When Obama was sworn into presidency he implemented many new healthcare initiatives in order to reform the quality of care and strive forward towards having healthcare be available to everyone. The Patient Protection and Affordable Care Act was a significant effort to expand healthcare to all citizens, but the part of the act that is not as well known is the proposal of Accountable Care Organizations (ACOs). Accountable Care Organizations are an initiative for providing better, more universal healthcare throughout all stages of life, especially focusing on the care of Medicare beneficiaries. An Accountable Care Organization is a network of doctors, nurses, hospitals, and health care providers that all agree to give coordinated care to Medicare patients by having responsibility of the cost and quality of patient care. The goal of these organizations is to have a group of people that all know the patient’s history and, therefore, through transitions the patient is able to receive quicker and higher quality of care for less cost of both the patient and provider. The effectiveness of Accountable Care Organizations depends upon the cost-effectiveness, professionals voluntarily giving care, and, most importantly, the way in which it affects patient care. The idea behind this system of coordinated care is great in concept, with the goal of this reform being to have better valued and quality patient care for Medicare patients. Because of the aspect of patient care, it is noteworthy
CMS defines ACOs as “groups of doctors, hospitals, and other health care providers, who come together voluntarily to give coordinated high quality care to their Medicare patients.” The goal of coordinated care is, “to ensure that patients, especially the chronically ill, get the right care at the right time, while avoiding unnecessary
Accountable care organizations (ACOs) are consist of providers who are jointly held accountable for achieving measured quality improvements and reductions in the rate of spending growth.
Kaiser Health News recently published an article on a new trend in healthcare. This trend introduces the Accountable Care Organization (ACO). The Centers for Medicare and Medicaid services defines it as “groups of doctors, hospitals, and other health care providers, who come together voluntarily to give coordinated high quality care to their Medicare patients” (“Accountable Care Organization,” 2015). According to the Affordable Care Act (ACA), the goal of the ACO is to be able to share health cost-savings with providers who are able to save money by eliminating unnecessary procedures and reduce health costs while increasing quality of care. ACOs make health professionals become more accountable in maintaining good-quality, coordinated healthcare for a patient through a value-based system that is evaluated through a number of criteria and benchmarks (Ronai, 2011).
Advance Payment Account Care Organization Model which focuses additional support to physician owned and rural providers participating in the Medicare Shared Savings Program by providing start-up resources to build better infrastructures throughout. The shared savings which the Accountable Care Organization (ACO) would be split in half and given back to the organization which provided the savings. In other words, in the case of my hometown hospital, if an ACO would take over and re-open our hospital, the predictions are that by retrieving these savings which are provided for by Obama-care, and by right-sizing our hospital from a 45 bed hospital to a 10 bed hospital and right-sizing the amount of employees, we would be back in the black within a 2 year period. That is a major step in financing this hospital to continue servicing a major part of the community which needs major health care to continue.
Organization such as “Accountable Care Organizations”4 is one of the ways to ensure the quality of care for Medicare patients. The organizations combination of doctor, hospitals, and other health care providers who came together to ensure the quality of care for Medicare patients. This will help with effective communication with patients and clinicians, and help avoid medical
The Patient Protection and Affordable Care Act is a federal statute that was signed into law in America by President Barack Obama on March 23, 2010. It is divided into 10 titles.
In this paper you are going to learn all about the Accountable Care Organization (ACO). Also, how does it pertain to the healthcare system? We will also be learning about the reimbursement rates for Medicare patients. Who makes up the Accountable Care Organization? We will also take a look into the Affordable Care Act and how the ACO is a part of that.
After numerous failed attempts by previous legislations, President Obama was the first to implement federal health care reform. The Patient Protection and Affordable Care Act (ACA), otherwise known as Obamacare, was signed into law on March 23, 2010, in efforts to abate healthcare costs and provide health insurance to all United States citizens and legal residents. The intent of Obamacare revolves around providing universal access to healthcare regardless of a pre-existing condition, setting reasonable prices for health care insurance, and providing government subsidies to those who cannot afford health insurance on their own (up to 400% of the federal poverty level). The law entails many essential provisions, some of which include an
I work as an home care occupational therapists in the field and provide services to people from children to old age. I see the effects of laws and policy discussions not only on the patients but also on the workplace itself. The Patient Protection and Affordable Care Act (ACA) is one such example that has changed not only how we deliver patient services but also team dynamics within the healthcare providers. When I started working, we had a multidisciplinary team model that has since been changed to an interdisciplinary team model, we used to have separate teams of nurses, rehabilitation therapists and social workers but now we have been integrated into a team based on geographical location. Whereas, patient care delivery used to be fragmented and performed in the respective care provider services, this has now been transformed where greater integration is seen from the way we share information; more information has been coming from all providers and not only from the home care agency that I work for but also from outside providers such as the hospitals and nursing homes.
On March 23, 2010, President Barack Obama signed the Patient Protection and Affordable Care Act in Law. The health reform law establishes a national, voluntary insurance program for purchasing community living services supports known as the Community Living Assistance Services and Supports Program (CLASS ACT). The CLASS program is designed to expand options for people who become functionally disabled and require long-term services and supports, including home care, adult day care, or a stay in a nursing home. In exchange for paying premiums during their healthy, working years, people would get a daily cash benefit to help defray the costs of these forms of assistance. The CLASS program was made effective on January 1,
Nurses have a unique positon on the healthcare team; nurses are, literally and metaphorically, at the patient’s bedside to influence care on several avenues. The nursing profession already plays a critical role in cost control, quality of care, and patient safety, The Affordable Care Act (ACA) will increase opportunities for nurses to improve both individuals and the Healthcare system for healthier outcomes (Health care reform: Improving quality of care, 2016). To do so nurses must understand what the ACA is about and how our profession will play a large part to facilitate a positive outcome for all.
The Patient Protection and Affordable Care Act is a highly controversial act of the United States government commonly referred to as ObamaCare. Designed to “ensure that all Americans have access to quality, affordable health care,” (Patient Protection) this bill has received a large amount of opposition for a variety of reasons, but it is also widely supported, therefore garnering it attention from interest groups. Many interest groups, including religious organizations, attempt to change laws and legislation in American politics in order to advance their religious beliefs. The Catholic Bishops and the National Organization of Evangelicals are no exceptions to this. They attempt to advance their positions through a variety of means within the United States’ pluralist system, and both have very motivated opinions on the Patient Prevention and Affordable Care Act.
The Patient Protection and Affordable Care Act (PPACA) has been one of the most controversial laws in the history of The United States. One of the key components of the law is the creation of health insurance exchanges. The states had the option to establish a state managed exchange, partner with the federal government, or let the federal government establish the exchange for them. Several states have opted to let the federal government establish the exchange for them. As of May 28, 2013, there are 17 State-based Marketplaces; 7 Partnership Marketplaces; 27 Federally Facilitated Marketplaces.1
The Patient Protection and Affordable Care Act, or Obamacare would be very beneficial for the economy and health reform if it was repealed. Many statistics and studies have been done to show the issues and concerns that have risen from the act. Where is the money coming from to fund all of these new health insurance plans to those who could not afford it before? Overall, the biggest issue is funding, but that can be said for most legislation passed. No piece of legislation will ever please every single American, because there are flaws within everything. But Obamacare, does not seem logical sense. President Obama had good intentions behind the bill, but he fails to realize the harm it has done to those who do not need the health reform act. It may sound punitive, but there should be consideration for the ones who have to pay extra to keep the act alive. Obamacare should be repealed for many reasons, including industry standards, patients guarantees, the individual and employee mandate, subsidizing of money, healthcare exchanges, the secrecy and privacy behind act, pricing and cancellations of consumer insurance, and the law adding to the national deficit; there should be no reason why it should continue.
Under the ACA, there are several tax provisions that is scheduled to take effect as different sections of the health reform legislation are implemented. The US government has given the IRS the authorized to provide premium tax credits to individuals and insurance companies. The calculations are based on the family size specifically those that are making between 138% and 400% of the federal poverty levels, in states that have expanded the Medicaid eligibility and 100% to 138% are available in states that have not accepted the expansion. Another requirement is individuals not eligible for Medicare and Medicaid and Individuals whom have purchase qualifying health insurance plans on federal and state – run exchanges.