Cost
Subsidies under ACA got huge popularity in the low-income population across the country. Annual income below $11,490 for single individual, $20,000 for a family of three and $23,550 for a family of four are considered poverty levels in United States. The people falling in this criterion got the maximum benefit of the subsidies. Their premium amount was paid entirely by the government. ACA also introduced phase out levels which is essential 4X times the poverty levels, i.e., $45,960 for single individual, $62,000 for married couples without kids, $78,000 for a family of three and $94,200 for a family of four. Above this income level, people would not get any government health subsidies. Despite this, the maximum amount they could be charged …show more content…
Even without Medicaid expansion, the federal spending was expected to rise. The state spending was not to be altered much with only a 0.3% rise in its spending. Though the studies have shown increase in federal spending, FMAP formula shows that the spending is supposed to be high only temporarily. It would stabilize and remain steady over a period. [9]
Stake holders
The most important stakeholders effects by ACA implementation were the drug and device manufacturers. ACA made changes to close the “donut hole” and expand the 340B Drug Discount Program. Imposition of device tax was an issue the manufacturers were facing. [8]
Hospitals and other healthcare providers see a decrease in the uninsured patients they treat and reduction in the uncompensated care they provide. They saw an increase in privately insured population. [10]
The employers or the group health plan sponsors were not affected much by ACA. They had to issue a summary of benefits and coverage document to the enrolees from September 2013. [11]
The health insurance issuers were effected as quite a few of their flexibility standards were prohibited by law under ACA. They could no longer deny coverage based on pre-existing health conditions or increase premiums or reduce coverage based on the medical history of the applicant or any other …show more content…
This would affect the quality of care of the patients. A doctor who previously saw 4-5 patients at the maximum in an hour will have to see about 10 in the same time due to increase in patient in-flow. Essentially the affected group would be primary care physicians. With this comes another issue, there is already a shortage of primary care physicians in the country. To decrease the wait time or increase the patient inflow, the government must first focus on increasing the number of primary care physicians. It could be done either by incentivising doctors who become primary care physicians or by making it easier for international primary care physicians to practice and serve in United States. Increasing the entry of international primary care physicians in to US could also prove to be financially beneficial for the
Subsidies under ACA got huge popularity in the low-income population across the country. Annual income below $11,490 for single individual, $20,000 for a family of three and $23,550 for a family of four are considered poverty levels in United States. The people falling in this criterion got the maximum benefit of the subsidies. Their premium amount was paid entirely by the government. ACA also introduced phase out levels which is essential 4X times the poverty levels, i.e., $45,960 for single individual, $62,000 for married couples without kids, $78,000 for a family of three and $94,200 for a family of four. Above this income level, people would not get any government health subsidies. Despite this, the maximum amount they could be charged …show more content…
Even without Medicaid expansion, the federal spending was expected to rise. The state spending was not to be altered much with only a 0.3% rise in its spending. Though the studies have shown increase in federal spending, FMAP formula shows that the spending is supposed to be high only temporarily. It would stabilize and remain steady over a period. [9]
Stake holders
The most important stakeholders effects by ACA implementation were the drug and device manufacturers. ACA made changes to close the “donut hole” and expand the 340B Drug Discount Program. Imposition of device tax was an issue the manufacturers were facing. [8]
Hospitals and other healthcare providers see a decrease in the uninsured patients they treat and reduction in the uncompensated care they provide. They saw an increase in privately insured population. [10]
The employers or the group health plan sponsors were not affected much by ACA. They had to issue a summary of benefits and coverage document to the enrolees from September 2013. [11]
The health insurance issuers were effected as quite a few of their flexibility standards were prohibited by law under ACA. They could no longer deny coverage based on pre-existing health conditions or increase premiums or reduce coverage based on the medical history of the applicant or any other …show more content…
This would affect the quality of care of the patients. A doctor who previously saw 4-5 patients at the maximum in an hour will have to see about 10 in the same time due to increase in patient in-flow. Essentially the affected group would be primary care physicians. With this comes another issue, there is already a shortage of primary care physicians in the country. To decrease the wait time or increase the patient inflow, the government must first focus on increasing the number of primary care physicians. It could be done either by incentivising doctors who become primary care physicians or by making it easier for international primary care physicians to practice and serve in United States. Increasing the entry of international primary care physicians in to US could also prove to be financially beneficial for the