ACA Case Studies

There is a growing trend where physicians are choosing different specialties instead of choosing primary care, primarily due to the low reimbursement rate in primary care. According to Iglehart (2014),” the Association of American Medical Colleges (AAMC) still projects a shortage of 130,000 physicians by 2025, split almost equally between primary and specialty care” (para. 1). With this decline comes an answer, an increase in the number of nurse practitioners providing patient care, reported 154,00 in 2012 and growing every year (Iglehart, 2014). This increase in nurse practitioners’ helps fill that gap, allow greater health care access to the community, especially special populations. By gaining access to healthcare were a nurse practitioner is the provider not only with the special population have high quality affordable health care, a trusting long lasting relationship will develop. This relationship will break the barriers of; lack of trust, lack of health care education and discrimination. Nursing is a trusted profession that provides education and care that no other health care professional

Budzi, Lurie, Singh, and Hooker (2010) state, “Nurse Practitioners’ (NP) interpersonal skills in patient teaching, counseling, and patient centered care contribute to positive health outcomes and patient satisfaction.” According to their research they encourage healthcare systems in the U.S. to hire more NPs to allow for better access affordable, and quality care (Denisco & Barker, 2016). With the demand for primary care providers, The NP role aids in delivering a solution to some of the healthcare issues that exist today. Organizations like the Institute of Medicine (IOM) and Centers for Medicare and Medicaid (CMS) all agree to allow nurses to practice to their full abilities to make healthcare more accessible and affordable, especially for the aging baby boomers and less accessible rural neighborhoods, and densely populated urban areas. Research has proven that NPs that provide primary care have similar health outcomes to primary care physicians (DeNisco et. al., 2016). NPs particularly take pride in their holistic approach, forming therapeutic relationships between other providers of the healthcare team, patients, and their families, aiding the informed decision making process, use of the evidence based practice approach in health management (Brown, 2005). Some of the other actions or qualities that

Procrastination, time wasters are the things that are keeping me away from using my time wisely.

Like what was stated previously, the cost of having Nurse Practitioners in place of doctors is lower. This is because their salaries are much less and the cost structure is lower. Evidence of this can be seen with Medicare and Medicaid. These government sponsored programs will pay for 85% of these services in comparison with doctors. This is important, because it is showing how the lower cost structure is one reason why Nurse Practitioners are playing a major role inside a health care environment. (Pickert, 2009)

Conclusion: The Obamacare has its very good points it does benefit the economy in ways that are meant to take the economy out of debt. But they do cause side effects that may not have been thought of.

HCA is a healthcare provider that was established in 1968. Their main focus is on offering cliental with a number of different services to include: inpatient, intensive care, outpatient, diagnostic and emergency services. To achieve these objectives they operate a variety of facilities such as: outpatient, psychiatric, surgery centers, freestanding emergency care facilities, diagnostic / imaging centers and comprehensive rehabilitation / physical therapy centers. They are structured to create increasing earnings for its policy and shareholders. This is achieved by contracting with private doctors to deliver services to its preferred providers members. At the same time, they receive fees from these entities and they negotiate lower group rates.

Let’s face it, the healthcare system in the U.S. is broken. The passage of the Affordable Care Act (ACA or Obamacare) in 2010, was designed to “fix” the issues and provide access to health insurance for 30 million uninsured and underinsured Americans. This has been the biggest move in healthcare since establishing Medicare and Medicaid in 1965 (Moncrieff & Lee, 2011). My stance on the ACA is pretty bland, at best. As with most things, there are pros and cons in every situation. The main cons I have with the ACA are the costs associated with funding. Funding for the ACA will be provided by cuts to Medicare, as well as, tax increases (Hall & Lord, 2014). Medicare has been struggling for years with funding, so by cutting roughly $500

In this study I will outline strategies that will be used to help aid in the support of each member interest in the Public Health Alliance. In this paper there will be data that will show the effects of President’s Obama Healthcare known as the Affordable Healthcare Act under the current Administration. Recommendations will also be provided that will show the impact that the repeal will have on the Affordable Care Act and how it will ultimately affect the public health organizations. Methods that should be taken to help the organization prepare for the expected changes that will go into effect in 2019 under the current Administration.

Prior to the enactment of the Affordable Care Act, many Americans did not have access to health care. According to Shi and Singh, assess is an individual’s ability to obtain health services when necessary (Shi &Singh, 2010). “After implementation of the ACA, the proportion of the U.S. population that was uninsured dropped from approximately 16% to roughly 12% in 2014 (Shi & Singh, 2010, p 11). More low to middle income American are eligible for health care services through the Affordable Care Act. Advancements in health information technology have helped to improve and streamline medical services and have helped with the lower cost of health care. “Essential insurance benefits required by the ACA include preventative and wellness services,

Four years after President Obama signed the Affordable Care Act into law there is still uncertainty regarding how it will affect small businesses. Because there were delays and exemptions granted by the, Obama administration and challenges that were still pending in courts. The effects on small businesses vary from state to state depending on the company size and the composition of the company's workforces. But the large corporations pay their employees medical bills and hiring insurers to administer health benefits. Most small businesses purchase group health insurance from insurers and face cost increasing regulations as they go through the annual ritual of renewing their coverage. While media has focus their attention on the state and federal health exchanges, employers are responsible for the growth in the

The Affordable Care Act (ACA) has been the biggest milestone to date in American health care policy (Saldin, 2011). There is nothing more complex or controversial in recent history than the passing of the ACA in 2010 (Davidson, 2016). The United States Supreme Court ratified the constitutionality of the Patient Protection and Affordable Care Act on June 28, 2012. With this, there were certainly challenges facing the full implementation of the provisions of this act by 2014.

There are over 45 million people in the United States who are uninsured when it comes to healthcare. Many are uninsured due to the expensive health care costs. To combat this, the Obama Care administration created the Patient Protection and Affordable Care Act to provide nationalized healthcare. The Affordable Care Act is meant to expand health coverage, lower health care costs and hold insurance companies accountable. The Affordable Care Act will allow more people to be insured but the issue lies in the question, do the costs outweigh the benefits? The Affordable Care Act will be used in an attempt to lower health care coverage costs for citizens. An example can be seen from a report in the Kaiser Family Foundation. The premium is required

The current US Health Care delivery system Affordable Care Act (Obamacare), allows its citizens access to healthcare by NPs who practice autonomously providing healthcare to underserved rural populations, and in clinical settings, (McClelland, 2014; Stanley, 2011). The term autonomously and under prescriptive authority allows the NP establish realistic outcome measures, prescribe medications to provide secure, real, patient centered, appropriate, effective and reasonable care without a physician. Tiplady and Cook, (2015) stated that “outcome-based practice focuses on what an individual wants to achieve, and not only what the service wants to achieve (p. 406). For example the NP and the San Rafael patient in their relationship establish

The Accountable Care Act put in motion a change from a volume based system to a value based system. With this change, primary-care organizations become the frontline healthcare providers. These organizations drive both individual and continuity of care for their patients. Because chronic conditions account for a large portion of overall healthcare expenditures, having high-performing primary care organizations is quite important. According to Willard and Bodenheimer (2012) there are six building blocks for high-performing primary care organizations:

The role that nurse practitioner (NP) plays within the increasing complex health care system is a constant changing role with the Consensus Model and the introduction of the Affordable Care Act in 2010. The scope of the nurse practitioner (NP) includes the care of the young, the old, the sick and the well. The educational needs of a nurse practitioner vary greatly from that of a Registered Nurse (RN), in the amount of education as well as the focus of the education. NPs provide coordinated primary care with the use of comprehensive health histories and physical examinations, diagnosing and treating acute and chronic illnesses, the management of medications and therapies, ordering and interpreting tests results, and educating and