans in Need
In the United States, we have basic rights to life and liberty. Yet, many major health care companies are infringing on those rights because they are exploiting health care insurance rates, which has left millions of Americans either underinsured or not insured all together. This puts their lives directly at risk with limited access to essential care. In order to best provide for their uninsured or underinsured citizens, states need to work with the regulations of the Affordable Care Act and open up exchanges to provide for affordable health insurance to the millions of Americans who are currently in need under the ineffective system that is operating today.
In the current situation, there is a lack of affordable health insurance options.
Moreover, health insurance companies…
Health Care for America Now. (2009). Health Insurance Company Abuses: How the Relentless Drive for Profit Endangers Americans. Web. Retrieved November 26, 2012 from http://hcfan.3cdn.net/48b73f19dac6bc9fa7_vzm6iijoh.pdf
Paddock, Catherine. (2007). 47 million Americans without health insurance, census report. Medical News Today. Web. Retrieved November 26, 2012 from http://www.medicalnewstoday.com/articles/80897.php
State of California. (2012). Stakeholders. California Benefit Exchange. Web. Retrieved November 26, 2012 from http://www.healthexchange.ca.gov/StakeHolders/Pages/Default.aspx
The White House. (2012). Affordable Care Act: The New Health Care Law at Two Years. Care Act. Web. Retrieved November 26, 2012 from http://www.whitehouse.gov/sites/default/files/uploads/careact.pdf
Healthcare regulation and industry standards have long been focused on patient care and treatment. This is rightfully so as healthcare costs as a percentage of GDP continues to rise to unsustainable levels. In addition a patient focus is necessitated by an increase in the overall insured population. However, not much emphasis has been placed on the practitioner side of legislative changes. Nurses in particular must now adhere to changing standards of care and treatment. The insured population has become much more diversified in the expectations of care and treatment. As a result, all healthcare employees must be properly trained to better adhere to these changing standards and demographics. Nightingale Home Care is no different in this regard. With increased employee dissatisfaction and high turnover, the firm must reassess its onboarding practices. This will ultimately insure a better work environment, but more importantly, improve patient care.
Nightingale Home Care…
1) Ashford, S.J., & Cummings, L.L. (1983). Feedback as an individual resource: Personal strategies of creating information. Organizational Behavior and Human Performance, 32,370 -- 398
2) Erdogan, B., & Bauer, T. N. (2009). Perceived overqualification and its outcomes: The moderating role of empowerment. Journal of Applied Psychology, 94, 557 -- 565
3) Saks, A. M., & Ashforth, B. E. (1996). Proactive socialization and behavioral self-management. Journal of Vocational Behavior, 48, 301 -- 323
Although there are several considerations one must weigh prior to defining medical care quality, one of the most effective definitions of this term is that care which ultimately achieves the greatest benefit while taking the lowest risk in doing so. In many ways, this notion is at the heart of the Affordable Care Act, for the simple fact that one of the principle components of this act is to emphasize preventative care since insured people's "policy will cover more than 60 preventive tests and treatments as required" (Glasserman and Hensel, 2013). Virtually no one can argue with the fact that there is a low risk associated with providing preventative care and, if implemented correctly in a safe care delivery model, it can also achieve the greatest benefit to individual health care patients, the system itself, and to the country as a whole. Thus, the prudent researchers of medical…
Centers for Disease Control and Prevention. (2013). Affordable Care Act helping prevent disease. www.cdc.gov. Retrieved from http://www.cdc.gov/features/AffordableCareAct/
Glasser, M. Hensel, B. (2013). Preventive care services and the Affordable Care Act. www.nbclosangeles.com. Retrieved from http://www.nbclosangeles.com/news/local/Preventive-Care-Services-and-the-Affordable-Care-Act-223984451.html
Evolution of Health Care Information Systems Physician's Office Operation
Filling in the hole of health care information technology will endorse safe, capable, patient-centered, and patient care that is fruitful in a timely way. In this essay, the theme is to look into two modern health
care organizations and then compare and contrast many characteristics that will involve the kind of evidence systems are using at the moment, investigate the transmission of information 20 years ago and how the substitute of data today. Furthermore, this essay will cover two major events and technology developments that have inclined present Health Care Informational Services practices.
Compare and Contrast Doctor's Workplace Operation
These day's doctor's office operation is familiarizing to the health care reform that was sanctioned in 2010 by the Obama organization. During sometime in October of 2013, the exchanges in health insurance was available on the market for customers on order to…
Burke, D., Wang, B., & Wan T.T.H. & Diana, M. (2009). Exploring Hospitals' Adoptionof IT. Journal of Medical Systems, 21(9), 349 -- 355.
Callen, J., & Braithwaite, J. & . (2008). Cultures in Hospitals and TheirInfluence on Attitudes to, and Satisfaction with, the Use of Clinical InformationSystems. Social Science and Medicine, 65(4), 635-639.
Finchman, R., & Kohli, R. & . (2011). Editorial Overview -- The role of IS inHealthcare. Information Systems Research, 22(3), 419-428.
Care Technology and Ethical Concerns
Complete APA eference
Fed'n of State Med. (2014, April 26). State Medical Board's Appropriate egulation of Telemedicine (SMAT) Workgroup, Model Policy for the Appropriate Use of Telemedicine Technologies in the Practice of Medicine. etrieved from www.fsmb.org/pdf/FSMB_Telemedicine_Policy.pdf
Briefly description of the project
Under telemedicine, one gets multiple practice spheres for healthcare lawyers, including reimbursement, payment, abuse and fraud, privileging and credentialing, privacy, peer view, licensing, as well as regulatory compliance. There is need for healthcare proponents have got to comprehend telemedicine as well as its complex framework in order to serve the growing area better. Advancement in technology, expanding healthcare accessibility within the framework of the "Affordable Care Act," emphasizing on affordable quality of care, as well as the propagation of movable medical tools have placed telemedicine at the frontline of healthcare delivery. Since it began over 5 decades ago, range of telemedicine has broadened and…
Fed'n of State Med. (2014, April 26). State Medical Board's Appropriate Regulation of Telemedicine (SMART) Workgroup, Model Policy for the Appropriate Use of Telemedicine Technologies in the Practice of Medicine. Retrieved from www.fsmb.org/pdf/FSMB_Telemedicine_Policy.pdf
Kadzielski, M. A., & Kim, J.-Y. (2014, July 29). Telemedicine: Many Opportunities, Many Legal Issues, Many Risks. Retrieved from Pepper Hamilton: http://www.pepperlaw.com/publications/telemedicine-many-opportunities-many-legal-issues-many-risks-2014-07-29/
Equity of Care Act
Ethnic and racial minorities are among the most vulnerable populations because of their likelihood to be poor and have lower academic levels. Their status makes them increasingly susceptible to ill health as compared to the rich, non-minority, and better education populations. As a result of their vulnerability, ethnic and racial minorities have experienced disparities in access to quality health care that contributes to better health and well-being. In addition to facing obstacles in accessing health care services, these minorities receive poor quality care when they access the services. The current mode of health care delivery does not ensure equitable access to and provision of quality care to ethnic and racial minorities (Shi & Stevens, 2005, p.148). Some of the prevalent challenges for ethnic and racial minorities in accessing quality care include lack of health insurance and financial resources, structural barriers, irregular sources of care, and lack…
Lurie, N. & Dubowitz, T. (2007, March 14). Health Disparities and Access to Health. JAMA, 297(10), 1118-1121.
Shi, L. & Stevens, G.D. (2005, February). Vulnerability and Unmet Health Care Needs: The Influence of Multiple Risk Factors. Journal of General Internal Medicine, 20(2), 148-154.
The Commonwealth Fund (n.d.). Archived: Vulnerable Populations. Retrieved November 13, 2015, from http://www.commonwealthfund.org/grants-and-fellowships/programs/archived-programs/vulnerable-populations