PPACA Analysis

Improved Essays
Once the US Supreme court ratified the constitutionality of the PPACA in June 2012 the implementation of this act faced many challenges. Identifying the challenges can help the government in moving forward to identifying strategies and areas of improvement in moving forward in universal healthcare. Some of the areas which impeded the implementation is the exchanges used to access healthcare and failure to adequately address the cost for coverage and penalties associated with the policy.
In reviewing the process associated with the healthcare exchanges there were issues with obtaining insurance coverage and it’s being deemed compliant with the exchange guidelines. Much time was spent focusing on the type of exchange market used there are
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While some states took the initiative to create their own insurance exchanges programs there were states who relied solely on the federal exchanges to dictate this process at a state level. Resulting in states communicating a lack of federal guidance which resulted in state delays as well as the uncertainty surrounding the cost associated with the insurance exchanges. State involvement is essential aspect of ensuring that polies are implemented and adequate follow through is monitored within each state and reported back to federal government. Some of these attributes to each states’ partisan view of the ACA. Because of how differently states responded it resulted in some states not adequately providing the support needed to help their citizens understand this at a state level (Plein, …show more content…
Because medical costs rising higher than the rate of inflation it’s impacted the success of ACA as access to coverage hasn’t significantly reduced the costs. Research still indicates that they young and healthier are paying more than those who are older and sick. Since the implementation of the ACA health care priced have at an annual rate of 1.6%. As well as barriers for the poor who are still unable to afford health care even with a modest premiums costs (). As indicated by Gardner (2016) the cost of insurance should be decreasing for the individuals but this hasn’t happened. For instance, private insurance is expected to experience a 50% increase in premiums. In addition to an interesting pattern emerging of from the number of population that is within the risk pool. Due to the increased number of individuals who are enrolling with higher risk health conditions and less healthy young individuals are enrolling and opting to pay the fees. Due to these risk pools in 2013-2015 there were 22.8 million who gain coverage while 5.9 million lost coverage. Indicating the risk that is associated with continuing to support a policy that doesn’t address high risk pools among insurers and the impact it will cost others in the long run

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