Analysis Of The ACA Model Shift In Healthcare
The ACA has created a model shift in healthcare from a volume-based provision of care and to a quality/value-based provision care. This payment model rewards lower cost and higher quality care. In the beginning of 2015, the department of Health and Human Services was shifting half of their spending not devoted to managed care into accountable care, bundle payments and contracts that reward quality performance and better cost control. This model is not only applicable to Medicare and Medicaid rather to the whole insurance payer models. Many of the largest health systems and insurers, such as Aetna, Ascension, Trinity Health, are working together with a goal of shifting 75% of their business contracts with incentives for quality and lower-cost
External Factors For The Memorial Herman Health Care Organization
571 Words | 3 PagesBy accommodating to these changes the organization to better serve a greater population at a greater level of quality. Laws and policies also have impacted the organization, such as the Affordable Care Act (ACA). The ACA allowed more patients to have access of healthcare services, driving the demand for health care services higher. This called for the need to increase supplies and staff for the organization. With the ever-changing technology updates, the organization must keep up to date to provide the best quality of care available which can cost an organization extra time and
Affordable Care ACO Summary
274 Words | 2 PagesThe Patient Protection and Affordable Care Act (ACA) approved the use of Accountable Care Organizations (ACOs) to provide protection, value of care and reduce health care costs in Medicare. The ACO program is a charitable program which began on January 1, 2012. An ACO represents a group of providers and suppliers of services such as hospitals, physicians, and those involved in patient care. These individuals have agreed to work together to coordinate care for the patients they serve under the original Medicare. The objective of an ACO is to provide continuous, high quality care for Medicare beneficiaries, simultaneously improve quality and lower costs.
Hcs/531 Week 4 Health Care Paper
1417 Words | 6 PagesIncreasing costs all around the globe due to economic downfalls is making this issue even more challenging. It is vital that we have some focus on revenue, but we can’t lose focus on the costs of running a business. In health care this can be very challenging because of all the changes involved with the government, in laws regarding health care reform. “Understanding the total costs of services will allow the redeployment of resources which provide a higher payback, or will facilitate the elimination of those resources altogether.” (Hughes, 2011).
The Immortal Life Of Henrietta Lacks By Rebecca Skloot
1109 Words | 5 PagesThis question represents at least half of the medical community, and makes people question the intended and unintended consequences in a profit - driven health care system, the supposition of quality health today, and whether they
Healthcare Reform 101 Summary
588 Words | 3 PagesFurthermore, there should be a more reasonable distribution of cost amongst Americans, with younger and healthier Americans assuming some of the financial burden for those less healthy. Another goal of the ACA is to stabilize the skyrocketing cost of health care. One way to stabilize cost can be accomplished by reforming the way payment and reimbursement of services occurs—outcomes versus volume. A final goal of the Affordable Care Act is to provide incentives that reward wellness and preventative medicine (Panning,
Obamacare And The Affordable Care Act (PPACA)
56 Words | 1 PagesWhat Obamacare stands for wasn’t some average healthcare plan, it was a solution to a growing problem of people that did not have any access to affordable healthcare. Obamacare is known in two parts: The Patient Protection Act and the Affordable Care Act (PPACA). The Affordable Care Act was signed into law on march 24th, 2010
Affordable Care Act (ACA) Analysis
493 Words | 2 PagesThe Affordable Healthcare Act promotes preventative health care for Americans and in return increases the number of individuals taking improved measures of precaution when it comes to their health. The utilization of mid-level practitioners, such as nurse practitioners and physician assistants would progressively benefit the delivery of primary care. NPs and PAs are more cost effective, provide coverage for the increasing amount of new people requiring health coverage, and require less liability risk cost when compared to a physician’s rate. According to Shell (2013), “Partly driving this change is the Affordable Care Act (ACA) which will extend health care coverage to approximately 30 million more individuals, most of whom have not been
Affordable Healthcare Argumentative Analysis
1600 Words | 7 PagesThe purpose of this paper is to holistically analyze ObamaCare, also known as the Patient Protection and Affordable HealthCare Act, taking into account both the benefits and shortcomings of this health care plan introduced by the Obama Administration. The Affordable HealthCare Act is not necessarily a newly introduced law, but a law that reforms existing healthcare programs in the United States. The law does introduce new benefits, however, it is largely comprised of new provisions including the mandate for all Americans to have health insurance, the expansion of existing social healthcare programs, and the mandate for large employers to provide coverage to all eligible employees. The goal of the Patient Protection and Affordable HealthCare
Explain How Managed Care Plans Contribute To Public Health Practice
307 Words | 2 PagesP., Halverson, P. K., Kaluzny, A. D., & Norton, E. C. (2001). How managed care plans contribute to public health practice. Inquiry - Blue Cross and Blue Shield Association, 37(4), 389-410. Retrieved from
Single Payer Health Care System
1986 Words | 8 PagesHealth care has been at the forefront of debate and public policy in the United States for decades. Ever since President Theodore Roosevelt proposed health care reform during his 1912 run for president, reform has been a policy position often espoused in American politics (Palmer 1). Certain types of health care reforms have been successfully implemented, such as Social Security in the 1930s, Medicare in the 1960s, and finally the Affordable Care Act in 2010. As the goal of the Affordable Care Act is to provide care for every American, the healthcare law is the closest the United States has ever approached to a single payer system; a health care system that provides universal care to every American. Despite that, current systems within the
Affordable Care Act: The Effects Of PPACA On The United States
364 Words | 2 PagesThe Effects of PPACA on the United States Over 44 million people in the United States currently do not have health insurance. With the Supreme Court’s ruling on the Patient Protection and Affordable Care Act many Americans can receive health care coverage. The Patient Protection and Affordable Care Act (PPACA) is the 2010 health reform act that could extend coverage to 32 million Americans. The PPACA was enacted to increase the quality and affordability of health insurance, uninsured rate lower by expanding public and private insurance coverage, and reduce the costs of healthcare for individuals and the government. (Wikipedia)
HIPAA Essay
3686 Words | 15 PagesHealth care providers were greatly impacted as HIPAA started implementing and improving healthcare. For instance, “ As providers, group practices are likely to see their volume of patients increase as more employees retain coverage as required by the act” (Mathews, sub-para 5, 1997). With more coverage for patients, it encourages patients to use their insurance and keep themselves healthy without overthinking or worry. Doctors are now more likely to be able
Benefits And Challenges Of The Affordable Care Act
742 Words | 3 Pages.” Health reform has the potential to help by providing premium assistance and lowering out-of-pocket costs” (Schoen et al ,2011). Affordable Health Care Act 0f 2010 can also be referred to as Obamacare was implemented to help Americans to have access to affordable and quality healthcare services. It has drastically the number of uninsured and underinsured individuals. Those with chronic medical conditions on high bills with little income and are underinsured between 2003 and 2012 increased by almost 80%, although, they have an insurance plan with inadequate coverage which makes them open to costs they cannot pay.
Kindred Healthcare Case Analysis
646 Words | 3 PagesThis structure reduces costs and increases efficiencies in answer to a value based Medicare system; in need of some desperate help. Weaknesses First and foremost, the largest obstacle of all is that healthcare providers are among a saturated market. The industry is swamped with corporations, sole proprietary, for profit
Value Based Healthcare Marketing Strategy
1551 Words | 7 PagesAs the healthcare landscape continues to shift, medical providers and hospitals are continuously being challenged to develop clear and concise visions and redesign care delivery in ways that will usher proper transitions to value-based care. As value-based healthcare continues to take root, more and more hospitals and providers are finding themselves with little option but to join the movement. However, the jump from previously utilized fee-for-service models to value-based healthcare is not an easy one, and many healthcare organizations are finding it difficult to do so. The greatest challenge lies in successfully making the transition from volume to value-based healthcare in ways that are financially stable. Such inherent difficulties faced by those within the healthcare system are what have necessitated strategic
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