...The Affordable Care Act The Legal Environment of Business September 14th, 2014 Copyright 2014 The Affordable Care Act The Affordable Care Act also called “Obamacare” which was signed by President Barack Obama in 2010. The Affordable Care Act is about the new health insurance, which aims to cover everyone in the United States. “Under the Affordable Care Act, the Federal government, State governments, insurers, employers, and individuals are given shared responsibility to reform and improve the availability, quality, and affordability of health insurance coverage in the United States.” (Reyes, 2013) This article concludes five specific provisions of the Affordable Care Act about improving the quality and efficiency of health care. After that, three regulations based on the Affordable Care Act will be discussed. Finally, the Constitutionality of the ACA will be discussed as it refers to two landmark cases. Five Provisions of the ACA There are many provisions in Affordable Care Act, and all the provisions I choose are from title III—improve the quality and efficiency of health care. In my opinion, the most important factors of health care are the quality and efficiency which are indispensable in the Affordable Care Act. My choices are about the data collection from the patient and privacy protection, the performance report, the treatment for cancer hospitals, prescription drug’s benefit and risk, and guarantee benefit for Medicare. Provision 1. SEC. 399II [42 U...
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...Research Database YOU SEARCHED : Affordable Care Act research topics 1 2 3 4 5 6 7 8 9 10 [...] Universal Health Care, A Moral Duty This 11 page research paper offers a current overview of the issues associated with the topic of universal healthcare provision and the Affordable Care Act (ACA). Universal health care as a moral and ethical duty is stressed. Bibliography lists 11 sources. Minimum Wage, Healthcare Reform A 3 page research paper that covers two topics. The first half of the paper presents the history of the federally mandated minimum wage, and the second half discusses the Supreme Court's announcement that it will rule on the constitutionality of the Affordable Care Act's required mandate for all Americans to purchase health insurance. Bibliography lists 2 sources. ESRD in NC, Access to Care for Underprivileged A 4 page research paper that examines the Patient Protection and Affordable Care Act (ACA) and how it impacts care for underprivileged patients with end stage renal disease (ESRD). Bibliography lists 2 sources. Health Care Changes Resulting from the PPACA In a paper of ten pages, the author writes about the Patient Protection and Affordable Care Act. The author of this paper considers four changes within health care as a result of the act including changes of private insurance, changes for the state regulations, the individual mandate provision, also age related coverage and preexisting conditions. There are three sources cited...
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...Affordability on Access to Health Care Services: a Case Study of Texas Introduction Access to healthcare arguably forms an integral aspect of human existence. However, in recent times, access to health care appears to have been militated by Health care and health insurance laws, the US policies on health insurances, earnings of an individual and a host of other factors. Although the enactment of the Patient Protection and Affordable Care Act (ACA) appears to serve as a partial force which enables people to have access to health care if earnings are below the stipulated national minimum wage, however the extent to which this solve this situation is still a subject of controversy (Sommers, Buchmueller, Decker, Carey, & Kronick,...
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...Running Head: ARTICLE OR CASE LAW SEARCH Article or Case Law Search HCS/430 Article or Case Law Search According to "Healthcare.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”. The Affordable Healthcare Act affords new means to hold insurance companies responsible and offers strong selections for customers. For example as part of the recently upheld Affordable Care Act, all health insurers are required to spend a percentage of each premium dollar collected to pay claims and to provide clinical service and activities that improve health care quality. ("Healthcare.gov", 2012) The Medical Loss Ratio (MLR) is known as a percentage that healthcare insurers must meet or better known as the MLR requirement. Healthcare insurers are required by the Affordable Care Act to produce a reimbursement to its consumers. The Medical Loss Ratio financial measurement used in the Affordable Care Act to help ensure that health plans provide significant value to users. The following is an example of how insurers use the MLR According to "Healthcare.gov" (2012), “if an insurer uses 80 cents out of every premium dollar to pay its customers' medical claims and activities that improve the quality of care; the company has a medical loss ratio of 80%. A medical loss ratio of 80% indicates that the insurer is using the remaining 20 cents of each...
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...Paper: Healthcare Services and The Affordable Care Act (ACA). Table of Contents: Abstract……………………………………………………………………………………...3 Introduction………………………………………………………………………………….3 Background of the Affordable Care Act …………………………………………………4 The Affordable Care Act………………………………………………………………….. 5 Methodology………………………………………………………………………………...8 Collection of Data…………………………………………………………………………..9 Primary………………………………………………………………………………10 Secondary…………………………………………………………………………..11 The Environmental Working Group………………………………………………………12 Primary Survey…………………………………………………………………….13 Questions and Answers…………………………………………………………...14 Findings from the collection of information and data…………………………………..15 Conclusion and recommendations……………………………………………………….17 Appendix A: SWOT Analysis……………………………………………………………..19 Appendix B: EWG’s Business Strategy …………………………………………………26 Appendix C: EWG’s Business Analyses………………………………………………...32 Appendix D: References…………………………………………………………………..37 Abstract Healthcare has been a topic of debate since a long period of time. The recent changes in the government legislation have specified some employer-based requirements for the healthcare provision to employees. Many organizations have also been impacted by the legislative amendments. The following section will cover the introductory knowledge of the Affordable Care Act along with its objectives. Furthermore, we will discuss the impact of this act has on the American society as a whole...
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...Christian Faith is that the use of contraceptives is immoral and should not be legal. However, the Patient Protection and Affordable Care Act established that a list of predetermined conditions will be made more affordable and the quality of related healthcare shall increase regardless of race, sex, or monetary status. Items on the list of predetermined conditions included contraception methods, which went against Hobby Lobby’s core values. Hobby Lobby claimed that they should not be required,...
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...Constitution states, “Congress shall make no law respecting an establishment of religion, or prohibiting the free exercise thereof; or abridging the freedom of speech, or of the press; or the right of the people peaceably to assemble, and to petition the Government for a redress of Grievances.” Numerous cases discuss whether corporations have First Amendment rights, however only few cases discuss whether the Free Exercise Clause of the First Amendment applies to corporations. In Central Hudson v. PSC (1980) and Citizens United v. Federal Election Commission (2010) the Supreme Court ruled that the First Amendment protects corporations’ commercial speech and political speech, respectively. In Santa Clara Company v. Southern Pacific Railroad (1886) the court ruled that the equal protection clause of the Fourteenth Amendment applies to corporations. The issue of whether the Affordable Care Act violates individuals’ rights to Free Exercise of Religion has also been a hotly debated topic. The Supreme Court Case Church of the Lukumi Babalu Aye v. Hialeah (1993) discussed whether the government can give ordinances that violate an individual’s right to Free Exercise. The Supreme Court Case Shervert v. Verner (1963) showed that a company cannot not provide an employee with compensation benefits if it interferes with the employee’s right to Free Exercise. Issue Should corporations receive the same First Amendment Rights as individuals? Rule Multiple issues pertain to this situation. The...
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...Stakeholder Analysis Brittany Collins Dr. Richardson Public Policy Analysis and Plan 11.7.13 Introduction This paper provides a comprehensive stakeholder analysis of the affordable medical care policy change. The policy change has triggered multiple debates across the United States of America earning the name ObamaCare due to the president’s commitment to see the policy implemented. An argumentation analysis is provided identifying the different contending positions as well as assumptions. Moreover, an argument map of the issue is also developed. It is pertinent to note that the policy issue affects stakeholders across different industries of the economy in a multidimensional approach. Medical care policy The Obama care health care policy has had wide opinions among various stakeholders in the US. While there are those who support the policy, there are also those who feel that the policy will be difficult to implement and will leave many people without the ability to access basic medical care. However, there is need to analyses the medical care policy and the different opinions that are given to analyses the suitability of the policy (Doolittle, 2013). The policy was laid down as an alternative to provision of cheaper healthcare to the people. Critics of the policy have argued that the citizens are the ultimate stakeholders in this policy; however, there are other key stakeholders involved. These stakeholders include key players in the insurance sector; pharmaceutical...
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...regulatory agency is a government body formed or mandated under the term of a legislative act to ensure compliance with the provisions of the act, and in carrying out its purpose. “The role of government regulator agencies in health care is to monitor health care practitioners and facilities, provide information about industry changes, promote safety and ensure a legal compliance and quality services” (2013). Health care industry rules and regulations are determined by regulatory agencies, local, federal and state with mandatory oversight. Accreditation agencies require participation that is voluntary because certification of quality provides important ranking. Large private organization and the government help develop and enforce health care regulations. Role Governmental regulatory agencies in health care are the “Food and Drug Administration (FDA), The Agency for Healthcare Research & Quality (AHRQ), The Centers for Medicare & Medicaid Services (CMS), The Centers for Disease Control and Prevention (CDC), and The Occupational Safety & Health Administration (OSHA)” (2013). Regulatory agencies serve different purposes, “the oversight of drugs, medical devices, vaccines, blood products, and biologics, establishing rules for testing, clinical trials, approval of new products. Monitoring of safety, medical errors and adverse reactions to treatments, alerting the health care industry of risks associated...
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...Henry DeVry University The Patient Protection and Affordable Care Act Analysis Paper Professor: Dr. Devin December, 15th, 2013 TABLE OF CONTENTS Title: “The Patient Protection and Affordable Care Act Analysis Paper” I. Introduction A. History/Background II. Quality, Affordable Health Care For All Americas B. Immediate Improvements in Health Care Coverage for All Americans a. Amendments to the Public Health Service b. improving coverage i. Prohibition on rescissions ii. Extension of dependent coverage III. Immediate Actions to Preserve and Expand Coverage a. Immediate access to insurance for uninsured individuals with a preexisting condition. b. Reinsurance for early retirees IV. general reform c. Fair health insurance premiums d. Guaranteed availability of coverage V. Consumer Choices and Insurance Competition Through Health Benefit Exchanges e. Affordable choices of health benefit plans f. Consumer choice VI. The Legislation The Patient Protection and Affordable Care Act Analysis Paper Back on March 30, 2010 president Barrack Obama signed The Patient Protection and Affordable Care Act (PPACA) since it had been approved by the house on March 21, 2010. It was a great step in the direction of safeguarding healthcare for all the individuals and family of the USA regardless of whether they are insured or not. There are several types of classes of people that live...
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...Comparative Analysis Rural hospitals across the world are being affected financially. Rural communities are less wealthy; the majority of the residents are uninsured. They tend to use the emergency room as their primary care, putting a financial burned on the hospital. In 1986 the Emergency Medical Treatment and Labor Act (EMTALA) was enacted by congress as part of the Consolidated Omnibus Reconciliation Act (COBRA). EMTALA allows uninsured patients to receive care with an emergency condition regardless of insurance status or the ability to pay. The law states the patient may not be turned away and care cannot be delayed due to pay concerns. EMTALA requires the hospital to stabilize the patient before transferring or discharging the patient (Encyclopedia of Everyday Laws, 2013). According to The Center for Disease Control (CDC), about 135 million people visit the emergency room each year and hospitals lose approximately $34 billion in unpaid medical bills. With the passing of the Patient Protection Affordable Care Act many unnecessary or preventable emergency room visits will be eliminated. My action plan for Ashe Memorial Hospital is to design a program to decrease the number of uninsured patients using the Patient Protection and Affordable Care Act (PPACA). By decreasing the number of uninsured people, it will also: • decrease the number of emergency room visits • increase the number of people to receive preventative care • increase the quality of patient care A comparative...
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...The future of Health Care in the United States is more uncertain than at any other time in the past fifty years. This new uncertainty was created by the U.S.Supreme Court’s decision to receive a challenge to the Affordable Care Act (ACA), known by most as Obamacare. If you missed it, the oral arguments on the case were presented before the Court in an historic three days of hearings March 26-28. These were preceded by many briefs submitted to the Court from a broad spectrum of organizations. All of this information is available in the public domain. A detailed analysis of each day of the hearings may be found at healthaffairs.org.blog. A decision from the Court is expected in late June. There is no certainty about how the Court will rule in the case before it. There are widely divergent speculations which are interesting to read, for sure. This is usual and customary. On the other hand, there is a difference this time. The entire healthcare system is likely to be impacted, many millions of citizens will feel it, and the political races from coast to coast are expected to react regardless of the outcome. There is one certainty. The Justices of the Supreme Court have more power to influence the direction and content of how health care is provided and paid for than at any time in contemporary history with the possible exception of the era when Medicare and Medicaid were enacted in the mid 1960s. The Court’s decision will likely have substantial impact regardless of the decision...
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...Obamacare Maegann Harris BUS620 July 1, 2014 Outline I. What is Obamacare a. Unofficial Names i. Affordable Care Act b. Analysis of Obamacare ii. CBO iii. Political Climate c. Pros and Cons II. Economic Growth d. Employers Response e. Small Business Survival f. GDP Growth III. Patient Protection Act g. Summary of Provisions h. Patient Bill of Rights IV. Conclusion Is Obamacare the solution to the real world problem of affordable healthcare? The purpose of this research paper is to understand whether Obamacare will be a solution to our growth or a long-term economic downfall. Does it make healthcare insurance less expensive? How will employers respond to Obamacare mandates? Can small businesses survive Obamacare? How reasonable are the projections? Obamacare also known as the Affordable Health Care Act is a new United States law designed to reform the American health care system. The main focus is on providing more Americans with access to affordable health insurance by improving the quality of health care, reducing health care spending, and regulating the health insurance industry (ObamaCare, 2014). Analysis Studies indicate that Obamacare has increased the underlying cost of individually purchased health insurance in the average state by 41 percent (Roy, 2014). This is an estimate average however, much research indicates that many different counties...
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...Final Business Model and Strategic Plan BUS475 Final Business Model and Strategic Plan A company that has a clear vision and mission statement is setup to be successful. The mission of Magellan Health is to provide its customer’s with greater insights into their health, while keeping healthcare affordable, and returning value to its shareholders. Those are three very different goals. What may benefit their customers may not benefit their shareholders. Additionally by keeping costs lost their institutional plan members may benefit but at the expense of the patients or physicians. This paper will outline the various steps Magellan will take to deliver on all three of these principles. Target Outcomes and Measuring Results The most obvious thing a business can do to be successful is to maintain its profitability. Without turning a profit and maintaining cash flow the business would be forced to close its doors. Therefore, financial objectives are one of the most important considerations. With the recent passage of the Affordable Care Act, an insurer can no longer deny coverage for pre-existing conditions. Additionally all members of the public are required to be insured by 2014 as there are penalties for, not purchasing health insurance. This influx of new additional clients has created a boon for the healthcare industry, (La Monica 2015), insurance companies will face rising costs as more people join plans with pre-existing conditions. To ensure that the risks associated...
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...Policy Analysis Paper The fate of uninsured Veterans: A policy Analysis University of Mississippi Medical Center School of Nursing Define the problem and assemble the evidence Too many Veterans in the United States lack health insurance and are ineligible to receive care provided by the Veteran’s Health Administration. According to American Community Survey (ACS) conducted in 2010, one in 10 of the nation’s 12.5 million veterans under the age of 65 is uninsured. A veteran is defined by federal law as any person who served for any length of time in any military service branch. Contrary to the presumption of most, not all veterans qualify for free healthcare through the Department of Veteran Affairs. The Veterans Health Administration (VHA) operates as a branch of the Department of Veterans Affairs and is the largest health system in the nation. It is recognized for its commitment to providing high-quality population specific healthcare. The VHA also works closely with academic medical centers across the nation. Haley and Kenney (2012) identify eligibility for health care provided by the VHA as being on veteran status, service-connected disabilities and income level. Other factors include demographic location and cost sharing requirements. Health insurance coverage for veterans as with other groups of nonelderly adults has heavy dependence on access to employer sponsored insurance (ESI) and the costs of obtaining it. It must also be considered that the majority of...
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