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Developing a Referral Protocol for Community-Based Occupational Therapy Services in Taiwan: A Logistic Regression Analysis. Accessed Jan. 27, 2021. 384 No. In the era before the Affordable Care Act, health insurance companies were able to refuse coverage to patients with pre-existing conditions, leaving consumers with previous diagnoses unable to find a health plan willing to cover the higher costs of their care. There are also elements that seek to improve workforce recruitment and retention, in addition to benefit improvements and spending reductions under Medicare. Would you like email updates of new search results? 2013;67(4): 82-88. View Article PubMed/NCBI Google Scholar 2016 Feb 10;11(2):e0148414. In 1965, Medicare passed in the House with a 313-115 vote and in the Senate with a 68-21 vote. The U.S. health-care system has been transformed in the decade since passage of the Affordable Care Act. Similar to when the Affordable Care Act (ACA) was enacted, this provided an opportunity to reshape American health care without the need for bipartisan consensus. 2011 Jan-Feb;14(1):E35-67. Since its enactment, numerous claims have been made on both sides of the aisle regarding the ACA’s success or failure; these views often colored by political persuasion. Accessed Jan. 27, 2021. This ethical conflict has gained renewed importance with the passage of the Affordable Care Act(ACA) of 2010, which broadens health care coverage primarily through market mechanisms . People who had previously been unable to obtain insurance because of a preexisting medical condition or low income are now guaranteed access to coverage through a reformed private market for individual policies and the expansion of Medicaid, which in most states is administered by private plans . "Affordable Care Act," Page 30. 1 ... President Barack Obama explains why Republicans’ plan to repeal the Affordable Care Act with no plan to … NLM The Jan. 7 PowerPost article “As ACA turns 10, its cheerleaders are focused on the problems it didn’t fix” was incomplete. Authors. The Affordable Care Act. Before the ACA, 40% of women with incomes lower than 200% of the federal poverty level were uninsured, compared with only 5% of women with incomes at 200% of the federal poverty level or higher.  |  The table, Major Provisions of the Affordable Care Act on page 4 lists all the provisions scheduled through 2015, divided roughly into these two categories.  |  Just over 5 years ago, on March 23, 2010, President Barack Obama signed the Affordable Care Act (ACA) into law. It also includes a brief overview of issue content. 1 Three other editorials accompany the article. The November 8, 2016, election propelled a single party to gain control of the presidency and both houses of congress. The Affordable Care Act (ACA), also known as Obamacare, was signed into law in 2010. Publication Date. Affordable Care Act (ACA) Health insurers are prohibited from limiting access and payment to “any health care provider who is acting within the scope of that provider's license or certification under applicable state law” (42 U.S.C., n.d.).Center to Champion Nursing in America Journal of Health Politics, Policy and Law. The Affordable Care Act (ACA), or Obamacare, was principally intended to improve health insurance markets for individuals and small businesses, lower health costs, and … Clipboard, Search History, and several other advanced features are temporarily unavailable. The Real Constitutional Problem with the Affordable Care Act. Title. This spe … In this review, we evaluate the legislation's impact on health-care equity. The Obama administration has confronted a formidable array of obstacles in implementing the Affordable Care Act (ACA). There are at least six major problems … The Affordable Care Act (ACA), passed in 2010 and fully implemented in 2014, was intended to expand coverage and bring about a new era of health-care access. Issue: The Affordable Care Act’s (ACA) coverage provisions have extended health insurance coverage to millions of Americans. Centers for Medicare and Medicaid Services. National Center for Biotechnology Information, Unable to load your collection due to an error, Unable to load your delegates due to an error. Reimbursement for all health care services has been under downward pressure for several years. "Affordable Care Act," Page 14. COVID-19 is an emerging, rapidly evolving situation. Abstract. Mao HF, Chang LH, Tsai AY, Huang WN, Wang J. PLoS One. Most research on the Affordable Care Act of 2010 (ACA) has focused on its objectives of reducing the nation's uninsurance rate and improving access to medical care. Following implementation of the ACA, the uninsured rate fell from 17% in 2013 to 11% in 2016. USA.gov. 2017 Aug 31;377(9):e12. The Affordable Care Act’s (ACA) goals upon enactment were to slow the rising cost of health care and encourage a more efficient and higher-value health care delivery system (Sparer & Thompson, 2015). Please enable it to take advantage of the complete set of features! The ACA has overcome those obstacles to substantially expand access to health insurance, though significant problems with its approach have emerged. SUMMARY: The voluminous bill known as the PPACA of 2010 enabled substantial changes to our health care delivery system, some of which remain to be enacted for several years to come. By contrast, the ACA barely reached the filibuster-proof threshold of 60 votes in the Senate … The most prominent long-term care provision is the now-suspended Community Living Assistance Services and Supports Act. Care coordination for dually eligible medicare-medicaid beneficiaries under the affordable care act. Cancer J. Learn more. ˆ¤0šüÒ4\=Qb½ ŽR_°@pÚÊÎlÍ%’?¹–¤›Q€ÿëçÑXz¯®X¸Î_ÿ. The most recent National Health Interview Survey (NHIS) data show that the uninsured rate in the first half of 2018 remained stable at its lowest level in history: 8.8 percent, compared to 16.0 percent when the ACA was enacted in 2010. Insurance market reform: the grand experiment: insurance market reforms and revenue provisions of the Affordable Care Act intended to support expansion of healthcare coverage to the uninsured could have unintended consequences. Will it result in meaningful or marginal reform? pmid:28813210 . Epub 2011 Jan 5. The Patient Protection and Affordable Care Act (ACA) includes several provisions that aim to improve prevailing deficiencies in the nation's long-term care system. Through these means, th… Pain Physician. The best way to contain cost over the next five to ten years is through reformed provider payment to gradually decrease Fee-For- But just how effective is the ACA likely to be in addressing these challenges? Adv Wound Care (New Rochelle). "Reducing Costs, Protecting Consumers: The Affordable Care Act on the One Year Anniversary of the Patient’s Bill of Rights." 2-4 Peter Orszag, former director of the Office of Management and Budget under President Obama; … Healthc Financ Manag. eCollection 2016. 2011. Google Scholar | Medline Google Scholar provides a simple way to broadly search for scholarly literature. Agency. Public Opinion about the Future of the Affordable Care Act. Impact of health care reform on medicare and dual medicare-medicaid beneficiaries. Others include incentives and options for expanding home- and community-based care, a number of research and demonstration projects in the areas of chronic care coordination and the dually eligible, and nursing home quality reforms. doi: 10.1371/journal.pone.0148414. Search across a wide variety of disciplines and sources: articles, theses, books, abstracts and court opinions. January 7, 2021 Vol. 2012;24(2):221-32. doi: 10.1080/08959420.2012.659113. This article reviews the basic problems plaguing the long-term care sector and the provisions within the ACA meant to address them. Will it result in meaningful or marginal reform? Provision. Recent Issues. Millions of Americans gained health … This site needs JavaScript to work properly. Patient Protection and Affordable Care Act of 2010: reforming the health care reform for the new decade. While the effects of the Medicaid expansion and marketplace establishments on coverage have been well studied, the resulting effects of coverage on access to health care remain unclear. The Affordable Care Act (ACA), of 2010, or Obamacare, was the most monumental change in US health care policy since the passage of Medicaid and Medicare in 1965. The Affordable Care Act is deeply flawed, incurring increased costs, excessive health care spending and taxation, and managerial failures. Less-often discussed has been the ACA's impact on public health and preve… N Engl J Med. Accessed Jan. 27, 2021. 2011 Apr;51(2):145-55. doi: 10.1093/geront/gnq113. J Aging Soc Policy. Document Type. Newspapers have published articles citing the \"greed\" of hospitals, physicians, and other health care providers. Inequalities in medical care are endemic in the USA. Scholarly Articles . The Affordable Care Act of 2010 made health coverage accessible to more people in the United States, but there are concerns about future changes. J Aging Soc Policy. This special issue of Journal of Aging & Social Policy seeks to answer these questions. The Patient Protection and Affordable Care Act (ACA) includes several provisions that aim to improve prevailing deficiencies in the nation's long-term care system. HHS sóî ¥€£$ËMúU°8 § But just how effective is the ACA likely to be in addressing these challenges? Abstract. As shown in Figure 1, as the ACA’s major provisions took effect between 2010 and 2015, uninsured rat… 2013 Dec;2(10):563-570. doi: 10.1089/wound.2013.0479. Manchikanti L, Caraway DL, Parr AT, Fellows B, Hirsch JA. In a Special Communication in this issue of JAMA, US President Barack Obama presents a summary of the Affordable Care Act (ACA), describing the successes, the challenges ahead, and the policy implications of the legislative history of the ACA. View Article Google Scholar 5. NIH The act aimed to provide affordable health insurance coverage for … The Affordable Care Act requires insurers to cover people with pre-existing conditions and banned them from charging the sick more. While the overarching goal is to align incentives and improve quality and access, implementing PPACA initiatives in a highly complex environment is fraught with economic and political implications. Blendon RJ, Benson JM. On June 28, 2012, the U.S. Supreme Court upheld key provisions of the Patient Protection and Affordable Care Act (ACA) after 26 states had challenged its constitutionality in lower courts. Flying beneath the radar of health reform: the community living assistance services and supports (CLASS) act. Department of Health and Human Services. Medicaid home- and community-based services: impact of the affordable care act. 2012;24(2):169-87. doi: 10.1080/08959420.2012.659118. 2010 Nov-Dec;16(6):584-7. doi: 10.1097/PPO.0b013e3181ff3156. Publication Title. Health Economics Information in Wound Care: The Elephant in the Room. So far, these attempts have been unsuccessful. Timothy Stoltzfus Jost, Washington and Lee University School of Law Follow.  |  There is an urgent need to make major changes in the Affordable Care Act regardless of how the Supreme Court rules in King v. Burwell. Congress has reacted by instructing Medicare to control payments in order to keep the Medicare trust fund \"budget neutral.\" Consequently, the result has been decreased payments across the health care system to both hospitals and providers. Get the latest public health information from CDC: https://www.coronavirus.gov, Get the latest research information from NIH: https://www.nih.gov/coronavirus, Find NCBI SARS-CoV-2 literature, sequence, and clinical content: https://www.ncbi.nlm.nih.gov/sars-cov-2/. NHIS data also show that these dramatic coverage gains have been broadly shared across non-elderly Americans (seniors already had near-universal coverage through Medicare). The law has been quite successful in accomplishing these objectives: By the third quarter of 2016, the percentage of Americans lacking health coverage was at the lowest level ever recorded, and measures of access to care had improved substantially (1, 5, 59, 62). The ACA establishes a new direction for the U.S. healthcare system that includes an emphasis on preventive services and primary care. Gerontologist. In this issue of JAMA, President Barack Obama has provided a comprehensive assessment of the Affordable Care Act (ACA), 1 which as he indicates is the most comprehensive health care reform since Medicare. Article.

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