...The Impact of the Affordable Care Act on North Carolina's Uninsured Population Wendy Patterson Walden University Policy & Advocacy for Population Health NURS 6050-13 Dr. Joan Moon June 30, 2015 The Impact of the Affordable Care Act on North Carolina's Uninsured Population In a speech delivered in the Rose Garden, President Obama stated, “Five years ago, after nearly a century of talk, decades of trying, a year of bipartisan debate -- we finally declared that in America, healthcare is not a privilege for a few, but a right for all” (US News, 2015). This paper will discuss the impact of the Affordable Care Act (ACA) on the population of North Carolina, the economic impact of providing care to patients from the provider’s point of view, how patients will be affected in relationship to cost, quality, and access to treatment, and what the ethical implications of ACA means for both the provider's and the patients. The Impact of the Affordable Care Act on the Population in North Carolina According to a fact sheet published by the Kaiser Family Foundation, the ACA has the potential to extend coverage to many of the 47 million nonelderly uninsured people nationwide, including the 1.6 million uninsured in North Carolina (KFF, 2015). Although the ACA was signed into law declaring that it was a right for all to have health insurance, individual States had the option of whether to expand coverage for Medicaid recipients. “Being poor, unemployed, or homeless did not...
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...Health Care Economics and the Uninsured School of Nursing Health Care Economics and the Uninsured The United States health care system is a large and complex structure organized to deliver health care services to the country’s residents (Maurer, 2013). The system is not systematically organized, but is the result of the interrelationships between numerous influences such as culture, consumers, epidemiology, health professionals, governmental policy, technology, and economics (Maurer, 2013). Due to the various, and, often conflicting, interests on the U.S. health care system, large disparities exist in the delivery of health care to consumers. In fact, according to Maurer (2013), “the consumer is the most vulnerable component and is the most likely to be hurt by ineffective functioning of the system” (p. 63). Because of the ineffectiveness of the current system for so many Americans and the disparities that exist among consumers, the American Nurses Association [ANA] (2008) described the current U.S. health care system as “in a state of crisis” (Executive Summary, para. 1). For many Americans, the major obstacle preventing them from receiving quality and reliable health care is a lack of health insurance (Agency for Healthcare Research and Quality [AHRQ], 2012; Maurer, 2013; Kaiser Commission on Medicaid and the Uninsured [KCM&U], 2012). More specifically, the way our health care system is financed, a piecemeal approach of...
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...Applied Vulnerable Populations I "Nowhere are the divisions of race, ethnicity and culture more sharply drawn that in the health of the people in the United States. Despite recent progress in overall national health, there are continuing disparities in the incidence of illness and death among African Americans, Latino/Hispanic Americans, Native Americans, Asian Americans, Alaskan Natives and Pacific Islanders as compared with the US population as a whole." --National Center for Cultural Competence Population addressed Population addressed In 1950, U.S.-born whites made up about 90 percent of the U.S. population. By 2000, this number declined to about 75 percent, and by 2050 non-Hispanic whites will be in the numerical minority (U.S. Census Bureau 2001, 2002). This rapid diversification requires healthcare organizations to pay closer attention to cross-cultural issues if they are to meet the healthcare needs of the nation and continue to maintain a high standard of care. Looking at the Country as a whole the current area of discussion for this paper is the area of Western North Carolina and the population of Asheville, which is a melting pot of cultures which the combination they create is unique to no other. According to the 2006 U.S. Census Bureau statistics for Asheville, N.C. the current demographics break down as follows: Asheville [City] Population (current estimate), 70,400. Buncombe County Population (2006), 222,174, county in Western North Carolina Asheville is...
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...improving Quality and Value in the U.S. Health Care System August 2009 Preamble The Bipartisan Policy Center (BPC) is a public policy advocacy organization founded by former U.S. Senate Majority Leaders Howard Baker, Tom Daschle, Bob Dole, and George Mitchell. Its mission is to develop and promote solutions that can attract the public support and political momentum to achieve real progress. The BPC acts as an incubator for policy efforts that engage top political figures, advocates, academics, and business leaders in the art of principled compromise. This report is part of a series commissioned by the BPC to advance the substantive work of the Leaders’ Project on the State of American Health Care. It is intended to explore policy trade-offs and analyze the major decisions involved in improving health care delivery, and discuss them in the broader context of health reform. It does not necessarily reflect the views or opinions of Senators Baker, Daschle, and Dole or the BPC’s Board of Directors. The Leaders’ Project was launched in March 2008. Co-Directed by Mark B. McClellan and Chris Jennings, its mission is (1) to create a bipartisan plan for health reform that can be used to transform the U.S. health care system, and (2) to demonstrate that health reform is an achievable political reality. Over the course of the project, Senators Baker, Daschle, and Dole hosted public policy forums across the country, and orchestrated a targeted outreach campaign to...
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...City of Charlotte, North Carolina Comprehensive Annual Financial Report For the Fiscal Year Ended June 30, 2012 Mayor: Anthony Foxx Mayor Pro Tem: Patrick Cannon City Council: John Autry Michael Barnes Warren Cooksey Andy Dulin Claire Green Fallon David Howard Patsy Kinsey LaWana Mayfield James Mitchell, Jr. Beth Pickering City Manager: W. Curtis Walton, Jr. Prepared by the City of Charlotte Finance Department Greg C. Gaskins, Chief Financial Officer Teresa T. Smith, Chief Accountant This document is available online: CITY OF CHARLOTTE, NORTH CAROLINA TABLE OF CONTENTS Page INTRODUCTORY SECTION Letter of Transmittal ....................................................................................................................................... 1 Certificate of Achievement for Excellence in Financial Reporting ............................................................... 14 Organizational Chart .................................................................................................................................... 15 FINANCIAL SECTION Independent Auditors’ Report ...................................................................................................................... 17 Management’s Discussion and Analysis ..................................................................................................... 19 Basic Financial Statements: Government-wide Financial Statements: Statement of Net Assets ..................................
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