Write a response for each given discussion question

Assignment Help Other Subject
Reference no: EM131269499

Discussion Question responses

Write a response for each discussion Question.

10.1 riedel

COLLAPSE

The Affordable Care Act is a health care reform that was implemented to help provide insurance to individuals who had no insurance through the public programs or through an employer. The plan required most residents to have insurance coverage and if they did not have access, they could enroll through the American Health Benefit Exchange. The act provided subsidies to those who qualified to help cover the premium costs. A part of the affordable care act was that preventative services would be covered at no cost to the individual (hhs.gov). A large debate that has gone on with the affordable care act and Hobby Lobby is that they do not want to cover contraceptives due to religious beliefs. A part of the act is that employers must provide contraception as part of their health care coverage.

The case began in 2013 and ruled in favor of Obamacare requiring Hobby Lobby to pay for contraceptives until a decision could be reached in Federal Court. On June 30, 2014 the supreme court ruled that certain for-profit companies cannot be required to pay for specific types of contraceptives for their employees (Mears and Cohen, 2014). The Obamacare administrators are working on ensuring that women will still have coverage for contraceptives.

This type of ruling will have an impact on providers on what type of contraceptive coverage they will offer to their patients. They will have to be in tuned to how much a brand name verse a generic may cost in order to help their patient pick which option is best for them. The provider may also want to look at how much the shot, pill, IUD, etc. could cost as this too could lead to a different decision for the patient. It is also up to the patient to communicate with their doctor that they may have to pay out of pocket for their option, and which one will be less expensive if they find that they cannot afford their first choice.

This ruling is also opening the doorway that can lead to other large organizations to begin to argue that other laws affect their rights based on religious freedoms. This could affect laws on employment, civility, and safety, as well as other health concern rights. It will be interesting to see how far other rulings will go with religious beliefs after the ruling in this case.

Booker 10.1

COLLAPSE

During President Obama's term, Congress enacted the Patient Protection and Affordable Care Act of 2010 (ACA). The legislation is long and complex and covers nearly every aspect of the nation's health care system. The ACAs main purpose is to provide insurance to the more than 32 million that are currently uninsured in the United States. The law has 5 main components to this effort:

• All Americans must have some form of health insurance or pay a penalty through the tax code.

• The law requires state Medicaid programs to provide coverage to all persons with incomes below 133% of the federal poverty level. However, Medicaid expansion is now an option and not a mandated requirement.

• Each state must set up insurance exchanges or healthcare marketplaces. This allows the uninsured to purchase affordable private coverage.

• Employers with more than 50 FTEs must provide full healthcare coverage to their employees or pay a financial penalty to the federal government.

• Private insurance companies are required to comply with a host of federal regulations that seed to eliminate the practice of discriminating against people with preexisting conditions (Knickman & Kovner, 2015).

The biggest changes to the ACA came in 2014-2016 when Medicaid coverage expanded in 31 states and health insurance exchange or marketplace policies provided coverage for some 12.7 million enrollees ("Health Reform," 2016). An article by Newark (2016), reports a tremendous amount of success of the ACA in providing insurance coverage to most Americans also underlines one of the Act's core failures: That coverage remains unaffordable for many of those who do not have public or employer covered insurance. A record number of Americans have insurance coverage than ever before. However, private insurers are stating their intent to increase their premiums by double-digit percentages this year. Several insurers are falling off the exchanges due to losing money. In October of 2015 the ACA implemented an increase in federal match for Children's Health Insurance Program (CHIP). This increase provides for a 23 %-point increase in the CHIP match rate up to a cap of 100%. In January 2016, the ACA implemented healthcare choice compacts. This permits states to form health care choice compacts and allows insurers to sell policies in any state participating in the compact. Upcoming for 2018 the ACA plans to implement tax on high-cost insurances. This implementation imposes an excise tax on insurers of employer-sponsored health plans with aggregate expenses that exceed $10,200 for individual coverage and $27,500 for family coverage.

TURMAN DB 10.1

COLLAPSE

The Patient Protection and Affordable Care Act of 2010 (PPACA) is healthcare reform legislation enacted by Congress. This act was designed to reduce the number of medically uninsured, and underinsured nonelderly citizens in the United States, and to make medical insurance coverage more affordable, and accessible (Carpenter, 2011). The goals of the ACA is to establish a comprehensive dynamic and flexible foundation for a system of care that can develop policies and respond efficiently and effectively to changings in effort to improve quality care and prevent unnecessary cost growth reducing long-term fiscal imbalances (Orszag, & Emanuuel, 2010). The ACA intended to reduce the gaps providing greater access and more comprehensive and cost efficient system for delivery of quality care. The ACA is by fare the largest and most complex piece of legislature to affect the healthcare industry since the passage of Medicare and Medicaid. The ACA will continue to influence and shape the delivery of healthcare now and in the future (Knickman, & Kovner, 2014).

Recent events of the U.S. Supreme court and the ACA is the ruling against the issue of the cost sharing provision. This provision in the ACA requires that the insurance companies offer health plans to reduce out-of-pocket costs to consumers who qualify. The government then reimburses the insurance companies to offsets the added cost. This public money cannot be spent by the government without congress appropriations in an effort to provide check and balance within the U.S. government. The ACA however is being argued as violating the Constitution by committing billions of dollars from the Treasury without approval from congress (Vogue, 2016).

This can affect all parties involved. This ruling is expected to be appealed by the Obama administration which affects the governmental branch and spending tax dollars. Providers are not directly affected, but the heavy burden of patient's inability to pay bills because of high deductible can impact cost of care. The patients will be affected by the fact that the deductibles will rise this coming year if they have not risen already. From the payor's perspective they are directly affected, if they are not given money to offset the deductibles they will pass the cost on to the patient continuing the cycle of burden to be found on the provider and patient end.

The presidential election will be a key indicator of whether or not the U.S. Supreme court will waiver on the decision that the ACA is unconstitutional in disseminating money to offset insurance deductibles bypassing congress approval. This and other ACA changes driven by the republicans remain to be seen or impactful until 2017 when a new president takes office (Advisory Board, 2015).

Reference no: EM131269499

Questions Cloud

Construct a sequential decision tree : The Americo Oil Company is considering making a bid for a shale oil development contract to be awarded by the federal government. The company has decided to bid 110 million.
Why organizations can have higher productivity : Determine why organizations can have higher productivity when top managers encourage supervisors to set goals, assess performance, and provide feedback to employees.
We have all been part of many teams : We've all been part of many teams. Share with the class a bit about a team you recall being a part of that was a positive experience. It can be a team that was together for a very short time or years. What factors do you recall that made it such a..
Established building materials manufacturer : Eric is a sales rep for an established building materials manufacturer. Business is good, but he's concerned that the company has spent little on new product development and hasn't created a new product in over five years. Without new products, Eric ..
Write a response for each given discussion question : Write a response for each discussion Question. The Affordable Care Act is a health care reform that was implemented to help provide insurance to individuals who had no insurance through the public programs or through an employer.
Supply chain-capacity management and quality control : Explain how facets of organizational operations (supply chain, capacity management, and quality control/improvement) impact organizational outputs (product or service) and the impact on an organizations effectiveness.
Plan for failure to meet customer expectations : Proactive managers and service providers know to plan for failure to meet customer expectations. The course of action that will help in the long run as well as the short run is to
Identify two people you would like to interview to get views : Write two two-tailed hypotheses that relate two variables in which you have an interest in exploring. For each hypothesis, you should use different variables. Identify two people you would interview to get views relevant to the research question,..
When adopting results approach : Discuss the questions that one must be able to answer when adopting a results approach. What are the different areas in which this individual is expected to focus his/her efforts (key accountabilities)? Within each area, what are the expected objecti..

Reviews

Write a Review

 

Other Subject Questions & Answers

  How to let people that spend a whole day in shopping mall

base on the location of the shopping mall, according to the citizen around to design the shopping mall, and different brand of the stores. interesting or wonderful design of the shopping mall will attract customers.

  Insulin and several other pharmaceutical products

Insulin and several other pharmaceutical products required daily by those suffering from diabetes and other medical conditions that the thermal stability is relatively low.

  Approving loans regardless of background

Assume you were loan officer for a bank. The leaders in organization have encouraged all loan officers to approve loans regardless of income or credit background.

  What are the positive and negative aspects of managed care

what are the positive and negative aspects of managed care? analyze the benefits and the risks for both providers and

  Analyze how this issue affects local and global economics

Analyze how this issue affects local and global economics, politics, and society. Pick a locale anywhere in the world and investigate how the issue has affected the local area

  What is she talking about when she refers to feedback loops

In what ways does the "average" cohabiter differ from the "average" non-cohabiter (i.e., people who marry without cohabiting)? What is she talking about when she refers to "feedback loops"

  Compare and contrast the native relations of each group

Compare and contrast the native relations of each group. Which group created a strong alliance with natives and why?

  What questions can you ask to help them shape their action

Read your peers' discussion posts and respond to at least two of them. What strategies or resources would you suggest to help them clarify the steps needed to achieve their career vision? What questions can you ask to help them shape their action ..

  Victim precipitation affected by crime prevention techniques

How can victim precipitation be affected by crime prevention techniques? Provide examples. Apply the idea of victim precipitation to the violent crimes selected or assigned to your team. From the Uniform Crime Reports (UCR), what are the latest repor..

  What the impact on the participants and the organisation

Analyse one aspect of the problem- why it is happening, what the impact on the participants and the organisation is - this must be related to the same theory discussed in the introduction.

  Role of federal-state governments

Does the Federal government have to do more to simplify and limit liability for state and local governments and industry for certain disasters?

  Two styles of prison management

The two styles of prison management were autocratic and bureaucratic. With the autocratic management style the warden had no influence from outside sources, such as courts or advocacy groups.???

Free Assignment Quote

Assured A++ Grade

Get guaranteed satisfaction & time on delivery in every assignment order you paid with us! We ensure premium quality solution document along with free turntin report!

All rights reserved! Copyrights ©2019-2020 ExpertsMind IT Educational Pvt Ltd