NUR 621 The Affordable Care Act has subsidies available

NUR 621 The Affordable Care Act has subsidies available

A Sample Answer For the Assignment: NUR 621 The Affordable Care Act has subsidies available

Title: NUR 621 The Affordable Care Act has subsidies available

NUR 621 The Affordable Care Act has subsidies available

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The Affordable Care Act has subsidies available; how does one qualify? How does this differ from Medicaid?

 

The Affordable Care Act (ACA) is a law that addresses healthcare costs, preventive care, and coverage of health insurance by eliminating preexisting health conditions and allows young adults up to age 26 to remain on their parents’ insurance plan (MACPAC, n.d.). ACA is aimed at encouraging preventative cares such as mammograms, colonoscopies, vaccines, labs, etc in hopes to prevent illnesses (Wu, 2019). The ACA was signed in law on March 23, 2010, by President Barack Obama. There are three goals of the ACA which include: allowing more people to have affordable health insurance available to them; to cover all adults with incomes below 138% of the federal poverty level (FPL) by expanding the Medicaid program; and to support medical care delivery methods that are designed to lower healthcare costs (USA.gov, n.d.).

The subsidies are tax credits that are reflected upon a sliding scale by limiting the amount paid within monthly premiums within a percentage of your annual income. Most eligible people that earn 100%-400% of the FPL are eligible for the subsidies by applying through the government-run health insurance marketplace in the state you live through a qualifying licensed agent, and private online Marketplaces that cooperate with the government marketplace (Davalon, 2021).  87% of the 10.7 million people in 2020 that purchased health insurance on the Marketplace received ACA premium subsidies (Davalon, 2021).

Medicare differs from ACA due to Medicaid being a social welfare program that provides free health insurance for poor and qualified individuals with certain disabilities within the U.S (Barba, 2020). Medicare is funded both by the federal government and individual state governments, which the program was created to help provide health insurance to individuals that lacking the money or resources to afford coverage (Centers for Medicare & Medicaid Services, n.d.). The eligibility requirements differ state to state, however each state looks at income, household size, and citizenship status (Barba, 2020). ACA is offered by private insurance companies, businesses, and offers copay coinsurance, and deductibles whereas, with Medicaid it is 100% free to the individual and are required to be on a government-funded insurance plan (NHIA, n.d.).

References NUR 621 The Affordable Care Act has subsidies available

Barba, R. (2020). What is Medicaid. https://www.healthcare.com/what-is-medicaid-25740

Centers for Medicare & Medicaid Services. (n.d.). Medicaid. https://www.medicaid.gov/medicaid/index.html

Davalon. (2021). Everything to know about Obamacare (ACA) subsidies. eHealth. https://www.ehealthinsurance.com/resources/affordable-care-act/aca-obamacare-subsidies

National Health Insurance Agencies (NHIA). (n.d.). The differences between ACA and Medicaid. Florida Blue. https://nhiains.com/difference-aca-medicaid/

USA.gov. (n.d.). Affordable care act (ACA). https://www.healthcare.gov/glossary/affordable-care-act/

Wu, T., & Raghunathan, V. (2019). The patient protection and affordable care act and utilization of preventive health care services among asian americans in Michigan during pre- and post-affordable care act implementation. Journal of Community Health, 44(4), 712-720. https://doi.org/10.1007/s10900-019-00628-7

 

I agree with you that the Affordable Care Act (ACA) seeks to increase the affordability and accessibility of quality healthcare services. The law targets uninsured children and adults.  ACA prioritizes preventive care with minimal attention directed to treatment (Meinhofer & Witman, 2018). Preventing some illnesses is cheaper than handling sick people. Therefore, ACA becomes critical in vaccination, assessment of health complications, and preventing sicknesses. The former US President signed the ACA into law in March 2010. The increased outcry from uninsured Americans during the electioneering period compelled the President to introduce ACA. The act aimed at enabling more Americans to access affordable health insurance (Eguia et al., 2018).  However, the ACA targeted eligible adults with income below 138%. Arguably, the law targeted low-income earners. Medicare differs from ACA since Medicaid is a social welfare program. The program provides free healthcare insurance to the qualified Americans (Takvorian et al., 2020). Medicaid prioritizes Americans with disabilities. ACA does not specify on people with disabilities.  The central government finances ACA while Medicaid is under the federal government and individual state governments.

References NUR 621 The Affordable Care Act has subsidies available

Eguia, E., Cobb, A. N., Kothari, A. N., Molefe, A., Afshar, M., Aranha, G. V., & Kuo, P. C. (2018). Impact of the Affordable Care Act (ACA) Medicaid expansion on cancer admissions and surgeries. Annals of surgery, 268(4), 584. doi: 10.1097/SLA.0000000000002952

Meinhofer, A., & Witman, A. E. (2018). The role of health insurance on treatment for opioid use disorders: Evidence from the Affordable Care Act Medicaid expansion. Journal of health economics, 60, 177-197. https://doi.org/10.1016/j.jhealeco.2018.06.004

Takvorian, S. U., Oganisian, A., Mamtani, R., Mitra, N., Shulman, L. N., Bekelman, J. E., & Werner, R. M. (2020). Association of Medicaid expansion under the Affordable Care Act with insurance status, cancer stage, and timely treatment among patients with breast, colon, and lung cancer. JAMA network open, 3(2), e1921653-e1921653. doi:10.1001/jamanetworkopen.2019.21653

ACA provides subsidies and cost sharing subsidies to qualified persons to reduce the cost of coverage. The people who qualify for the ACA subsidies are those whose net income ranges from 100-400 percent of federal poverty line. The federal poverty line of a person is rated as 128,800, and it depends up on the number of people in a given household. (Davalon,2021). The qualified person must be living in the US either as a legal resident or a citizen and the beneficiary should not be present in incarceration.

Affordable care act provides subsidies, and these subsidies are used to pay the health insurance premiums for those who are struggling to afford the insurance coverage (Norris,2021). The people that qualify for ACA are protected from the rising cost of premiums and the subsidies are designed to decrease or increase depending on the premium proportions. This helps the people of middle- and lower-income levels to afford health insurance policies.

To eligible for Medicaid subsidies, our income must be between 100-400 percent of federal poverty line, similar to the eligibility rate for ACA. The qualification of Medicaid subsidies depends on whether the state that the person lives has expanded the plan or not (Health care. Gov,2021). However, in states that have already expanded the Medicaid program, one can qualify depending on the state poverty level. This threshold is kept at 133% at federal level and 138 % in state level (Garfield and Orgera,2021). The eligibility for subsidies for individuals in the state that failed to expand Medicaid will be limited and such people might struggle to receive financial support on the health insurance even if they are below the poverty level.

References NUR 621 The Affordable Care Act has subsidies available

Davalon. (2021). Everything to know about Obamacare (ACA) Subsidies. eHealth. https://www.ehealthinsurance.com/resources/affordable-care-act/aca-obamacare-subsidies.

Garfield, R. and Orgera, K. (2021). The coverage gap: Uninsured poor adults in states that do not expand Medicaid. KFF. https://www.kff.org/medicaid/issue-brief/the-coverage-gap-uninsured-poor-adults-in-states-that-do-not-expand-medicaid/.

HealthCare.Gov. (2021). Medicaid expansion & what it means for you. https://www.healthcare.gov/medicaid-chip/medicaid-expansion-and-you/.

Norris, L. (2021). Will you receive an ACA premium subsidy? Health Insurance.org. https://www.healthinsurance.org/obamacare/will-you-receive-an-aca-premium-subsidy/

I concur with you that ACA aimed at providing insurance to many uninsured Americans. Before resuming his first term in office, President Obama promised Americans affordable and quality healthcare services (Lee & Porell, 2020). Therefore, ACA was part of the government’s commitment to lowering healthcare costs for many uninsured Americans. Before the law, most insurers dismissed Americans with preexisting conditions.  As a result, the number of uninsured Americans increased. ACA aimed at eliminating the restrictions. Medicaid is extensive public healthcare insurance that targets low-income Americans and people living with disabilities (Caswell & Waidmann, 2019). The eligibility factors for both ACA and Medicaid are different. ACA engages insurers whereas Medicaid interacts directly with community health centers and other healthcare facilities. The federal and state governments through their metrics determine the poverty levels before enlisting qualified Americans for Medicaid (Loehrer et al., 2018). The American healthcare sector has transformed since the introduction of ACA and Medicaid. The increased affordability rate for healthcare services has enabled Americans to access quality healthcare services.

References NUR 621 The Affordable Care Act has subsidies available

Caswell, K. J., & Waidmann, T. A. (2019). The affordable care act medicaid expansions and personal finance. Medical Care Research and Review, 76(5), 538-571. https://doi.org/10.1177/1077558717725164

Lee, H., & Porell, F. W. (2020). The effect of the Affordable Care Act Medicaid expansion on disparities in access to care and health status. Medical Care Research and Review, 77(5), 461-473. https://doi.org/10.1177/1077558718808709

Loehrer, A. P., Chang, D. C., Scott, J. W., Hutter, M. M., Patel, V. I., Lee, J. E., & Sommers, B. D. (2018). Association of the Affordable Care Act Medicaid expansion with access to and quality of care for surgical conditions. JAMA surgery, 153(3), e175568-e175568. doi:10.1001/jamasurg.2017.5568

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NUR 621 The Affordable Care Act has subsidies available Grading Rubric Guidelines

Performance Category	10	9	8	4	0
Scholarliness Demonstrates achievement of scholarly inquiry for professional and academic decisions.	Provides relevant evidence of scholarly inquiry clearly stating how the evidence informed or changed professional or academic decisions Evaluates literature resources to develop a comprehensive analysis or synthesis. Uses valid, relevant, and reliable outside sources to contribute to the threaded discussion	Provides relevant evidence of scholarly inquiry but does not clearly state how the evidence informed or changed professional or academic decisions. Evaluates information from source(s) to develop a coherent analysis or synthesis. Uses some valid, relevant, reliable outside sources to contribute to the threaded discussion.	Discusses using scholarly inquiry but does not state how scholarly inquiry informed or changed professional or academic decisions. Information is taken from source(s) with some interpretation/evaluation, but not enough to develop a coherent analysis or synthesis. Little valid, relevant, or reliable outside sources are used to contribute to the threaded discussion. Demonstrates little or no understanding of the topic.	Discusses using scholarly inquiry but does not state how scholarly inquiry informed or changed professional or academic decisions. Information is taken from source(s) without any interpretation/evaluation. The posting uses information that is not valid, relevant, or reliable	No evidence of the use of scholarly inquiry to inform or change professional or academic decisions. Information is not valid, relevant, or reliable
Performance Category	10	9	8	4	0
Application of Course Knowledge – Demonstrate the ability to analyze, synthesize, and/or apply principles and concepts learned in the course lesson and outside readings and relate them to real-life professional situations	Posts make direct reference to concepts discussed in the lesson or drawn from relevant outside sources; Applies concepts to personal experience in the professional setting and or relevant application to real life.	Posts make direct reference to concepts discussed in the lesson or drawn from relevant outside sources. Applies concepts to personal experience in their professional setting and or relevant application to real life Interactions with classmates are relevant to the discussion topic but do not make direct reference to lesson content	Posts are generally on topic but do not build knowledge by incorporating concepts and principles from the lesson. Does not attempt to apply lesson concepts to personal experience in their professional setting and or relevant application to real life Does not demonstrate a solid understanding of the principles and concepts presented in the lesson	Posts do not adequately address the question posed either by the discussion prompt or the instructor’s launch post. Posts are superficial and do not reflect an understanding of the lesson content Does not attempt to apply lesson concepts to personal experience in their professional setting and or relevant application to real life	Posts are not related to the topics provided by the discussion prompt or by the instructor; attempts by the instructor to redirect the student are ignored No discussion of lesson concepts to personal experience in the professional setting and or relevant application to real life
Performance Category	5	4	3	2	0
Interactive Dialogue Replies to each graded thread topic posted by the course instructor, by Wednesday, 11:59 p.m. MT, of each week, and posts a minimum of two times in each graded thread, on separate days. (5 points possible per graded thread)	Exceeds minimum post requirements Replies to each graded thread topic posted by the course instructor, by Wednesday, 11:59 p.m. MT, of each week, and posts three or more times in each graded thread, over three separate days. Replies to a post posed by faculty and to a peer Summarizes what was learned from the lesson, readings, and other student posts for the week.	Replies to each graded thread topic posted by the course instructor, by Wednesday, 11:59 p.m. MT, of each week, and posts a minimum of two times in each graded thread, on separate days Replies to a question posed by a peer Summarizes what was learned from the lesson, readings, and other student posts for the week.	Meets expectations of 2 posts on 2 different days. The main post is not made by the Wednesday deadline Does not reply to a question posed by a peer or faculty	Has only one post for the week Discussion posts contain few, if any, new ideas or applications; often are a rehashing or summary of other students’ comments	Does not post to the thread No connections are made to the topic
	Minus 1 Point	Minus 2 Point	Minus 3 Point	Minus 4 Point	Minus 5 Point
Grammar, Syntax, APA Note: if there are only a few errors in these criteria, please note this for the student in as an area for improvement. If the student does not make the needed corrections in upcoming weeks, then points should be deducted. Points deducted for improper grammar, syntax and APA style of writing. The source of information is the APA Manual 6th Edition	2-3 errors in APA format. Written responses have 2-3 grammatical, spelling, and punctuation errors. Writing style is generally clear, focused, and facilitates communication.	4-5 errors in APA format. Writing responses have 4-5 grammatical, spelling and punctuation errors. Writing style is somewhat focused.	6-7 errors in APA format. Writing responses have 6-7 grammatical, spelling and punctuation errors. Writing style is slightly focused making discussion difficult to understand.	8-10 errors in APA format. Writing responses have 8-10 grammatical, spelling and punctuation errors. Writing style is not focused, making discussion difficult to understand.	Post contains greater than 10 errors in APA format. Written responses have more than 10 grammatical, spelling and punctuation errors. Writing style does not facilitate communication. The student continues to make repeated mistakes in any of the above areas after written correction by the instructor
	0 points lost				-5 points lost
Total Participation Requirements per discussion thread	The student answers the threaded discussion question or topic on one day and posts a second response on another day.				The student does not meet the minimum requirement of two postings on two different days
Early Participation Requirement per discussion thread	The student must provide a substantive answer to the graded discussion question(s) or topic(s), posted by the course instructor (not a response to a peer), by Wednesday, 11:59 p.m. MT of each week.				The student does not meet the requirement of a substantive response to the stated question or topic by Wednesday at 11:59 pm MT.

Also Read: NUR 621 One of the aspects of meaningful use is the implementation of the electronic health record (EHR)