The article describes one of a number of issues that affects not only the relationship between a physician, a patient and the managed care network, but also offers an observation/or opinion in regards to the impact of the Patient Protection & Affordability Act. Depending on which side of the argument one may wish to champion, advocate or proponent, there are and will always be too sides to the story of any legislative act. Legislative action originates from a myriad of influences that may wish to address a particular agenda, the fortunate or unfortunate result of such actions will have a profound impact on the entire network of managed care providers, physicians and ultimately patients. Physicians are bound by their ethical, moral and legal
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o Reasonable, or cost-effective medical care for the well-being of the population regardless of their social or economic status. o Within the confines of the health care environment, a strategy to focus on the management of cost in a fragmented health care system.
Elements of the Patient Protection & Affordability Act
To highlight the complexity of the Patient Protection and Affordability Act, components of the Patient Protection and Affordable Care Act, are essentially broken down into ten categorized sections. Each categorized sections also contains underlying sub-sections targeting specific areas for improvement or services which would have an impact on physician’s behavior, not only during their course of action providing professional services, but may or would impact their professional business environment in any forthcoming legislative action, or modification of existing laws.
The following information is derived from the U.S. Senate:
Note: some sub-sections contain single or multiple strategies. o Title 1: Quality Affordable Health Care for all Americans. Example: Health Insurance Market Reform. o Title 2: Role of Public Programs. Example: Medicaid …show more content…
It is compelling that one of the unfortunate consequences that have resulted from the PPAA as reported by Scott W. Atlas of the Hoover Institute from Stanford University, and which would greatly influence a physician’s role within his profession is; “To meet the law’s requirements, major insurers all across the country are declining to participate in the exchanges, or only offering plans that exclude many of America’s best doctors and hospitals. Despite the theory that the law increases insurance choices, the ObamaCare exchanges do quite the opposite” (Atlas, 2015). That fact is highlighted by the number of managed care providers that are opting out of the Federal program, to include United Health, Aetna, United or the number of states that have created their own State Health exchanges. However, even State programs are not immune to failure or increased scrutiny.
Furthermore, to correlate the article (The ACA and the Safety Net: Challenges and Solution) with the legislative action initiated at the Federal level, as of January 1st, 2016, it is interesting to note that thirty-one states and the District of Columbia have since expanded their Medicaid programs. Whereas, there are nineteen states that have currently deferred from expansion of the Medicaid program per the Patient Protection & Affordability Act. (Families
o Reasonable, or cost-effective medical care for the well-being of the population regardless of their social or economic status. o Within the confines of the health care environment, a strategy to focus on the management of cost in a fragmented health care system.
Elements of the Patient Protection & Affordability Act
To highlight the complexity of the Patient Protection and Affordability Act, components of the Patient Protection and Affordable Care Act, are essentially broken down into ten categorized sections. Each categorized sections also contains underlying sub-sections targeting specific areas for improvement or services which would have an impact on physician’s behavior, not only during their course of action providing professional services, but may or would impact their professional business environment in any forthcoming legislative action, or modification of existing laws.
The following information is derived from the U.S. Senate:
Note: some sub-sections contain single or multiple strategies. o Title 1: Quality Affordable Health Care for all Americans. Example: Health Insurance Market Reform. o Title 2: Role of Public Programs. Example: Medicaid …show more content…
It is compelling that one of the unfortunate consequences that have resulted from the PPAA as reported by Scott W. Atlas of the Hoover Institute from Stanford University, and which would greatly influence a physician’s role within his profession is; “To meet the law’s requirements, major insurers all across the country are declining to participate in the exchanges, or only offering plans that exclude many of America’s best doctors and hospitals. Despite the theory that the law increases insurance choices, the ObamaCare exchanges do quite the opposite” (Atlas, 2015). That fact is highlighted by the number of managed care providers that are opting out of the Federal program, to include United Health, Aetna, United or the number of states that have created their own State Health exchanges. However, even State programs are not immune to failure or increased scrutiny.
Furthermore, to correlate the article (The ACA and the Safety Net: Challenges and Solution) with the legislative action initiated at the Federal level, as of January 1st, 2016, it is interesting to note that thirty-one states and the District of Columbia have since expanded their Medicaid programs. Whereas, there are nineteen states that have currently deferred from expansion of the Medicaid program per the Patient Protection & Affordability Act. (Families