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The Affordable Care Act at 5 Years
Mary Beth Hamel, M.D., M.P.H., Editor
Authored by David Blumenthal, M.D., M.P.P, Melinda Abrams, M.S., and Rachel Nuzum, M.P.H.
Published 2015, The New England Journal of Medicine

Laurie Bailey
Reinhardt University
Healthcare Law, Regulations, and Ethics
Spring 2016
Journal Review

Abstract

The Affordable Care Act (ACA) has been one of the most controversial pieces of social legislation enacted in recent history. We know the law has had a considerable impact on the availability of health insurance. In addition to its expansion and reform of health insurance coverage, the Affordable Care Act (ACA) contains numerous provisions intended to resolve underlying problems in containing health care costs and improving the quality of care for Americans. These provisions focus on three broad areas: testing new delivery models and spreading successful ones, encouraging the shift toward payment based on the value of care provided, and ensuring protection against illness and the ability to receive care. While it is still far too early to offer any kind of definitive assessment of the law’s reforms since some of the provisions did not take effect until much later after its passage, it is clear that the ACA has changed healthcare in the U.S. and is promoting providers to improve the value obtained for our health care dollars.

In 2010, Congress passed and President Obama signed into law the Patient Protection and Affordable Care Act (PPACA). The Patient Protection and Affordable Care Act has been shortened by some and is also known as the Affordable Care Act (ACA). Some of the provisions of the law took effect almost immediately while other requirements have been implemented over time and are still being phased in. After five years, can one of the most recent controversial and landmark laws passed in our

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