...The Paradox in the Affordable Care Act Submitted By: Vodney Wynn vewynn@aol.com October 12, 2014 PA582_CourseProject Table of Contents Introduction…………………………………………………………………………………………………………………3 The History of Healthcare Reform……………………………………………………………………………..…4 The Problem with the ACA……………………………………………………………………………………………6 The Current Policy………………………………………………………………………………………………………..8 Policy Alternatives………………………………………………………………………………………………………10 Evaluation Criteria………………………………………………………………………………………………………10 Policy Recommendation……………………………………………………………………………………………..12 Conclusion…………………………………………………………………………………………………………………..13 References………………………………………………………………………………………………………………….14 Introduction Recent health care reform legislation, The Patient Protection and Affordable Care Act and Education Reconciliation Act, which is now being referred to simply as the Affordable Care Act (ACA), was signed into law by President Obama on March 23, 2010. Since the 20th century, several United States presidents have faced challenges in passing national health reform into law. Before the ACA was enacted, national health reform proposals under different governments in the United States faced strong opposition from various stakeholders and multiple interest groups. Therefore, the enactment of the ACA is revolutionary healthcare reform in the history of the United States. Healthcare insurance is a program that assists in paying medical expenses through privately purchased insurance...
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...Introduction: ACA (Affordable Care Act) was signed by President Obama on March 23rd 2010 to reform the US medical system. ACA changes the non-group insurance markets in the US and each individual should have health insurance which helps significantly to develop the markets of the public insurance and support the private insurance coverages which leads to rise in the revenue from the new taxes and reorganizes the Medicare health insurance plan. According to Gurbers assumption of funding ACA is mainly based on the “Three legged Stool” approach followed to fix the Non employer insurance in the United states and which helps in the increasing the market of the health insurance in the country. The reforms included based on the three legged stool strategy to the non-group insurance market. First to prohibiting exclusions for the pre-existing conditions and charging different prices based on the health status. The second leg of the stool looks in to the individual authority to take the insurance policy. The third leg of the stool deals with the Subsidiary for the low income families to have the insurance plan. ACA finances through following sources for the above are 1) To improve the government Medicare plans for the seniors by reducing befits of the private Medicare Advantage programs which affects the 14% financing share. 2) Decreasing of the Medicare reimbursement through decrease in adjustments provided to the hospitals every year for the Medicare reimbursement due to this 33%...
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...The Cost and Effect of Pre Existing Conditions Law Randall S. Housman Elms College The Affordable Care Act (ACA) was signed into law on March 23, 2010 by the Obama administration, and was the largest regulatory overhaul of the Healthcare system since the passage of Medicare and Medicaid in 1965. The law is seen as finalizing decades of efforts to provide predominantly low income Americans with affordable health insurance. It also mandates that all Americans have health insurance either privately, or through one of the exchanges provided by the law. One of the ACA’s main selling points during the health care reform debate was the need to provide insurance coverage to those with pre-existing conditions. A pre-existing condition is defined as a health problem that existed before you apply for a health insurance policy or enroll in a new health plan. Insurance companies and Insurance provided health plans being a for profit organization must be concerned about the financial bottom line, therefore it is in their best financial interest to exclude people with a pre-existing condition, or impose a waiting period before coverage starts, or charge higher premiums and out-of-pocket expenses. This has been a standard of practice on some shape or form, but varying from state to state. Data from a recent analysis by the Department of Health and Human Services shows that in the United States approximately 50 to 129 million people, or roughly 19 to 50 percent of...
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...Second, many have scrutinized President Obama for various reasons, but the statics show that he has actually attributed to the economy’s revitalization over the last eight years. President Obama took his positon right after the 2008 recession and all of the numbers suggest that we are completely out of a recession. There are many factors that have contributed to this turn around, but Obamacare can be labeled as one of the most important on the issue of creating jobs. According to Adam Sampson (2017) Obamacare has resulting in over 3 trillion dollars of spending in health care and has created over 5 million jobs in the health care industry. This type of dramatic influx of jobs is similar to the New Deal in the early 1900’s when the government...
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...Running head: THE IMPORTANCE OF THE AFFORDABLE CARE ACT (ACA) 1 The Importance of the Affordable Care Act (ACA) Nicole M. Anderson Argosy University THE IMPORTANCE OF THE AFFORDABLE CARE ACT (ACA) 2 When it comes to insurance, there may be more questions than answers. The rules concerning all types of insurance have changed over the years. The one thing that hasn’t changed is the fact that there are penalties to pay when we choose not to follow the rules. The government has now stepped in to monitor and confirm that we are in compliance with the laws set forth. When we are not in compliance the government will assess fines on all people and business owners considered to be a large employer that will increase with every year that passes. Insurance is a very important necessity to have in this day and time; without it the penalties can be great. You may be asking yourself this million-dollar question, why was it so important for the government to pass the Affordable Care Act (ACA) law? Health Insurance has been on top of the discussion list within the governmental agencies for some time now. “On March 23, 2010, President Obama signed the Affordable Care Act (ACA) into law, putting in place comprehensive reforms that improve access to affordable health coverage for everyone and protect consumers from abusive insurance company practices.” (Health Care that Works for Americans 2016). This is a very important law for the...
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...Health Care Spending Recently the Health Care spending has risen from 2010 to 2011, there is not much hope for the future of health care, and funds that will be or should be available. Health care spending is to continue to rise over the next few years which will make it harder for Americans to get the proper health care they need. Nationally in 2012 the United States spent an estimated $2.8 trillion; however, the health care industries growth has stayed low. Federal actuary analysis has shown that in 2011 there was $2.7 trillion spent nationally; the averages per person consisted of $8,680 spent on health care. These figures show a 3.9% of growth rates in both 2010 and 2011. Not exactly what individuals want to see concerning their health and getting the proper medical care they need (NCSL. 2013). Expenses are paid out to multiple different areas, the major areas consisting of physician and clinical services, Medicare spending, private health insurance, retail prescription drugs, and out-of-pocket spending; it was these areas that percentages rose. Major areas that slowed down in the spending rate were Medicaid and Hospital spending (NCSL. 2013). The graphs below show the area percentages in which accelerated and what slowed. Health care spending has recently proven to be too much, thinking about that $2.7 trillion spent nationally in 2011, is a big part of why the United States is in debt, and cannot pull itself out. With 2014 quickly upon Americans...
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...Cammie Denton Dr. Foster WR 122 April 17, 2016 Rhetorical Analysis of Barack Obama’s Remarks on Economic Mobility On December 4th, 2013 Barack Obama spoke on the subject of income inequality and upward mobility. This speech was delivered to, and hosted by, the Center for American Progress (CAP). The president uses striking language to appeal to the emotion and logic of the audience. Obama executes his appeals in a variety of ways with the express purpose of painting the issue of growing inequality and decreased upward mobility as the “defining challenge of our time.” President Obama describes these issues as what drives everything he does as POTUS. Obama’s speech was quite intellectual and technical, peppered in detail with the numbers and statistics of current social and economic inequalities, appealing to logos. While he builds his argument based on these substantial facts, the overall feeling of his language is that of compassion. This compassion seems to drive his purpose and thus emotionally connecting to his audience. Further, Obama appeals to ethos during his speech as he outlines how current market-caused inequalities are threatening everything that makes America great. Obama masterfully balances his passionate language with solid facts and straight-forward logic in this effectively persuasive speech. Before expanding upon the specifics of the rhetorical methods utilized by the president in this speech, I think it is important to highlight that the audience (CAP)...
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...The Affordable Care Act The Legal Environment of Business September 14th, 2014 Copyright 2014 The Affordable Care Act The Affordable Care Act also called “Obamacare” which was signed by President Barack Obama in 2010. The Affordable Care Act is about the new health insurance, which aims to cover everyone in the United States. “Under the Affordable Care Act, the Federal government, State governments, insurers, employers, and individuals are given shared responsibility to reform and improve the availability, quality, and affordability of health insurance coverage in the United States.” (Reyes, 2013) This article concludes five specific provisions of the Affordable Care Act about improving the quality and efficiency of health care. After that, three regulations based on the Affordable Care Act will be discussed. Finally, the Constitutionality of the ACA will be discussed as it refers to two landmark cases. Five Provisions of the ACA There are many provisions in Affordable Care Act, and all the provisions I choose are from title III—improve the quality and efficiency of health care. In my opinion, the most important factors of health care are the quality and efficiency which are indispensable in the Affordable Care Act. My choices are about the data collection from the patient and privacy protection, the performance report, the treatment for cancer hospitals, prescription drug’s benefit and risk, and guarantee benefit for Medicare. Provision 1. SEC. 399II [42 U...
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...Health Care Reform By: Tamika Williams August 2, 2014 HCS/235 In the United States, health care reform is a major topic that many people are talking about and how the sources available will help Americans with health care. During the presidential election in 2008, health care reform was a great deal for them to promote the ideas to helping health care but no one actually can explain how it was going to become resolved. America was to the final point, where we as people, thought that the biggest controversy would become resolved and a new era of transparency would be developing. In these years that have come many of the changes that has been promised to America, has yet to occur and is still the same as before. The most recent health care reform is The Affordable Care Act which has expanded access to health care which was created and signed to make sure that all Americans in the United States have affordable health care available to them and to monitor the rising of the health care costs. The Affordable Care Act (ACA) is the most comprehensive reform of the United States medical system in at least 45 years. The ACA transforms the non-group insurance market in the United States and mandates that most residents have health insurance, significantly expands public insurance and subsidizes private insurance coverage, raises revenues from a variety of new taxes, and reduces and reorganizes spending under the nation’s largest health insurance plan, Medicare. Projecting the impacts...
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...The Impact of the Affordable Care Act on Businesses Sadie Boyd Webster University FINC 5000 Abstract This research paper was created to bring a better understanding on how the Patient Protection and Affordable Care Act affect business, government, and average American. Small business owners have historically had a much harder time providing themselves and their employees with insurance due to rising health insurance costs; meanwhile bigger businesses remain largely unaffected due to the leverage buying large group health plans gives them. This problem has only gotten more severe in the past decade. Today, almost half of America's uninsured are small business owners, employees or their dependents. There are around 44 million Americans who currently are unable to get health insurance. The Patient Protection and Affordable Care Act (PPACA,) signed into law by President Barack Obama on March 23, 2010. Several rationales were offered in support of this legislation, including that it would lead to the creation of jobs and the reduction of the federal budget deficit. Everyone is affected by this health care in one way or another. The Patient Protection and Affordable Care Act Consistent with respected economists‟ forecasts, the health care law contains a number of provisions that will eliminate jobs, reduce hours and wages, and limit future job creation. Specifically, the law: * Penalizes employers for failing to offer coverage deemed acceptable by the government; ...
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...The Affordable Care Act: A Case Study LaTonya Bolden EDU 806 November 26, 2017 Dr. Steven Moskowitz University of New England Table of Contents Executive Summary ………………………………………………………………………………………3 Introduction ...……………………………….…………………………………………………………….3 Bardach’s 8 Step Process and FMLA ……………...……………………………………………..……….5 Conclusion…………………………………………………………………………………………….…...8 References………………………………………………………………………………………...……….9 Executive Summary This case study will analysis the Affordable Care Act from its creation to its implementation during the Obama Administration. It will also discuss the challenges that the law currently faces. In the analysis, the eight step process created by Eugene Bardach will...
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...current fulltime employees as mandated by the Affordable Care Act. This act requires businesses to provide all fulltime employees health insurance meaning an increase in company costs to organizations like T&W Operations Inc. To concur with a large number of new customer proposals, T&W is now hiring 100 new employees, 50 of them being fulltime associates, equaling a total of 150 individuals, 75 fulltime and 75 part time employees. The company must find the most cost effective insurance plan to provide too all 75 new and current fulltime employees health insurance to abide by the Affordable Care Act requirements. . T&W’s Insurance Costs Increase: The Significance and Solution This significance of the solution is huge because if T&W Operations does not provide affordable health coverage to 75 fulltime associates, the company will pay a tax penalty of $2000 a person minus the first 30 employees, meaning T&W will owe $90,000 annually to the remaining 45 employees who did not receive insurance for a particular time period. According to the online forum www.obamacarefacts.com, “ The Obama Care "employer mandate" is a requirement that all businesses with over 50 full-time equivalent (FTE) employees provide health insurance for their full-time employees, or pay a per month "Employer Shared Responsibility Payment" on their federal tax return.” The purpose of this research is to conclude how T&W Operations will afford health care to new and existing employees without incurring an extreme...
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...Implications of Health Economic Concepts for Health Care Melissa James Strayer University Dr. Wanda Allen Health Economics – HSA 510 February 1, 2015 Assignment # 1 Implication of Health Economic Concepts for Health Care Assess the value of healthcare professionals and decision makers understanding the discipline of health economics. Healthcare is getting gradually complex around the world. The need for technological development, economic support, demographics changes and the study of diseases are shifting at a fast speed. There had been numerous labors in describing collective capabilities and values within the healthcare organizations. It is necessary for learning and training programs to be regulated based on the needs of the humanities they support. Therefore, the institutions that are designing and delivering those activities must take responsibility for the products they manufacture for the use of the society. Hence, Academic institutions that are in charge of educating healthcare professionals together with their various stakeholders must interact in collaboration to create actual and proficient strategies that will promote suitable culture in the healthcare systems. Current medical education process has its origins in the European institutions of higher learning that customarily cherished academic freedom, sovereignty and self-regulating exploration...
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...what parts of the Affordable Care Act can apply to Puerto Rico and the impacting the Medicare, Medicare patient services and employees. Most of the people in the island think that the Affordable Care Act is giving more security and help to address the existing disparities in the healthcare system. With the new Patient Protection & Affordable Care Act, the insurance companies can no longer drop the coverage if one becomes sick, bill individual into bankruptcy because of an annual or lifetime limit, and they will not be able to discriminate against anyone with a pre existing condition. Most of the Medicare and Medicaid community suffers do to the imbalance in our healthcare system this situation affects the quality of care and places a financial strain on the government, individuals and families, employers and employees, and public and private providers. Most of the Medicare beneficiaries have to enroll in the MA program to help them to succeed and receive the adequate treatments without MA to help the disadvantaged seniors on the island, Puerto Rico's elderly citizens will be forced to turn to Mi Salud in larger numbers. Although Mi Salud is scheduled to receive an average of $690 million annually during the next five years, the widening deficit in MA funding is likely to create a net negative impact on federal funding for healthcare in Puerto Rico. The Health care Policies and Issues Ethical concerns and issues The Affordable Care Act (ACA) policies are intended to give...
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...Health Care Spending Ninnette Paulino HCS/440 Economics: The Financing of Health Care August 25, 2013 Michele Burka America’s national health care spending grew by 3.9% each year from 2009 to 2011, the lowest since the federal government began keeping these records in 1960. That slow growth appears to have continued into 2012, when expenditures totaled an estimated $2.8 trillion. The biggest reason for this slowdown is that people have spent less on health care in weak economic times. As people were losing their jobs they were losing their health coverage and then hold off on seeing a physician. Even workers that are employed with company-sponsored plans they face large-out-of-pocket costs that they’d rather avoid unless it is truly necessary (Luhby, 2013). According to the Kaiser Family and Foundation and Altarum Institute, they predict that this dampened spending pattern is unlikely to last much longer. As the economy picks up, health care spending is expected to increase, rising to an annual growth rate of more than 7% annually by the end of the decade (Luhby, 2013). When President Obama released his fiscal 2014 budget he proposed a chained CPI- to shrink cost-of-living adjustments for retirees. The use of chained CPI in Social Security and elsewhere in the budget would reduce deficits by $230 billion over a decade. It is also includes $392 billion in savings from Medicare and other health programs by raising Medicare premiums for wealthy retirees and negotiating...
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