Affordable Care Act: A Case Study

Improved Essays
To find information about health care providers and facilities usually is done by asking someone else, a family member or a friend to see if they know something about that practitioner or facility. However, to find valid and reliable information, the internet is one of the best option. In the book, the authors did mention about government websites that the client can go online and see the information. Today, the information is easier to find with the advance of technology. In the state of Florida for instance, you can go to the floridahealth.gov website and under “search disciplinary record” you find the “Medical quality assurance search services” where you can verify both establishments and practitioners’ license, profile, discipline and administrative …show more content…
According to Hader (2015), “A key feature of the Affordable Care Act (aka, the ACA) includes strategies for quality measures reporting and reimbursement specifically, the shift away from paying for the volume of care provided toward paying for the quality of care” (p. 270). The ACA established the value-based purchasing (VBP) program. The VBP program “rewards Medicare participating hospitals for improving the quality of care during measured episodes of coordinated care, including heart attacks, heart failure, health care-associated infections, pneumonia, surgical care, and patient satisfaction” (Hader, 2015, p. 271). A provision of the ACA “requires health plans to submit reports each year demonstrating how they reward health care quality through market-based incentives in benefit design and provider reimbursement structures” (Hoo, Lansky, Roski, & Simpson, 2012, …show more content…
It presented a few errors that occurred in the airline industry and what was done after to improve safety. The author mention that “many airline accidents are caused by breakdowns in communication, not technical failure” (Gibson & Singh, 2003, p.88). One accident occurred in Texas 1996 because the first officer was afraid of challenge the captain to abort landing. No one got injured, but the plane was total loss. After this and other incidents, the airline system “encourages good communication among the many professionals … Juniors pilots are taught that it is their duty to report mistakes and near misses, including those made by the senior pilot” (Gibson & Singh, 2003, p.89). The author also mentions that when accidents occur, the “National Transportation Safety Board examines every possible detail to understand and find the root causes of a crash” (Gibson & Singh, 2003, p.89). In comparison, the health care system tends to hide their mistakes, and not use them to improve their systems. Nurses and other healthcare professionals tend to not question doctor errors, or near misses due to fear of what can happen if you do

Related Documents

  • Improved Essays

    Rosalyn Schwartz lost medical coverage she had previously held through her husband job after she divorced him. She had a pre-existing condition an ulcer. She tried to buy coverage but companies offered her unaffordable policies that excluded treatment for ulcers. Later on, she developed breast cancer. However, since she had no coverage she postponed its excision.…

    • 832 Words
    • 4 Pages
    Improved Essays
  • Improved Essays

    Natalie Dixon, information generated from government and scholastic sources have previously highlighted the continuing disparity in health care in general. Across the globe there are contrasting policies and systems that have been implemented to meet the requirements of those nations constituents. Some are remarkable in their approach to delivering health care, the quality of care and their specific level of government control. The Affordable Care Act had both its positives and negatives in its designed approach to a continuing issue, but the fact remains and has been documented that for every action there is a reaction. Some of the negativities have complicated the issue, but then again it all depends on which side of the bandwagon one wishes to address or champion in their approach.…

    • 533 Words
    • 3 Pages
    Improved Essays
  • Improved Essays

    ACO Model

    • 1089 Words
    • 4 Pages

    A major component of the 2010 Patient Protection and Affordable Care Act (ACA) is the promotion of new models for payment and care delivery that control costs while improving quality. One of the most prominent of these new models is the Accountable Care Organization (ACO). ACOs, broadly defined, are groups of health care providers and hospitals joined together as either vertically integrated systems or virtually integrated networks that are responsible for the care of a defined population of patients. A primary means through which the ACA promotes the ACO model is the Medicare Shared Savings Program (MSSP), in which ACOs contract with Medicare to provide care to beneficiaries in the Fee-For-Service program, and are financially rewarded if…

    • 1089 Words
    • 4 Pages
    Improved Essays
  • Decent Essays

    This includes the changes in treatment efficiency and how it limits the number of covered patient visits. This text will be used as evidence to prove the effects of the Affordable Care Act (ACA) because of the survey given to PTs and the interviews that followed it. The interviews will be a key place where I will draw my information because PTs see the impact of the ACA first hand. The PT interviews will help me dig deeper and not just disclose that client visits are limited, but also how the limited visits affect clients from wellness (rather than financial) stand point. The interviews will show the reality that even though clients can pay-out-of-pocket, often they can’t or are not willing…

    • 1843 Words
    • 8 Pages
    Decent Essays
  • Great Essays

    Abstract This proposal looks to introduce the readers to a new legislations that will allow all citizens to have equal access along with fair access to a health care system. This plan will outline many key areas that will allow for employers to gain benefits for having coverage options for both full and part-time workers. In addition, this proposal will set a guideline to allow for an equal cost healthcare system for everyone that wishes to have coverage. The current plan, the Affordable Care Act, will be discussed throughout this proposal discussing how this plan is detrimental for the American people and the economy.…

    • 1583 Words
    • 7 Pages
    Great Essays
  • Improved Essays

    The landscape for transgender healthcare has been radically impacted by the passage and implementation of the Affordable Care Act [ACA]. The ACA paved the way for the state and country to address the discrimination and barriers to accessing care that many transgender people have experienced. Over the past few years there have been significant changes to trans-specific healthcare coverage, which can be attributed to the clarification of Senate Bill 2 and the state and federal mandates. In this paper I will discuss the laws more in-depth, how they affect Kaiser Permanente specifically, and some recommendations on how to support fully inclusive healthcare. Background…

    • 635 Words
    • 3 Pages
    Improved Essays
  • Improved Essays

    Introduction The Affordable Care Act has transformed the health care system for individuals with chronic illnesses. The ACA stipulates that insurance companies can no longer discriminate against individuals with preexisting conditions (Burge, & Schade, 2014). Prior the enactment of the ACA, individuals with chronic conditions, had difficulties procuring health insurance because of their illness. Individuals with chronic conditions from low income households must have an earning about 400% below the federal established poverty guideline, which as of date is $45,960 to qualify for federally subsidized health insurance (Burge et al., 2014). Researchers estimated that approximately thirty-two million Americans with chronic conditions will have access to health care as a result of the ACA (Arora et…

    • 493 Words
    • 2 Pages
    Improved Essays
  • Superior Essays

    The Affordable Care Act ( ACA) was initially created so that low-income families could receive health care benefits. This led to a court case between the National Federation of Independent Business and Kathleen Sebelius, where the Affordable Care Act was questioned its constitutionality. The National Federation of Independent Business v. Sebelius allowed people to be aware of the current healthcare issues and how the court case impacted the healthcare system. Primarily, the introduction of the court case enabled the awareness of healthcare issues in the United States.…

    • 1072 Words
    • 5 Pages
    Superior Essays
  • Improved Essays

    Affordable Care Act plans enforce higher out-of-pocket costs on customers than other coverage options. In order to keep costs low, many insurance company’s plans use a limited network of doctors and hospitals. To make matters even more restricted, access to doctors as become challenging in states that have expanded Medicaid because many practitioners are opting out of the program due to diminishing compensations. A Modern Healthcare article reveals that “the expected costs of Medicaid expansion during the next ten years will fall just short of $1 trillion, according to the [Congressional Budget Office]. That compares with $803 billion spent on premium and cost-sharing subsidies in the ACA 's exchanges”…

    • 727 Words
    • 3 Pages
    Improved Essays
  • Decent Essays

    Affordable Care Act (ACA)

    • 287 Words
    • 2 Pages

    Although many of us, when we hear the name Affordable Care Act (ACA) we right away think about low coverage, better access, and affordability but there’s so much more to it. Physicians are now being faced with having to provide better patient safety and quality of care. Thanks to Medicare’s Hospital Value-Based Purchasing Program (VBP), the quality of care provided to patients by hospitals is now measured through the use of quality measures and the patients’ overall satisfaction of care. Since the program was implemented, the ACA has showed significant results in the healthcare industry. For example, by improving patient safety and quality of care, adverse effects have lowered significantly.…

    • 287 Words
    • 2 Pages
    Decent Essays
  • Improved Essays

    The Affordable Care Act, also known as Obama Care, is a government decision to expand health coverage to all. Services like vaccinations and Medicare, preventive care, will become free. Medicaid, for lower income individuals, will cover all low-income individuals in all states. This sounds pleasant and hopeful, but how we get there in 2019 may create a different tone. This bill will also make health coverage much more affordable for the working middle class.…

    • 415 Words
    • 2 Pages
    Improved Essays
  • Improved Essays

    Affordable Care Act

    • 1007 Words
    • 5 Pages

    The Affordable Care Act (ACA), is shortened for The Patient Protection and Affordable Care Act (PPACA), which is the new health care renewed regulation in America, and is known as Obamacare. The Patient Protection and Affordable Care Act is made up from several milestones in health care, such as of the Affordable Health Care for America Act, the Patient Protection Act. In addition, other milestones which took place in the health care was the ACA, which is also associated with health care sections of the Health Care and Education Reconciliation Act, and the Student Aid and Fiscal Responsibility Act. Furthermore, it consist of modifications to other laws like the Food, Drug and Cosmetics Act and the Health and Public Services Act. From the time…

    • 1007 Words
    • 5 Pages
    Improved Essays
  • Improved Essays

    Obamacare: A Case Study

    • 758 Words
    • 4 Pages

    The development of Obamacare helps to increase the utilization of health care, improve the quality, and makes healthcare more affordable. Another factor that may affect health care providers is more providers may be willing to accept Medicaid insurance. Overall, Obamacare will increase business and the use of services, which will most likely cause a decrease in the cost of health care services. Policy implementation: The beginning phase for the implementation of Obamacare is rulemaking.…

    • 758 Words
    • 4 Pages
    Improved Essays
  • Improved Essays

    Minority Health Care Access AnchorThe United States Government claims our medical health care is the best in the world. The can be no further from the truth. We as a country are less advanced than other nations because citizens of certain races, ethnicities and incomes experience less coverage than others. African Americans and Latinos are among the worse.…

    • 438 Words
    • 2 Pages
    Improved Essays
  • Superior Essays

    The Affordable Care Act

    • 1327 Words
    • 6 Pages

    The Patient Protection and Affordable Care Act or more commonly known as Obamacare, was implemented on March 23, 2010. The Affordable Care Act is meant to “provide affordable, quality health care for all Americans and reduce the growth in healthcare spending, and for other purposes” (“Health Care Reform Timeline”). The plan is to reform and rebuild the national health care system. The health care system must be reformed because millions of people are without health insurance since it is too expensive. Many drug prescriptions are not affordable, leaving many people without the proper treatment.…

    • 1327 Words
    • 6 Pages
    Superior Essays