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action or later. Please see Debugging in WordPress for more information. (This message was added in version 6.7.0.) in /home/intelligentwr/nursingassignmentcrackers/wp-includes/functions.php on line 6114The PPACA of 2010 fostered new provisions for health care and the structure of health care delivery. The individual mandate to obtain insurance is one provocative provision. While this provision attempts to increase access to health care, it raises questions on how the existing system could sustain the potentially large influx of newly insured individuals.<\/p>\n
Another provision calls for new models of health care provider organizations to ensure delivery efficiency and continuity of care. In this week\u2019s media presentation, Dr. Kathleen White discusses the accountable care organization, which comprises a group of providers coordinating care across a variety of institutional settings. Yet becoming an accountable care organization may present a number of challenges.<\/p>\n
This week\u2019s Discussion builds on Week 1, continuing the examination of those societal and organizational contexts that influence health care reform. The unintended consequences of reform policy on the health care system are also considered.<\/p>\n
Post<\/strong>\u00a0a cohesive response that addresses the following:<\/p>\n
Read<\/strong>\u00a0a selection of your colleagues\u2019 postings.<\/p>\n
Respond<\/strong>\u00a0to at least\u00a0two<\/strong>\u00a0of your colleagues in one or more of the following ways:<\/p>\n
Note:<\/em><\/strong>\u00a0Please see the Syllabus and Discussion Rubric for formal Discussion question posting and response evaluation criteria.<\/em><\/p>\n
Return<\/strong>\u00a0to this Discussion in a few days to read the responses to your initial posting. Note what you learned and\/or any insights you gained as a result of the comments made by your colleagues.<\/p>\n
Be sure to support your work with specific citations from this week\u2019s Learning Resources and any additional sources.<\/em><\/p>\n
One feature of the US health care system is that it is the most expensive healthcare in the world with results that would not agree with the cost. It is interesting to see that the US healthcare system has tried to evolve over the years and in that evolving has actually increased the cost of healthcare (Bodenheimer & Grumbach, 2020). Competition has fueled the improvement of healthcare, but at the cost of raising healthcare costs for the individual. There are other countries that have better health care systems in place, for a fraction of the cost. It would be interesting to investigate the actual cost of care and how much insurance companies gain compared to their actual payout. There is much that could be improved in the US health care system. It could be possible that the monetary issues prevent there from being major reform to the system because companies make such a large sum of money that they do not want things to change. As the US health care system has tried to change and become seemingly more affordable through the use of policy changes there has been an increase in the amount of money that they government pays, which is actually paid by US citizens through taxes (Bodenheimer & Grumbach, 2020). It seems that whenever the US health care system is taking one step forward it is also taking two steps back.<\/span>\u00a0<\/span><\/p>\n
The Affordable Care Act (ACA) did provide more individuals with health care coverage. This has improved the health of many individuals. One condition of the ACA is that it protects individuals with preexisting conditions from insurance companies denying care based on their condition (Healthcare.gov, n.d.). This is a great benefit for many individuals, but it comes at a cost for the insurance companies. This mandatory coverage causes insurance companies to then have to try to balance out coverage for those individuals that are ill versus those individuals who are healthy which can end up costing those individuals that are healthy to pay for others in their groups (Bodenheimer & Grumbach, 2020). This causes insurances to have to base their premiums on an experience rating versus a community rating which potentially provides unfair coverage to individuals (Bodenhemier & Grumbach, 2020). This seemingly minor change from the ACA has a ripple effect in the way that insurance companies need to charge for care and how they will determine premiums for individuals. The ACA in general is an example of how the policy making process is in the United States. Making or changing policy in the United States is a very slow, very incremental process which makes it hard to change or add policies (Walden University, LLC, 2011). The ACA was a worked on for a long time and because of the changes that were made many companies had to adjust accordingly. Health reform in the United States is difficult because there are so many entities that want to make sure that they are not being left out or hurt in decisions or policies that are being made and so they will stall or stonewall different policies if they feel that it does not benefit them. When there are policy changes then there are adjustments that need to be made and sometimes that effects so many different things that the changes end up being a negative instead of a positive, such as individuals who have to pay too much for the ACA healthcare and therefore opt out and are fined for that decision (Bodenheim & Grumbach, 2020).<\/span>\u00a0<\/span><\/p>\n
Bodenheimer, T., &\u202fGrumbach, K. (2020).\u202f\u202f<\/span>Understanding health policy: A clinical approach<\/span><\/i>\u202f(8th ed.). McGraw-Hill.\u202f<\/span>\u00a0<\/span><\/p>\n
HealthCare.gov. (n.d.) <\/span>Understanding the Affordable Care Act.<\/span><\/i> Retrieved from <\/span>https:\/\/www.hhs.gov\/healthcare\/about-the-aca\/index.html<\/span><\/a>\u00a0<\/span><\/p>\n
After much public and political debate, in March 2010, the Patient Protection<\/a> and Affordable Care Act (PPACA) was signed into law by President Barack Obama. The PPACA is one of many health care reform efforts that have sought to correct key features of the U.S. health care system such as financing, service delivery, and care coordination. This week, you will examine the passage of PPACA as a milestone along the historical continuum of health care reform in the United States.<\/p>\n