...Healthcare Ecosystems Task 1 Abstract In response to the “Patient Protection and Affordable Care Act (ACA) amended by the Health Care and Education Reconciliation Act (Reconciliation Act), collectively referred to as healthcare reform” (); Wishard-Eskenazi Health of Indianapolis, Indiana has begun to make milestone changes to meet the requirements of the healthcare reform. Being a leader in today’s technology which began thirty years ago with development of one of the nation’s first electronic medical record and continues to excel in the healthcare informatics technology today continues to use this technology in quality improvement initiatives, support for future technology research and improving the quality care of the patient. Wishard-Eskenazi Health remains true to their mission statement and provides a multitude of services to accomplish this statement. With the many legislative changes being brought forward today’s hospitals are forever changing and improving the quality of care provided to the patient. In response to the “Patient Protection and Affordable Care Act (ACA) amended by the Health Care and Education Reconciliation Act (Reconciliation Act), collectively referred to as healthcare reform” ( Basini, 2012); two of Indianapolis, Indiana hospitals have launched a partnership. Community Health Network and Wishard-Eskenazi Health agree to launch this partnership to assist each other in meeting the requirements of the of the Healthcare reform act. Together...
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...facts. One of the largest issues being scrutinized by our country right now is Obamacare. The goals for the way our healthcare system will be laid out are either loved by people or they absolutely hate it. There have been questionable issues about violating parts of our amendments and how or why people who can't afford healthcare actually deserve it. The biggest issue with the Obamacare Plan is whether it is or isn't Constitutional and what that means for the people of the United States. The Patient Protection and the Affordable Care Act, also known as Obamacare is a United States federal statute signed into law by President Barack Obama on March 23, 2010. Together with the Health Care and Education Reconciliation Act, it represents the most significant regulatory overhaul of the U.S. healthcare system since the passage of Medicare and Medicaid in 1965 (Wikipedia 2012). The main focus of Obamacare is to leave no person without health coverage. The majority of US Citizens struggle or can simply not afford health care thus not having proper treatment for illness for themselves or their children. The Obamacare policy is a reform of the Patient Protection and Affordable Care Act that was passed by Senate in December, 2009. Shortly after in 2010, the house abandoned this reform bill and amended it into the Health Care and Education Reconciliation Act of 2010. Obamacare has many pros and cons and is so controversial that it makes headlines constantly. The pros to Obamacare...
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...sixty million Americans with this health care coverage. Individuals with disabilities, parents, seniors, pregnant women and children are all eligible to receive the Medicaid plan. With federal minimum standards in place each state sets there individual criteria. Some federal laws in place are to cover certain population groups (mandatory eligibility groups) and gives them the flexibility to cover other population groups (optional eligibility groups). Medicaid, individuals must satisfy federal and state requirements regarding their current residency, immigration status, and documentation that they are a U.S. citizen. The Affordable Care Act of 2010 helped to expand Medicaid in 2014. “The Affordable Care Act provides Americans with better health security by putting in place comprehensive health insurance reforms that will: * Expand coverage, * Hold insurance companies accountable, * Lower health care costs, * Guarantee more choice, and * Enhance the quality of care for all Americans. Most recently, the MMA of 2003 included increases in DSH state allotments for 2004-2011 and added requirements for an independently certified annual audit. Figure 8.14 shows DSH funds as a percentage of the total Medicaid budget. The Affordable Care Act actually refers to two separate pieces of legislation — the Patient Protection and Affordable Care Act (P.L. 111-148) and the Health Care and Education Reconciliation Act of 2010 (P.L. 111-152) — that, together expand...
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...The article I chose to research and learn about was the Affordable Care Act and its subsequent effect on Connecticut residents. On March 23, 2010, President Obama signed the Patient Protection and Affordable Care Act (ACA). Along with the Health Care and Education Reconciliation Act of 2010, the law put in place comprehensive health insurance reforms. The law makes preventive care more accessible and affordable for many Americans. With the Affordable Care Act, we took one of the most important steps toward a more accessible and affordable health care system in almost 50 years. The article mostly focused on observing the effects the Affordable Care Act had on Connecticut’s existing healthcare policy holders as well as the uninsured. Connecticut’s policy makers and advocates hoped to see a decrease in uninsured residents as an effect of the Affordable Care Act. According to the statistics, the Affordable Care Act resulted in the decrease in uninsured residents. An example of these statistics is as follows, there was a drop in uninsured residents from 9.4% to 6.4% which resulted in 88,000 less uninsured residents than before. However it is important to note that 247,000 people are still uninsured. In addition to this, in the previous year the rate of uninsured people dropped more than it had in the last decade. The national average for the drop in uninsured as a result of the Affordable Care Act was 2.8% so Connecticut was slightly below the average with a 2.5% drop. It is important...
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...Health care reform in the United States has a long history. Reforms have often been proposed but have rarely been accomplished. In 2010, landmark reform was passed through two federal statutes enacted in 2010: the Patient Protection and Affordable Care Act (PPACA), signed March 23, 2010, and the Health Care and Education Reconciliation Act of 2010 , which amended the PPACA and became law on March 30, 2010. Future reforms and ideas continue to be proposed, with notable arguments including a single-payer system and a reduction in fee-for-service medical care. The PPACA includes a new agency, the Center for Medicare and Medicaid Innovation, which is intended to research reform ideas through pilot projects. ------------------------------------------------- History of national reform efforts Here is a summary of reform achievements at the national level in the United States. * 1965 President Lyndon Johnson enacted legislation that introduced Medicare, covering both hospital and general medical insurance for senior citizens paid for by a Federal employment tax over the working life of the retiree, and Medicaid permitted the Federal government to partially fund a program for the poor, with the program managed and co-financed by the individual states. * 1985 The Consolidated Omnibus Budget Reconciliation Act of 1985 (COBRA) amended the Employee Retirement Income Security Act of 1974 (ERISA) to give some employees the ability to continue health insurance coverage after...
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...Leading Change, Advancing Health” had bestowed a great deal in the healthcare field in terms of large change. The report had discussed 3 main transformation that impacts the nursing practice. Transformation in Practice, Education and Leadership which are all important aspect of the nursing career. The main character of the change is when President Barack Obama passed the Health Care and Education Reconciliation Act commonly known as Obamacare or Affordable Care Act on March 23, 2010. This so called Obamacare gives equal opportunity of getting insured to all Americans despite of age, gender, and pre-existing condition. (Martin, 2015) Thus, the healthcare providers and institution will suffer this significant change. That is why the transformations acknowledge by the Institute of Medicine is very important to aid with the high cost of this Obamacare. In Education “Nurses should achieve higher levels of education and training through an improved education system that promotes seamless academic progression.” To sum up, nurses need to further their education and training to be able to provide a larger service to the consumers. RNs are expected to be able to understand the disease process and at the same time able to manage the care of their patients. Also, accrediting, licensing and certifying organizations are being watch carefully to ensure that proper competencies are evaluated prior to giving such degrees. (IOM, 2010, pg.163) As we know there are 3 ways to enter the Nursing world...
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...The Clinton Healthcare Plan of 1993 also known as the Health Security Act was a package presented under the direction of President Bill Clinton. His presidency started on January 20, 1993 and lasted until January 20, 2001. During his 1992 presidential election, Clinton pushed for this bill to be passed by Congress. “After nine months of brainstorming and politicking, President Clinton delivered to Congress today a 240,000-word proposal for universal health insurance” (Pear, 1993). This manifesto was the most multiplex, comprehensive plan conveyed by any President. Under the Clinton plan, most Americans would get health insurance coverage only in regional alliances. “ A company with more than 5,000 full-time employees could operate its own health insurance program outside the alliances. People working at company headquarters would be in the corporate health plan” (Pear, 1993). If there were employees of a large company that worked in another state with 100 or less than they were able to join the local alliance there. The Clinton Healthcare Plan of 1993 would supply additional treatment of helping. “Mr. Clinton said his proposal would provide much more coverage of preventive services than is usually found in private health insurance plans” (Pear, 1993). The Patient Protection and Affordable Care Act (PPACA) of 2010 also known as Obamacare is a United States federal law signed in by President Obama on March 23, 2010. This law, jointly with the Health Care and Education Reconciliation...
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... Abstract This paper will explain how the new Affordable Care Act came to existence in March 2010. In addition, key features of the law will be described and how these new changes affect employees and employers. Introduction The Affordable Care Act (ACA) as signed on March 23, 2010 by President Barack Obama with the purpose to provide complete health insurance that will; hold insurance companies’ accountable, decrease the cost of healthcare, guarantee more choices, coverage expansion, and enhance the quality of care for all Americans (ACA History, 2016). The affordable care Act is comprised of two separate pieces of legislation; Patient Protection and Affordable Care Act, the Health Care and Education Reconciliation Act of 2010 (ACA History, 2016). How ACA Came to Existence For the last 75 years democratic Presidents had attempted to create a nationwide insurance system but they were all unsuccessful. In 2009 was the first year of Obama’s presidency and the house of Democrats introduced a plan of 1,000-page plan with the intention to overhaul the healthcare system on July 14th causing a raged debate on the topic (ACA History, 2016). The senate prohibited individuals that were unlawfully present in the U.S. to benefit from the health reform. Although all republicans voted against it, the senate bill was amended and approved by the House on March 21, 2010 with 219-212 vote (ACA History, 2016). Despite the promise...
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...In recent years our healthcare system has been the subject of much debate and policy change. With the enactment of the patient protection and the affordable care act much of what is known about the healthcare system is changing. This has been one of the most drastic departure from the traditional healthcare systems that we had. Why do we have to change healthcare system? How do we get to a place where healthcare reform and structuring was needed? To answer these questions, we must look back to our history to see how the political system, policies, programs and values have shift our modern health system leading up to the 2010 major healthcare reform to be signed by president Obama. 1900s was the period in which organized medicine took shape....
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...| Affordable Care Act | What is in store for the future? | Caitlin Dulon 6-14-2015 | According to Medicaid.gov “The Affordable Care Act was passed by Congress and then signed into law by the President on March 23, 2010. On June 28, 2012 the Supreme Court rendered a final decision to uphold the health care law.” (P. 1) the affordable care act brought about a lot of changes to the way American’s were able to get health Insurance. Many American’s could not afford health insurance even though they were working jobs, or their place of employment did not offer insurance benefits. After the Affordable Care Act was put in place American’s had a place to get health coverage no matter what their current situation was. According to Medicaid.gov “The Affordable Care Act actually refers to two separate pieces of legislation — the Patient Protection and Affordable Care Act and the Health Care and Education Reconciliation Act of that, together expand Medicaid coverage to millions of low-income Americans and makes numerous improvements to both Medicaid and the Children's Health Insurance Program (CHIP).” (P.1) The Affordable Care Act has given many low-income families the chance to have health insurance and be able to afford this insurance. These families are now able to get the preventative care that they need and be able to try and stay healthy so that they do not burden the United States with more medical bills they are unable to pay. But, even though they have insurance many...
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...Bajwa Microeconomics May 10, 2010 Health Care Reforms: What They Mean to Me and the United States Can anyone accurately predict the outcome of the Patient Protection and Affordable Care Act and the Health Care and Education Reconciliation Act of 2010? At this point it is all just speculation. The Federal Government, mainly the Democrats and the Department of Health and Human Services, paints one idealistic picture of the reform. The Federal Government envisions healthcare for all Americans at minimal expense to the consumer. The funding for this would come from a mixture of sources, including taxes on “rich” people, a new tax on expensive insurance, fees on healthcare industries, a tanning tax, and cuts on Medicare spending. Insurance companies are required to be more efficient and the increased competition should also decrease the cost of insurances policies. In theory, this all sounds great and would benefit me, my family, and other Americans with preexisting conditions but the critics are skeptical that all will go as planned. The Republicans and big business are predicting the worst outcomes of the new law. Even the Chief Actuary of the Medicare Program has now made some dire predictions on the actuality of the law, including an increase in spending. Critics predict that businesses may cut employee healthcare and pay the lower cost penalties instead. The cuts to Medicare Part A may put hospitals in debt and threaten access to care for seniors. The system may...
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...Research Paper on The United States’ Health Care Policy Patient Protection Affordable Care Act (PPACA) I. Delineation and overview of policy under analysis a.) What is the policy to be analyzed? The policy to be analyzed is the Patient Protection Affordable Care Act (PPACA) or colloquially referred to as Obamacare. The PPACA Bill was passed into law after Barack Obama signed it on March 23, 2010. However, it should be noted that specific provisions in the law is designed to be effective in staggered dates, that is, not all provisions in the law is effective the moment it was signed by Obama. Some provisions in the statute is designed to be effective beginning at the year 2020. b.) What is the nature of the problem being targeted by the policy? PPACA aims to improve the coverage of healthcare insurance. Thus, to achieve this, the policy targets people who do not have any health insurance. Unless exempted for the following reasons - religious beliefs, individuals who cannot afford the healthcare coverage, taxpayers whose income is below the income threshold, or any person deemed to belong from an Indian tribe- the statute requires individuals to avail a health care insurance plan or pay a penalty. II. Historical Analysis a.) What policies and programs were developed in the past to deal with the problem? Policies that were developed in the past to deal with the same problem of limited and reluctant healthcare coverage include the Medicare (1965), Consolidated...
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...Linda Mitchell HCM 641- Leadership and Ethical decision making in Health Care Colorado Technical University Professor Kimberly Perkins October 28, 2013 Introduction Our healthcare organization will be undergoing changes of restructuring to adhere to the Patient Protection and Affordable Care act (PPACA) of 2010. Our organization will develop ethical health care plans and services to meet the mission of the new (PPACA). MCO and HMO “Managed Care Organization (MCO) concept arrived in 1980, with original purpose of provision of healthcare at a reasonable cost to enrollees”(Santerre & Neun, 2010). Since 1980’s (MCO) has changed to now include other delivery options and management options. (HMO) Health Maintenance Organization have four models that represent the group insurance concept they provide. First is individual practice association (IPA) and second is network. Third is group and fourth is staff. Health Maintenance Organization tries to get all enrollees to stay within their network of providers. They assign groups of providers that (HMO) enrollees may pick from and this would be called the enrollees gatekeeper. Managed- care insurance is what both (MCO) and (HMO) became so that enrollees could receive coverage...
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...The Healthcare Plight of the Hispanic Population in the United States Joanne Cortez Grand Canyon University March 13, 2016 The Healthcare Plight of the Hispanic Population in the United States Disparities in healthcare for Hispanic communities in the United States remains an alarming trend. Social and political inequities bare much of the responsibility of this humanitarian and economic crisis of healthcare. The burden of poverty, prejudice, racial discrimination, immigration status, language barrier, and lack of education are not easily solved and will continue until greater understanding of the complexities of Hispanic communities are better understood. With greater knowledge of the diverseness of this group and the application of social programs and awareness driven by stakeholders and Hispanic consumers of health, will divides be bridged and progress towards a healthier population be realized. This discussion will shed light on the rise of the Hispanic population and the continued barriers to equitable healthcare fostered by social and political disparities. This document will also outline an up and coming group with a potential for political leverage and a brighter future enabling future generations of Hispanics access to all levels of primary, secondary and tertiary care. Population and health status of Hispanics The Pew Research Center compiled findings from the U.S. Census Bureau’s 2011 American...
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...the Robert Wood Johnson Foundation (RWJF) in 2008, prior to the Affordable Care Act passing, stated a two year study on the nursing profession and changes needed to advance the future of nursing practice. The introduction of the report states the groups “established a 2-year Initiative on the Future of Nursing. The cornerstone of the initiative is this committee, which was tasked with producing a report containing recommendations for an action-oriented blueprint for the future of nursing, including changes in public and institutional policies at the national, state, and local levels” (IOM, 2011). This report also determined that nurses should continue to strive for higher levels of education and advanced training using an improved education system that promotes seamless academic progression unlike the stair-step type systems currently in place that do not facilitate education advancement. So when Congress passed the the Affordable Care Act March of 2010, which is the biggest reformation of the healthcare system since the Medicare and Medicaid programs were first created in 1965, created even more of a need for more nurses in advanced clinical roles. According to Medicaid.gov, “The Affordable Care Act is actually two separate pieces of legislation; the Patient Protection and Affordable Care Act (P.L. 111-148) and the Health Care and Education Reconciliation Act of 2010 (P.L. 111-152). Together these 2 legislative acts expand Medicaid coverage to millions of low-income Americans and...
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