Impacts of the Patient Protection and
Affordable Care Act on Public Health Services
The Patient Protection & Affordable Care Act (PPACA) has had many impacts on public health services under ten different titles addressing the health and welfare of Americans. There are two titles specifically under the health system reform that have lead to putting a greater focus on public health and prevention, while also focusing on building a stronger workforce and infrastructure. Through Title Four and Title Five of the PPACA, this paper will research the impacts they have had on public health services.
Title IV. Prevention of Chronic Disease and Improving Public Health
Prevention and wellness is a key focus in public health services. In Title Four of the PPACA, “prevention interventions are of two key types: services provided to individuals in clinical settings (e.g., cancer screenings), and programs and services provided to communities (e.g., ad campaigns about exercise)” (Redhead & Williams, 2010, p. 30). Many programs have formed in the hope of creating a comprehensive approach to prevention.
One very prevalent issue that has more than doubled since the 1980’s and is growing rapidly is diabetes. In fact, “diabetes prevalence is particularly high among people age sixty-five and older, and it doubled among Medicare beneficiaries between 1987 and 2008, rising from 11.3 percent to 22.6 percent” (Thorpe, 2012, p. 61). The ACA granted the Centers for Disease Control and Prevention
rehend the PPACA, one must understand the history of the United States’ health care system. The most successful and known reform would be the passage of Medicare and Medicaid. President Johnson’s main objective with his program was to provide health insurance to those over 65 years old, who otherwise wouldn’t be able to receive coverage due to retirement or being financially unfit to purchase health insurance. It has since been expanded to cover those with disabilities, and lower income families (“Overview,” 2015). Brady (2015) examines President Clinton’s attempt to massively overhaul health care in the United States. His plan, the Health Security Act (HSA), required employers to offer health insurance to their employees, and mandated that every US citizen purchase health insurance. This plan would have most likely expand health insurance to many more Americans; however, many feared the large tax increases, restricted options for patients, and with the lack of general support for the bill, it failed in Congress and was never implemented (p. 628). President Clinton’s failed attempt at health care reform opened up the door to future reforms, and it even shared multiple similarities to the PPACA. Smith (2015) updates the history of the health care system in America stating that “In the mid-2000s, America’s uninsured population swelled to nearly 47 million, representing about 16 percent of the population” and how “16 million Americans […] were underinsured” (p. 2). People
The Patient Protection and Affordable Care Act appears to focus on health prevention and establishing affordable insurance for all Americans. As a future nurse practitioner, I feel this Act will affect my practice in a variety of ways. To best understand these impacts I have divided my thoughts into pros and cons of the PPAC Act. To start, the pros of this Act for me include health promotion and prevention, nursing tuition reimbursement, and granting access to healthcare for patients who may not have the opportunity for health insurance prior to the Act initiation. Koh and Sebelius (2010) report some examples of covered services for patients to include “screening for breast cancer, cervical cancer, and colorectal cancer; screening for human
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,
Prior to understanding the PPACA and determining its effects on health care quality, it is important to comprehend its origins and the causes of this vast change in policy. The idea of a national healthcare system, according to the Kaiser Family Foundation, was proposed as early as 1912, but lawmakers were unsuccessful until the 1960’s when Lyndon Johnson amended the Social Security Act to encompass both Medicare and Medicaid. This was the first health care reform allocating federal funding and establishing federal control over health care for primarily senior citizens and low-income families. George W. Bush made the next reform that expanded the scope of Medicare coverage in 2003 when he passed the Medicare Prescription Drug, Improvement, and Modernization Act (MMA). In the years following the MMA’s passage, private health insurance companies began to take advantage over clients,
“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
On March 23rd of 2010 one of the most highly controversial bills in American history, the Patient Protection and Affordable Care Act (PPACA), better known as the Affordable Care Act (ACA) was passed into law. The Affordable Care Act attempts to reform the healthcare system by providing more Americans with affordable quality health insurance while curbing the growth in healthcare spending in the U.S. The reforms include rights and protections, taxes, tax breaks, rules for insurance companies, education, funding, spending, and the creation of committees to promote prevention, payment reforms, and more. Four years since being passed has the Affordable Care Act begun to make healthcare more affordable to Americans? When it comes to the affordability of health care In the United States, health care has always been a private for-profit industry. The main purpose of the ACA is to make insurance more affordable and expand coverage to uninsured Americans by enacting a number of provisions. This research paper will explore some of these provisions, document their details and decide whether are not they are truly helping make health care more affordable.
In the first quarter of 2016 the Patient Protection and Affordable Care Act (PPACA) legislation has lead to 20 million Americans gaining healthcare coverage, and a record low uninsured rate of 8.6 percent (U. S. Department of Health & Human Services [DHHS], 2016). Yet the verdict is out on whether the PPACA has been an improvement or a liability holding back the United States (US) healthcare system’s potential. The legislation was first integrated as a guide to the US healthcare system when it was signed by President Barack Obama on March 23, 2010 (Rosenbaum, 2011). It planned to fulfill goals of improving access, affordability, and quality in healthcare (U. S. Department of Health & Human Services [DHHS], 2015). Full implementation of the healthcare reform was established on January 1, 2014, marking the start of individual and employer responsibility provisions, state health insurance exchanges, Medicaid expansions, and individual and small-employer group subsidies (Rosenbaum, 2011). As a whole the PPACA intended to “reframe the financial relationship between Americans and the health-care system to stem the health insurance crisis that has enveloped individuals, families, communities, the health-care system, and the national economy” (Rosenbaum, p. 131, para. 2). While the legislation has not fully
Do you know leaders in healthcare have a new style of managing? Healthcare field is one of the fields that changes occur frequently. With the introduction of the Affordable Care Act (ACA) brought a lot of changes in every aspect of healthcare delivery, from reimbursement to quality control to elimination of wasteful and inefficient practices and having huge impact on the U.S. healthcare delivery system, with many more changes to come. When leaders in healthcare organizations are asked, “what’s the one word that best characterizes the impact of the Affordable Care Act (ACA) on the U.S. healthcare delivery system,” most will answer “change”. These changes also brought new managing styles to healthcare leaders. I would be writing in my own discourse community, which is Health Systems Management. To give guide lines for a neighbor who is thinking of jointing this discourse community, how we operate and to be successful in this filed.
The Patient Protection and Affordable Care Act (PPACA), signed into law on March 2010, established a new direction for healthcare in the United States. The PPACA transformed the primary healthcare system to an integrated care model. This model emphasizes preventive services, wellness promotion, biological, psychological, social and the spiritual aspects in life, and not just disease management (Ely, 2015). The PPACA allowed insurance coverage to
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.
According to the Health Insurance Organization(2015, pg.1) The Affordable Health Care Act, also known as, The Patient Protection and Affordable Care Act (PPACA) –is the landmark health reform legislation that includes a long list of health-related provisions that began taking effect in 2010 and will “continue to be rolled out over the next four years.” Key provisions are intended to extend coverage to millions of uninsured Americans, to implement measures that will lower health care costs and improve system efficiency, and to eliminate industry practices that include rescission and denial of coverage due to pre-existing conditions. This analysis is a question review of some of the many benefits of this Act that are as follows:
The Patient Protection and Affordable Care Act was designed to expand insurance coverage for all of those that are uninsured. Also the Act was put into place to reduce the cost of health care. The morbidity and mortality rates in the United States have decreased since the Act was in place in 2010. The Act is also helping the goals of Healthy People 2020 that was implemented, but there is still more improvements that need to be established within this policy. This paper will define morbidity and mortality and what health behavior is and how the impact of the policy affects the Healthy People 2020.
The Patient Protection and Affordable Care Act, which is also known to many as Obamacare, was signed into law on March 23, 2010 in order to reform the healthcare industry in the United States. The Patient Protection and Affordable Care Act is made up of the Affordable Health Care for America Act, the Patient Protection Act, the Health Care and Education Reconciliation Act of 2010 and the Student Aid and Fiscal Responsibility Act. It also includes amendments to many existing U.S. laws. The Affordable Care Act is very long to read, according to Obamacarefacts.com, “The Affordable care Act contains over a thousand pages of reforms to the insurance and health care industries.” However, most of the important reforms are included in the first
Throughout the 20th century and into the 21st century the United States has always had a realization that there was a problem with obtaining affordable health insurance. The Patient Protection and Affordable Care Act (ACA) also known as Obamacare, was signed into law in March 2010. This law enables people who were unable to afford healthcare the ability to obtain a healthcare plan at an affordable rate. In 2009 a survey was taken as to the amount of people in the United States that carried health insurance. In table one below you can see over 50 million people in the United States did not have any type of insurance, which is close to 17 percent of the population (see table 1 below). “According to the Kaiser Family Foundation, “32%
For the first time in U.S. history, every American will have access to quality, affordable health care under the updated health insurance reform legislation passed by the House. "The Affordable Health Care for America Act or H.R. 3962, blends and updates the three versions of previous bills passed by the House committees. "(Kruger, M. 2010) This bill is expected to ease the out-of-control costs of health insurance, introduce competition into the health care marketplace that will help maintain coverage affordability, protect people’s choices of doctors and health plans, and guarantee all Americans access to quality, consistent , affordable health care. The Association of American Medical Colleges stated in a Mar. 21, 2010