Insurance Coverage In Healthcare: A Case Study

Healthcare providers experience multiple effects when there are even the smallest changes made to reimbursement or coverage. When changes are in question, policy makers should take the jobs and opinions of physicians into consideration. Hillary Clinton plans to continue the pay for performance system. To achieve this, Clinton wants to push physicians to join accountable care organizations (ACOs) which will help them to align care with value. This means that physicians will continue to be paid based on how they perform on the job and what their patients perceive of the care given. Many physicians and nurses already, and will continue to, experience reductions in wages. However, physicians who join ACOs will receive more incentives for doing so (Obama, 2016). Donald Trump plans to take a different value-based route than Clinton that will impact providers. Trumps plan to extend insurance coverage across state lines and to implement a private insurance market will give individuals more provider options. Consumers will have a greater input of whom, how, and where they want to receive care (Appold, 2016). …show more content…
Hillary Clinton continues to advocate for increasing quality and access in healthcare. Evidence suggests that the ACA has improved access, coverage, and even quality outcomes (Obama, 2016). This is why Clinton feels it is crucial to continue the efforts of the ACA to increase occurrences of positive patient outcomes and quality patient care. Hillary Clinton supports the efforts of the Agency for Healthcare Research and Quality (AHRQ) and the US Department of Health and Human Services (DHS). She wants to continue enforcing quality standards in healthcare to improve care and outcomes (Stefanacci & Guerin, 2016). Clinton’s strong focus on quality, however, may slightly neglect reimbursement rates of providers, one of the main issues that erupted because of the