Hybrid Health Care System Essay

President Obama signed the Affordable Care Act on March 23, 2010. This law puts in place widespread health insurance reforms that expanded out over the last 4 years and continues to change the lives of many Americans today. Health care reform has been an extensively debated topic for multiple years, and the ACA is the first effective attempt at passing a law aiming to make health care not only affordable, but accessible for all individuals. The law impacts many Americans including, children, employers, government programs which includes federal and state, health plans and private insurers, health care coverage, health care cost, and the quality of care received. The main goal of the law is to expand health care coverage, broaden Medicaid eligibility, minimize and regulate health care cost, and improve the health care delivery system. In order to improve the health care delivery there have been new consumer protections established and an increase access to affordable care.

In the United States, access to health care is largely determined by who has financing to receive insurance (Shi & Singh, 2013, p. 197) Financing for health care comes from many different entities. For most Americans who have health insurance through their employment, the employers pay a part of the insurance premium and employees pay the rest (Shi & Singh, 2013, p.

The purpose of this paper is to give an overview of two federally and/or state funded programs. The programs that will be discussed are Medicare and Medicaid. In this paper will be information about who receives Medicaid/Medicare, the services offered by these programs, and those long term services that are not.

“According to the report, titled Income, Poverty and Health Insurance Coverage in the United States: 2010, 49.9 million Americans or 16.3 percent of the total US population had no health insurance in 2010. That percentage represents a slight increase on 2009’s figures, when 49 million citizens or 16.1 percent of the population was uninsured” (Gamser, 2011).

Part A covers hospitalization, emergency hospitalization, subacute care, home health, and end of life care depending on the situation. Part B covers Doctors’ visits, and covers subacute, end of life, and in home care that Part A will not cover if the patient qualifies. While part C covers medications and needed medical equipment (Center for Medicare and Medicaid Services, 2014). What Medicaid pays for depends on what state you live in, and what your specific situation is. Universally Medicaid covers hospitalization, day procedures, doctors’ visits, nursing facilities, home care, child health check, nurse practitioners, and transportation to doctors’ visits (Medicaid.gov, n.d). Medicaid offers different services in each state, but the aforementioned are the mandatory areas of coverage for every state. Medicare is aimed at helping the older population, while Medicaid is aimed at people in every stage of life. But who exactly is covered under which

The Affordable Care Act, otherwise known as Obamacare, was passed in March 2010. This over-1000-page Act implements a number of reforms designed to increase the availability of health care for individuals. The Act created a Health Insurance Marketplace, a universal way to sign up for subsidized health care plans (which are cheaper), though you can only get certain plans from certain places, including an expanded Medicaid. It also creates an incentive to purchase health insurance-if you don 't, you 'll have to pay a fine, which is interpreted by many as a tax. Additionally, the Affordable Care Act requires sizable firms to provide a certain level of health care to all of their employees, with certain specifications. Obamacare also attempts to make health care cheaper for many, by trying to even out the cost for everyone.

Medicare is the federal health insurance program for people with certain disabilities, end stage renal disease, and for those who are over the age of 65. There are four different parts to Medicare, part A, part B, part C, and part D. Medicare Part A, also known as hospital insurance, covers inpatient hospital stays, care in nursing facilities, hospice care, and some in home health care. Part B is often referred to as medical insurance; it covers certain doctors’ services, outpatient care, medical supplies, and preventative care services. Medicare Part C, otherwise known as Medicare advantage plan is offered by a private

Reforms helped expand access to health insurance coverage become effective. The expansion of health coverage was implemented to help low income families on Medicaid so that they would be able to receive the care they needed. Reyes (2013) mentioned that the expansion of Medicaid is also beneficial for employers because it gives their employees the ready access to health care instead of putting it off which can lead to them having an increase in absenteeism.

The Affordable Healthcare Act makes healthcare and health insurance more affordable and more available to more Americans. It is able to do this by new consumer protections, rules and regulations on the healthcare industry. This is shown when creating a marketplace for subsidized insurance, and reforming and expanding public healthcare programs. These include Medicare and Medicaid. This act can also include measures to cut the growth in healthcare spending in the United States.

The Affordable Care Act was constructed by President Obama to help transform the health care system. The Affordable Care Act is supposed to implement a system that would reduce the health care costs. This would also improve the efficiency of procedures by eliminating the denial of coverage due to pre-existing conditions. Unfortunately, over 44 Million Americans can’t afford the cost of medical insurance, but the law grants these Americans medical insurance benefits. Before this law was in place, insurance companies could deny patients the medical attention they needed, drop their medical coverage halfway through their treatment, and have a maximum payment they prepared to pay.

Medicaid insurance covers approximately 60 million Americans, according to their income. Medicaid is larger than any other single private health insurance program. The criteria for participating

Medicare and Medicaid are both governmental programs that provide health care services to specific groups of Americans. Although these programs are different, they both are managed by CMS. Medicaid provide health care to individuals with low income and few resources. While, Medicare provide health care to the elderly and certain disabled Americans (MediLexicon International Ltd, 2015).

When taking a look at the government financed, it is inclined to make health care available to every individual in the nation. This system give the most basic level of care to those who need it. People are assessed small fees and also pay for their coverage through taxes. With the way that this system is set up, the government can chose to provide for itself or they can decide to use a second party with some type of mutual agreement between the both. In government based health care the government can provide for itself or may use a secondary party to provide. I the United States a prime example of this system is what most Americans know as Medicare and Medicaid.

The affordable Care Act implemented in March of 2010 by president Obama reform the way health care was previously run in the United States. The law went into effect, which allowed many Americans who did not currently have insurance and health care coverage to the ability to purchase coverage and access to health care. “ According to the CDC “ the affordable care act of 2010 is designed to provide access to coverage for previously uninsured Americans “ Center of Disease Control (2014).

On March 23, 2010 the Affordable care act was created to make health care more affordable and easily accessible to a wider range of Americans. The act puts individuals, small businesses, and families in more control of their health care. This plan makes it so the individual has to pay out of pocket expenses, known as co-pays. The National Health Care Plan is also known as ACA