USC Trustee Leonard D. Schaeffer led a discussion on the impacts of the Affordable Care Act and the future directions of the U.S. health care system at a university-wide symposium hosted by the . To the extent future guidance on this issue is more restrictive with respect to the availability of the exemption than this interim relief, the guidance will be The Affordable Care Act (ACA) introduced wide-ranging health care reforms but faces many challenges. Summary. ACA Reform. L. No. Social Work Today. Indeed, the nursing profession is making a wide . 111-148), signed March 23, 2010, as amended by the Health Care and Education Reconciliation Act, signed March 31, 2010, is also referred to as the Affordable Care Act (ACA), or simply as "federal health reform." The 900+ page act contains many provisions, with various effective dates. This reform came precisely as the demand for care began to increase, given the growth of an aging and chronically ill population. the Affordable Care Act (ACA), describing how its passage drew from lessons learned from past failed efforts to reform health care. . 13 No. The ACA targets at providing help to improve access to affordable health coverage for everyone and protect consumers from abusive insurance company practices. Healthcare reform in the United States has a long history.Reforms have often been proposed but have rarely been accomplished. The Future of Insurance in an Era of Health-Care Reform. The comprehensive health care reform law enacted in March 2010 (sometimes known as ACA, PPACA, or "Obamacare"). What was possible for Medicare in the 1970s and 1980s is not feasible for Obamacare. While 2018 coverage is just starting for millions of people enrolled in the Affordable Care Act (ACA) marketplaces, the federal rules for 2019 plans are being finalized. After decades of failed attempts to enact comprehensive health care reform, President Obama signed the Patient Protection and Affordable Care Act into law on March 23, 2010. Topics: Free Essays Health Health Care System. But two years later the employer . By Stephen Gorin, PhD, MSW. After nearly a century of failed attempts, comprehensive health care reform was enacted on March 23, 2010, when President Barack Obama signed the Affordable Care Act (ACA). Since Biden took office on January 20, 2021, several advancements to the Affordable Care Act followed, so we thought it best to recap on the ACA reforms that have happened so far and what to expect moving forward. Judge O'Connor's December 2018 decision in Texas v. 1 P. 22. The federal Patient Protection and Affordable Care Act (P.L. However, that position has been evolving quickly since his election. Chris Jennings said ACA's passage was the culmination of A major delivery model reform encouraged under the Affordable Care Act has spread quickly across the US and now numbers over 700 throughout the country. Download. March 2010, the Patient Protection and Affordable Care Act (ACA) was signed into law. The Affordable Care Act has meant lower premiums, deductibles and cost-sharing for the more than 60 million senior citizens and disabled Americans enrolled in the program. These included: 23 million Americans living without health insurance Barriers to gaining insurance including discrimination based on preexisting conditions and lack of affordability Hospital expenditures for uncompensated care have plummeted by $7.4 billion, with the decline particularly great in states that embrace the ACA's Medicaid expansion. Together with the Health Care and Education Reconciliation Act of 2010 amendment, it represents the U.S. healthcare . This article reviews 6 key points for today's nurse leader on the law's 10th anniversary: a renewed legal battle is on its way to the Supreme Court; 27 million people still lack coverage, partly due to nonexpansion of Medicaid in 15 states; Medicaid waivers provide coverage for some low . The Future of U.S. Health Care: Affordable Care Act. The legislation, referred to as the "Affordable Care Act" (ACA) or "ObamaCare," represents the greatest overhaul of the American healthcare system since that of Medicaid and Medicare in 1965. It is more commonly known as the Affordable Care Act (ACA) or its nickname, Obamacare.The ACA significantly changed the healthcare system in the U.S. by reducing the amount individuals and families paid in uncompensated care. 4. Nobody knows exactly what the Affordable Care Act will do to the insurance industry. Photo by Mandel Ngan/AFP via Getty Images Abstract The December 22, 2017 tax reform law, Tax Cuts and Jobs Act (H.R. Originally, Donald Trump pledged to repeal the entire law, period. We are committed to achieving that mission by building on our country's progress over the past decade that has enabled more people to access health care and coverage than ever before. Although the US has traditionally used a market-based private insurance model that does not ensure universal coverage, the Patient Protection and Affordable Care Act (ACA) in the United States aims to increase equitable access to health care by increasing the accessibility, affordability, and quality of health care services. Neil Trautwein. Below are some of the issues currently being discussed. ObamaCare (Affordable Care Act) Is Not An Insurance Or Healthcare Problem, Cameron Keng, 2 October, Forbes The Patient Protection and Affordable Care Act (PPACA), also known as Health Care Reform, has been the law of the land since last March, but questions and debate continue to dominate the political landscape. The proposal includes potentially significant changes affecting . After two more GOP . Okay, so all of that tells us about the status of the Affordable Care Act going into the 2016 election, but the future is now looking increasingly uncertain. 111-152, 124 Stat. The President is hoping that some of the nearly 15 million uninsured people eligible for Affordable Care Act policies, the vast majority of whom qualify for financial assistance, will participate. Vol. 3/1/2011. Essay, Pages 7 (1580 words) Views. Essay, Pages 7 (1580 words) Views. The Affordable Care Act created new health care delivery and payment models that emphasize teamwork, care coordination, value, and prevention: models in which nurses can contribute a great deal of knowledge and skill. The public was given just 30 days to respond, and 429 individuals and organizations did, submitting comments by the November 27 th deadline.. During the modern day of insurance and the need/requirement for healthcare, there in itself grows a strongly emotional debate over the topic and the direction it is all heading. Five years after the ACA became law, and 1 year after major insurance reforms took effect, we discuss in this article the gains that have been made and the road ahead, with a focus on individuals with diabetes. 4 Economic conditions . Although the future of the law remains uncertain, Schultz said that one result seems sure: "Given the history of healthcare reform and its impact on politicians who attempt it, we can be pretty confident that President Trump will regret making the repeal of the Affordable Care Act his signature initiative." Biden will make it easier for Americans to buy health insurance during the pandemic, reopening the federal Obamacare marketplace for open enrollment between . The only thing that is certain in medicine is that nothing is certain in medicine. And so it is with the Affordable Care Act—aka the ACA or Obamacare. The reform described here would be a hugely beneficial alternative for middle-income Americans without a single change to Obamacare, John McCain (R-Ariz.), or Obamacare), and the Affordable Care Act, 2003 and 2017 Healthcare is one of the gravest concerns of any civilized society. The first Kaiser Health Tracking Poll since the 2016 election finds that Americans are largely divided on the future of the Affordable Care Act even though many of the law's major provisions . Download. April 04, 2019. The Future of U.S. Health Care: Replace or Revise the Affordable Care Act? 1029 (codified as amended in scattered sections of 26 and 42 U.S.C.). The market continues to change as the healthcare reform debate continues. On this, the . from HIPAA and the Affordable Care Act's group market reforms for plans with less than two participants who are current employees. The ACA would cover an estimated 32 of the 50 million uninsured . The Future of ACA There have been many attempts to change the ACA. I believe that much of the debate over Obamacare has nothing to do with the Affordable Care Act, but is a front in a broader war between the two parties." Extremely interesting and informative, The Future of Healthcare Reform in the United States presents a range of intriguing perspectives on the Affordable Care Act, the health reform plan of President Obama, and on healthcare reform in general. Affordable Care Act. The law's goals were to reduce the number of uninsured, make coverage more affordable, and expand access to care. Instead, it requires an extensive program of financial and community support to be put in place (Sommers, Buchmueller, Decker, Carey & Kronick, 2013). The Affordable Care Act (ACA) has garnered a lot of debate since its implementation in 2010. 2014 May 20;160 (10):729-30. doi: 10.7326/M13-2033. Download. 1 - 115), changes the consequences, under the ACA, to individuals who do not maintain minimum essential coverage. President Joe Biden, with Vice President Kamala Harris (left), signs executive orders on health care, including reopening enrollment in the Affordable Care Act. The Affordable Care Act (also known as Obamacare) was passed in 2010 to address a number of failures in the United States' health care system. Obamacare is an existential fight between the two parties. Most recently, California's Attorney General Xavier Becerra was sworn in as the new Health and Human Services (HHS) Secretary. With the election of Donald Trump, many executives assumed that the Affordable Care Act—and its hefty compliance burden for employers—was on its way out. 1. In essence, this removes the tax component of the individual mandate . In the wake of the 2018 mid-terms and leading up to the high-stakes 2020 elections, much about the fate of the Affordable Care Act (ACA) and U.S. health reform is known and much remains unknown. Health care was one of the most important issues for voters in the 2018 election, but there is little reason to believe that substantive national action is likely any time soon. The law provides consumers with subsidies ("premium tax credits") that lower costs for households with incomes between 100% and 400% of . It is informally known as. The Health 202: Tens of thousands of Americans are about to lose their association health plans [Washington Post]; More States Approve Pathway 2 Association Health Plans [Mercer]; Trump administration appeals association health plan ruling [Fierce . The Affordable Care Act (ACA) authorized a broad agenda of reform projects, including accountable care organizations (ACOs), bundled payments, value-based purchasing, primary care initiatives, and . When the Affordable Care Act (ACA) became law in 2010, it transformed the entire fabric of the U.S. healthcare system, including how nurses and other healthcare professionals approached their jobs. A federal summary of the changes reveals a long list of reforms intended to contain Medicare costs while increasing revenue, improving and streamlining its delivery systems, and even increasing . Health care reform. Although health care has changed in many ways over the years, nothing will have a greater impact on . D.C., U.S., on Thursday, Jan. 28, 2021. The Supreme Court is scheduled to hear. Anniversaries are times for taking stock. Last week, the Department of Justice surprised many by reversing its position on the Affordable Care Act—stating that it agrees with U.S. District Judge Reed O'Connor that the ACA is unconstitutional, and won't defend the law. MN Gov says ObamaCare "no longer affordable", Brian Sikma, 13 October 2016, The Insurgent. The Affordable Care Act (ACA) or The Patient Protection ObamaCare as is commonly called has become a U.S.A federal statute, which came into effect through the president's signature back in 2010 Barnett & Burrus, 2013). (ACA), innovative models in payment reform and how to use behavioral economics to alter patient and provider behavior. An estimated 30 million Americans are expected to gain health insurance . Obama Says Romney's Example Shows Health Care Reform Will Work, Denver Nicks, 30 October 2013, Time. Randy Wexler, MD, MPH. What Does the Future Hold for Health Care Reform? Under the Trump administration and a divided U.S. Congress, the only certainty in health policy is continuing change—small, medium, and large. Key Takeaways The approach of the Obama administration worked in getting ACA passed. The Future of the Affordable Care Act. Five years old, going on ten: The future of the Affordable Care Act. No one knows yet how ongoing health care reform efforts, frequently referred to as attempts to "repeal and replace" the Affordable Care Act (ACA), are going to play out, or how executive and congressional actions might impact the health care industry. With the Affordable Care Act's future in doubt, evidence grows that it has saved lives Bonnie Sparks walks on a treadmill at Planet Fitness in Wayne, Mich., on Sept. 4. Together with the Health Care and Education Reconciliation Act of 2010 amendment, it represents the U.S. healthcare . Affordable care organizations (ACOs) are networks of hospitals, physicians, and other health care provides that are encouraged to cooperate by sharing financial and medical responsibility for . The Impact of the Affordable Care Act on the Health Care Workforce. The future of U.S. health care reform is muddier now than at any point in the past two decades. CiteSeerX - Document Details (Isaac Councill, Lee Giles, Pradeep Teregowda): The Patient Protection and Affordable Care Act (ACA)both giveth to and taketh away from hospitals. Learn more about AMA's commitment to improving health insurance coverage and health care access. The death of Supreme Court Justice Ruth Bader Ginsburg has raised the profile of a case that marks the latest existential threat to the Affordable Care Act. Specifically, the law reduces the penalty for non-compliance to $0 effective January 1, 2019. The Republican administration intends to repeal the Affordable Care Act (ACA; Patient Protection and Affordable Care Act, Pub L No. Health Care and Education Reconciliation Act of 2010, Pub. 1 Aligning federal payments more with demonstrated value and encouraging a move away from a fee-for-service model to managed care has helped reinforce or change the type of reimbursement patterns in the private sector. This will have an array of impacts on stakeholders. There are many books on the topic of health reform—what distinguishes this one so wonderfully is the . President Barack Obama signed in the ACA. The 2012 elections marked major movement in the struggle for universal healthcare coverage in the United States. 111-148, 124 Stat. Ultimately, the goal of any healthcare . Virtual Mentor. On the other, decreased payment rates and new incentives and penalties to improve effi-ciency could threaten hospitals ' bottom . The Affordable Care Act (ACA), enacted in 2010, dramatically changed the U.S. health care landscape. Initially, many health insurance companies—lacking the information they needed to ensure their financial stability—left the ACA's marketplaces. Such a change could have substantial effects on coverage and access to care and on the public health system. The open enrollment period for 2018 is coming to an end in a few remaining states. This guide offers an overview of the ACA and examines what this historic reform means for nurses. 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