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Managed Care Essay

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The U.S. healthcare system has undergone significant changes since its inception. In the early 20th century, healthcare was mostly delivered through private physicians and hospitals, and few Americans had health insurance. The Great Depression brought about new challenges, leading to the creation of public health programs such as Medicaid and Medicare. These programs provided healthcare to vulnerable populations, such as the elderly and those living in poverty. George Mossley ( a Harvard grad in public health) mentions that in the 1980s and 1990s, healthcare costs began to rise, leading to the development of managed care plans. These plans aimed to control costs by limiting access to certain providers and services (Moseley, 2008). However, …show more content…

I believe that it has had a positive impact on the healthcare industry and on the lives of millions of Americans. There are several great examples as to how the ACA has benefited the American people.According to ncbi the ACA has expanded access to healthcare by providing insurance coverage to millions of previously uninsured individuals. According to a study by the Commonwealth Fund, the uninsured rate for working-age adults fell from 20% in 2010 to 12% in 2016, thanks in large part to the ACA (Borelli et al., 2016). According to the HHS(department of health and human resources) the ACA prohibits insurance companies from denying coverage or charging higher premiums based on pre-existing conditions. This provision has helped millions of Americans with chronic health conditions access affordable healthcare (HHS, 2014). As mentioned by ncbi the ACA has implemented a number of reforms aimed at improving the quality of care, such as incentivizing hospitals to reduce readmissions and implementing value-based payment models. These efforts have led to better outcomes for patients and reduced costs for the healthcare system (McIlvennan et al., 2015). Ncbi brings up that while the ACA has faced criticism for its cost, it has also implemented several measures aimed at containing healthcare costs. These include the creation of accountable care organizations and the implementation of preventative care services, which can reduce the need for expensive emergency care (Rice et al., 2014). Despite these challenges, I believe that the ACA has been a positive step forward in expanding access to healthcare and improving the quality of care for millions of Americans. As a healthcare professional, I support the continued implementation and improvement of the ACA in order to ensure that all Americans have access to affordable, high-quality

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As most of these goals are in some way or form about money, “one could easily argue that the ACA is more about payment reform, than true comprehensive healthcare reform…” (Panning 107). It is safe to assume that, that this what

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Furthermore, 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,

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The ACA, passed in President Obama’s first term, mandates that all Americans will need to purchase healthcare or pay a tax. In addition, the plan also provides subsidies for middle class families and contributes to the overhaul of the healthcare system (Amadeo, 2017). The ACA represents major intervention by the federal government in the health care system. Again, the fundamental differences between the parties were present in the voting over this legislation. When the bill was in the Senate, it passed with support of all 60 Senate Democrats and two Independents.

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Removing the ACA from its rightful place would mean higher prescription drug costs, affecting the ill and senior citizens in critical need. For example, a working mother named Megan Dooley Fisher has to pay “$2,500 out-of-pocket” (Rosenfield par. 6) on medication without the help of the ACA. Many other families and individuals like Megan Dooley Fisher would be facing financial difficulties

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First, the ACA has brought about considerable improvements in access to affordable health insurance in the United States. On the basis of their own reports, newly insured Americans are also able to see physicians within reasonable periods of time, and anecdotal reports about restricted access to out-of-network providers, although a concern, have not yet caused a major backlash. Second, the implementation of the ACA has coincided with another important development — a slowdown in the rate of increase in national health care spending. From 2010 through 2013, per capita U.S. health care expenditures increased at the historically low rate of 3.2% annually, as compared with 5.6% annually over the previous 10 years. As a percentage of the gross domestic product, health spending has stabilized at approximately 17%.

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According to the Kaiser Family Foundation, preventive health care save lives and improve health by identifying illnesses earlier, managing and treating them more effectively before the condition can progress1. Under the ACA, 15 preventive services and one wellness visit are fully covered by the majority of the insurance plans without copays and coinsurance. Free preventive health care has had a direct effect on the health care costs in the U.S. Many Americans wait to see a doctor until they get sick due to cost2. However, by making preventive health care services free it helps Americans live longer, healthier lives and keeping health care costs down. The high deductible plans paired with tax free health savings accounts compared to the ACA may be less efficient because people will face pressure to safe.

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They will also have reduced healthcare costs, which helps them to save money. One of the other positives is the accessibility of healthcare. After the Affordable Healthcare Act was passed, many citizens who could not afford healthcare before could get free and accessible healthcare. The Affordable Healthcare Act also helps with Job Lock for employees. There are many jobs that offer healthcare for their employees.

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The Affordable Health Care Act, also known as “Obamacare”, is basically just Obama trying to make sure that the whole nation has insurance and if they do not have it by January 1, 2014, they will be penalized with a fine. To make insurance more affordable, many Americans are able to qualify for a subsidy that lowers the cost depending on age and income. Also, “Obamacare” made it impossible for insurers’ to discriminate, or charge higher rates, for anyone who has pre-existing conditions or for a certain gender. Medicare will also be easier to obtain due to requirement of insurance. This law was passed in the U.S. on March 23, 2010 by Congress and President Barack Obama.

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Hence, the ACA utilizes a fiscal policy to influence the economics of health care, namely attempting to heighten coverage among Americans and change the dynamics of the health insurance in this country. In this case, lawmakers did not see reform on the supply side of insurance as enough and opted to create an additional tax on individuals to increase demand for coverage. Furthermore, the ACA imposed a tax penalty on certain businesses if those organizations do not provide a proper level of healthcare offerings to their

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