Patient Protection and Affordable Care Act
Patient Protection and affordable care act (PPACA) was introduced in the year 2010. To most people, the PPACA guarantee greater access to improved and reasonably priced care. However, to others, the PPACA risks an unsustainable increment in costs, reduced freedom as well as severe harm to the global premium healthcare delivery system (Groszkruger, 2011). The healthcare has gone through various changes since Medicare Was Introduced. All the changes had an impact on how the medical practitioners were compensated for the care given to Medicare patients and were promptly followed by making adjustments in some of the self-governing insurance firms. PPACA was introduced to create a revolution within the medical system that is necessary to contain costs. The Act is meant to reduce the number of Americans who are not insured by over half. The major aims of the PPACA include; achieving near-universal coverage through communal responsibilities among the state, individuals, and employers. The secondly it ensures equal opportunity, the excellence of medical cover, and that they are reasonably priced. PPACA also aims at improving the health care worth, effectiveness while minimizing uneconomical spending, and ensuring that the medical system is more answerable to a varied patient populace. The forth aim is to strengthen primary health care accessibility while ensuring sustainable changes in the accessibility of primary and precautionary health care. The last aim is to establish premeditated reserves in the public health, by expanding the medical precautionary care as well as the community investments. This paper, therefore, explains how the PPACA legislation has been both an enhancement and a liability to the medical care delivery system (Hoover, 2010).
The PPACA Act as an improvement to the medical care delivery system
Through the various provisions that ensure finest and cost-effective subsidies, establishment of novel regulations for the medical insurance firm and the creation of novel market for medical cover purchasing, the PPACA makes the medical cover a lawful expectation for the American citizens. The Act makes stronger the current types of medical coverage while establishing a novel, reasonably priced medical insurance market for the people and folks that lack reasonably priced company coverage or another kind of lowest amount essential medical cover like Medicare. By the expansion of the existing coverage, the Act primarily reforms Medicaid in order to cover all the American citizens together with all legal American dwellers with family earnings that are lower than 133% of the government poverty level. Thus, insurers are not able to discriminate or over charge the patients. There will be at least 2 years of levy credits offered to upcoming businesses that offer medical insurance to its workers, to compensate for those costs. Fiscal fine would be applied to any employer with employees exceeding 750 if they fail to grant medical insurance as profit.
The PPACA symbolizes an effort of reframing the fiscal connection between the citizens of the United States and the medical care system for stemming the medical cover crisis that is enveloping folks, families, and the society as a whole, the medical care system and the state financial system as a whole. Apart from setting up a worldwide coverage and communal accountability, PPACA sets norms for medical insurers that offer produces in both the personal and small group markets as well as company supported health benefit plans. The PPACA encourages employers to take on organization wellness activities that aim at promoting and incentivizing definite health results. The farewell activities are not supposed to be restricted to the act of being a participant in those initiatives but can include incentives that are intended to achieve improved health outcomes (Rosenbaum, 2011).
Apart from the insurance, the PPACA is also meant to improve the medical system for sustainable changes in value of health care as well as the nature of medical care exercise and the transparency of medical information. This is achieved through making wide transformations in Medicare and Medicaid that inspires both secretary of the United States Department of Health and Human services (HHS) together with the state Medicaid initiatives to try novel forms of compensation and service delivery, like the medical homes, payments for episodes of care as well as the bundled compensations. These transformations are all meant to enable community payers too steadily
- Push the medical care system into acting differently in form of how the health practitioners work in a more clinically incorporated way.
- Weigh the value of their health services and account of how they are performing.
- Aim at quality enhancement of the serious and unceasing health situations that lead to recurrent admissions and readmissions in health care centers.
Besides insuring most Americans, rationalizing health care, funding the primary medical care systems in some of the medically underserved societies, and extending medical cover for efficient clinical precautionary care, the PPACA also ensures direct community health investments. A fraction of the investments comes as novel regulatory condition that is related to coverage of clinical preventive services with no cost sharing, an essential shift in the connection between medical insurance and clinical preventive care. Additionally, PPACA provides the establishment of a nationwide prevention strategy and the introduction of a Prevention and public Health Trust Fund for financing society investments that is aimed at improving the public health (Rosenbaum, 2011).
The PPACA legislation as a liability to the health care delivery system
Despite the many benefits of the PPACA, the Act also has some negative impact on both the doctors and the patients. The Medicare’s medical doctor compensation system is filled with lower payments and perverted incentives. The advocates of PPACA honored Medicare’s capacity of exploiting its size to attain minimal charges with suppliers. It may be true that Medicare can bring down health professional’s charges; however, this is not among the initiative’s greatest potential, but rather one of its greatest faults. These low payments are in the end shifted to patients in terms of brief visits, less doctors’ attention, quick releases from health care centers and poor care. Rather than the reformation of the government’s faulty compensation system, the PPACA only expands its capacity to more individuals (Fodeman, 2014).
Generally, the PPACA is changing the medical care system in the U.S, ensuring that more and more Americans are insured. The Act makes stronger the initial forms of medical insurance while establishing a novel, reasonably priced medical insurance market for the people and families that lack reasonably priced company coverage or other kind of lowest amount essential coverage like Medicare or Medicaid. To most people, the PPACA guarantees a far greater access to improved and reasonably priced care. The PPACA is also meant to improve the health-care system for sustainable transformations in medical care quality as well as the nature of medical care exercise and the transparency of medical information. Apart from all the benefits discussed above, the Act also has some negative impacts to doctors and patients as the underpayments results in the patients receiving poor services. This would also strip away the practitioner autonomy, drown the medical doctors in bureaucracy and exhaust their job satisfaction.
Groszkruger, D. (2011). Perspectives on healthcare reform: A year later, what more do we know?. Journal of Healthcare Risk Management, 31(1), 24-30.
Hoover, T. (2010). Patient Protection and Affordable Care Act of 2010. American Journal of Homeopathic Medicine, 103(4), 174.
Fodeman, J. (2011). The new health law: Bad for doctors, awful for patients.Galen Institute, April.
Rosenbaum, S. (2011). The Patient Protection and Affordable Care Act: implications for public health policy and practice. Public Health Reports, 126(1), 130.