Primary Care and the Patient Protection and Affordable Care Act Introduction: The Patient Protection and Affordable Care Act is a comprehensive health reform bill that was enacted on March 23, 2010. Considering it as a landmark change in health policy, it is anticipated that, “the new law will have an immense impact on the US health care reform and policy”.1 With modern advances in science and technology and their applications, America is expected to be a pioneer and leading country in the world in disease eradication, increasing longevity and providing a better quality of life for her citizens.1Unfortunately, the real picture isn’t the same. According to the commonwealth fund survey 2014, USA ranked the last and worst amongst 11 other developed countries including UK, France, Australia, Germany, Canada, Sweden, New Zealand, Norway, Netherlands, and Switzerland in terms of efficiency, equity and outcomes instead of having the world’s most expensive health care system.2 So, the imperatives for a change in health care system were urgent. The new Affordable Care Act (ACA) contains different policies and almost all of them are pertinent to expanding health care access when needed, shaping insurance and market system, improving quality of care and life, promoting preventive services and extending the health workforce or reducing the financial burden. One important policy component of the ACA under ‘improving quality/health system performance’ is ‘Primary
“The Patient Protection and Affordable Care Act: Implications for Public Health Policy and Practice.” Public Health Reports. Association of Schools of Public Health. n.d. Web. 14 July 2015. This paper claims that the PPACA will cut the number of uninsured Americans in half. The act attempts to provide nearly universal coverage and improve the quality and equity of said coverage through reforms to insurance standards and the marketplace. It also attempts to improve the quality of healthcare and the efficiency of its delivery by allowing consumers to edge the system into a more integrated state and measuring performance. It attempts to encourage preventive medicine by targeting chronic illnesses and funding community-based medicine. These changes will bring huge opportunities for improvement in the system, many of which are subtle and nuanced and will only be seen as the plan rolls into act over the next few
The U.S. Health system spends a higher portion of its gross domestic product than any other country but ranks 37 out of 191 countries according to its performance.” (WHO, 2000, p. 1) Progression in the United States has not kept up with the advances in other wealthy nations dealing with the population health. Disease and chronic disability report almost 50% of America health problem (JAMA, 2013).
The Patient Protection and Affordable Care Act was signed into law by President Barack Obama in March of 2010. This law provides equal access to medical care, lowered health care costs and eliminates denial of coverage of pre-existing conditions to the millions of the uninsured and insured Americans that were without and denied health care coverage. Patients who were denied coverage due to pre-existing conditions can now look forward to relief and great improvement because their illness is covered in the new policy, and care is now provided for them at next to minimal cost (Stehly,
If there is one thing that most Americans are in agreement with, it is the vile shape of our U.S. health care system. There is no argument that the U.S. health care system is in need of an overhaul, however, there is much debate over just how to effectively go about the process. The public have voiced greatest concern in the health care areas of costs, quality and access. Many presidents have pondered the idea of health care reform; a few even made attempts to start the ball rolling. The first
On 3/23/2010, President Obama signed the Patient Protection and Affordable Care Act into law, one of the most difficult reforms of the United States medical system in the last forty four years. The Affordable care act changed the non group insurance market in the U.S., regulates that residents have health care coverage, greatly expands public insurance & subsidizes private insurance, raises revenues from a variety of new taxes, & reduces and
Health care cost has been constantly rising and a problem in this country for years. Millions go without much needed medical care every year due to the lack of health care. For many the emergency room is their first contact with medical care. The Patient Protection Affordable Care Act (PPACA) intends to significantly decrease the number of uninsured in American. The PPACA, is said to be most comprehensive insurance reform since 1965, (the year in which Medicare and Medicaid were implemented) was signed into law on March 23, 2010 by President Obama. PPACA will renovate the entire United States’ insurance market. PPACA requires most citizens to either purchase health care coverage privately or through their employer, or face a penalty.
The Patient Protection and Affordable Care Act (PPACA) signed into law by president Obama on March 23, 2010 is arguably the most extensive reform of health care law ever to be enacted in the U.S. It will impact the way professionals practice health care, the way insurance companies handle health care as a product, and the way consumers purchase and use health care as a service. The Affordable Health Care Act is primarily aimed at reducing the number of uninsured Americans and reducing the overall costs of health care from an administrative and consumer standpoint. The PPACA requires insurance companies to cover all applicants and offer the same rates to all applicants of the same age
Patient protection and affordable care act was enacted in 2010 with the main purpose of minimizing the cost, improving the obtainability and affordability of health insurance. Uninsured rate will decreased at a faster rate.. It will achieve healthcare reachability to as many people as by extending public and private insurance. The Affordable act has included following: any one with pre-existing condition can not be denied of coverage, children under 26 may be eligible for coverage under their parents insurance, insurance companies can not cancel your coverage due to withdrawals.
‘Over 105 million people living in America today no longer have to worry about having their health benefits cut off’ (Secretary WH) . Since enacted, the Affordable Care Act (ACA) has been able to provide for millions of lower and middle class Americans a secure and reasonable healthcare plan that best suits their medical needs. The Patient Protection and Affordable Care Act (PPACA) also commonly refer to as ‘Obamacare’ was a solution implemented in 2010 to help reform the precarious healthcare system in the United States. The ACA imposed three key reforms adopted from the successful Massachusetts system of healthcare. First, the ACA established a “guaranteed issue and community rating requirements” which essential barred healthcare insurances
Harrington, S.E. “ US Health Care Reform: The Patient Protection and Affordable Care Act.” Journal of Risk and Insurance 77:703-708
The Patient Protection Affordable Care Act (PPACA) is a federal statute that was signed into law by President Barak Obama on March 23, 2010. The PPACA which is commonly referred to as “Obamacare” was endorsed by lawmakers based on the objective of shifting healthcare cost from the employer to the government. The enactment of the PPACA has been viewed as unprecedented by many based on the constitutionality concerns related to healthcare reform. In order to address some of the concerns related to healthcare reform it is important to go back and view the nation’s history.
The Affordable Care Act (ACA) is a complex federal law that affects health system of the United States in every aspect. ACA goals is to improve quality of healthcare; increase access, and to stabilize and possibly reduce the cost of the healthcare services. ACA provisions include, but not limited to, expansion of Medicaid to all individuals less than 65 years of age whose income is 133% of the Federal Poverty Line (FPL) or below; created Consumer Operated and Oriented Plan a nonprofit, member-run health insurance companies in all 50 states; prohibits existing health insurers to deny coverage due to preexisting conditions; allows states to create a Basic Health Plan for individuals without health insurance and income range of 133-200% FPL; improves prevention services by requiring health plans to include basic preventive coverage without cost-sharing; improve access to health care by providing additional funds for community based health centers and other community based organizations(Knickman, Kover, 2015. Pp344-361). Every provision of ACA will bring significant change to every area of the healthcare and, as a result, changes in access, quality, and cost. These 3 components of the healthcare system are intertwined and change in one will cause the change in the others.
In March of 2010, President Barack Obama signed into effect the Patient Protection and Affordable Care Act, or widely known as “Obamacare.” The changes that the act is making with all of health care will slowly be implemented throughout the years, and should be completed by 2022 (Obamacare Facts: Dispelling the Myths). In the Affordable Care Act it changes or alters almost all programs that we have today and creates new programs to assist people and properly state what type if care is expected and required of health care professionals. The Patient Protection and Affordable Care Act includes all of the following departments of health care, Affordable Health Care for America Act, the Patient Protection Act, the Health Care and Education Reconciliation Act, the Student Aid and Fiscal Responsibility Act, and effects the Food, Drug and Cosmetics Act and the Health and Public Services Act (Obamacare Facts: Dispelling the Myths). The Affordable Care Act will make many changes, but some of the big changes that will occur involve the patients quality of care, the benefits that all of America will receive with the prevention measures it will be taking, the total availability and access of health care for all Americans, and how all Americans health care finances will be altered.
The Patient Protection and Affordable Care Act (PPACA) commonly called the Affordable Care Act (ACA) or "ObamaCare" is a federal statute of the United States signed by President Barack Obama on March 23rd, 2010. As the name suggests, the new health care law is made up of the Affordable Health care for America Act and the Patient Protection Act. It also includes amendment to other laws like Food, Drug and Cosmetic Act. The main purpose of this complex legislation is to provide Americans with affordable health insurance and quality care. “The Congressional Budget Office (CBO) has determined that the Patient Protection and Affordable Care Act is fully paid for. It will provide coverage to more than 94% of Americans while staying under the $900 billion limit that President Obama established.”("The Patient Protection and Affordable Care Act", n.d., p.1)
Reforming health care in the United States has been an issue that has received significant attention for many years. There are many strong and divergent opinions on the best ways to improve the US healthcare system. In 2010, the Patient Protection and Affordable Care Act was signed into law. This was likely one of President Obama’s most important acts while President, and is often considered his signature piece of legislation. The ACA is an extensive lawthat has an effect on many different elements of the healthcare system in the United States. Some of the primary goals of the ACA were to increase access to care by expanding insurance coverage, to decrease the cost of care, and to improve the quality of care patients receive