Reflective Paper For Management And Leadership

One of the author’s reasoning for how taking away ACA would affect Medicaid is back in 2016 legislation tried to step away from it, but former President Barack Obama repealed it because could eventually affect the lives of millions of people. The authors also cover how ACA changed Medicaid for the better, for example creating a program for just children’s coverage, inventing a new method to determine eligibility, and even creating new benefit options for families and small businesses. The author describes how the new Presidential administration can repeal or alter Medicaid through Section 1115. The authors main argument is that by repealing ACA would eliminate the Medicaid system which in turn will allow millions of people to be

Increasing costs all around the globe due to economic downfalls is making this issue even more challenging. It is vital that we have some focus on revenue, but we can’t lose focus on the costs of running a business. In health care this can be very challenging because of all the changes involved with the government, in laws regarding health care reform. “Understanding the total costs of services will allow the redeployment of resources which provide a higher payback, or will facilitate the elimination of those resources altogether.” (Hughes, 2011).

To accommodate for these challenges, the Canadian Nurses Association [CNA]

[Cost] Cost could potentially be the biggest factor of the iron triangle and perhaps the side of the model that leaves administrators most puzzled. With new technology being released quarterly, drug prices soaring, a new aging population that can't be supported by the current workforce, Medicare cutting reimbursement payments and leaning towards insolvency, and the price per service continues to rise it seems as if cutting costs down may seem impossible. Not only have hospitals and clinics began looking for more cost-efficient ways to provide care or, unfortunately which programs to cut, the political arena has been evaluating this as well. Since Obamacare has not lived up to its true potential and glory an alternative method must be identified before the nation's model of healthcare implodes from high costs.

In 2010, the aggregate shortfall of government funding for Medicare and Medicaid beneficiaries was estimated at $28 billion dollars. Currently, Medicare and Medicaid in combined do not cover the complete cost of care for program recipients but their beneficiaries account for about half the care provided by hospitals . In the chart it shows the uncompensated care and payment shortfalls from Medicare and Medicaid in billions of dollars, 2010 Similarly, between 2000 and 2010, the cost of uncompensated care grew by 82 percent, from $21.6 to $39.3 billion. In the below chart it shows the cost-based uncompensated care in billions of dollars, 1990 – 2010 .EMTALA’s

Prior to the implementation of the Affordable Care Act (ACA), few people anticipated employer-provided health care would disappear as a major player in the United State healthcare arena. However, ACA adoption and has put more than 169 million employees at risk for losing their workplace coverage. Several studies indicate employer-based coverage will decline rapidly over the next decade as the traditional US system is displaced by the healthcare exchange system. While consumers grapple with finding affordable coverage options and providers adjust to the new norms, there is another wrinkle in the mix. In January, Health and Human Services (HHS) Secretary Sylvia M. Burwell announced the agency's push toward value-based and alternative reimbursement models.

“Healthcare Reform 101,” written by Rick Panning (2014), is a wonderful article that describes, in an easy-to-understand language, the Patient Protection and Affordable Care Act, signed into law March 23, 2010. The main goal of the Patient Protection and Affordable Care Act was to provide affordable, quality healthcare to Americans while simultaneously reducing some of the country’s economic problems. Two areas will be covered throughout this paper. The first section will include a summary of the major points and highlights of Panning’s (2014) article, including an introduction to the ACA, goals of the signed legislation, provided coverage, and downfalls of the current healthcare system. The second part will be comprised of a professional

The Affordable Care Act consists of the ten sections including Quality, Affordable Health Care for all Americans, Role of Public Programs, Improving the Quality and Efficiency of Health Care, Prevention of Chronic Disease and Improving Public Health, Health Care Workforce, Transparency and Program Integrity, Improving Access to Innovative Medical Therapies, CLASS Act, Revenue Provisions, and Strengthening Quality, Affordable Health Care for all Americans (Fontenot, 2013). The Affordable Care Act aims to reduced the number of uninsured Americans by mandating all citizens have health insurance either through private insurance coverage or increasing access to public insurance coverage. The reduction of uninsured in theory should reduce the cost of healthcare. Prior to The Affordable Care Act, the burden of cost associated with the uninsured was shifted to the physicians, hospitals, and consumers. HHCAPS or value-based reimbursement should improve the quality and efficiency of healthcare.

Third, if it is premature to draw conclusions about the cost effects of the ACA, it is doubly so for the quality effects of the law. The reductions in hospital-acquired conditions and Medicare readmissions since the enactment of the ACA are unprecedented and encouraging, but here again, the causes of these favorable trends are uncertain. It may be some time before we can assess the quality effects of this major new legislation. In conclusion, Health care access and insurance coverage are major factors that contributed to racial and ethnic disparities before the ACA implementation (Chen, Vargas-Bustamante, Mortensen, & Ortega, 2016).

NU 413 Week 9 Discussion Board Post student response to Katie-Lynn Fournier by Kathryn Moultrie Good afternoon Kathie, Enjoyed reading your post, and seeing how other organizations handle the operations of their facility and nursing departments. My biggest concern with improving quality care and patient safety issues in that, the responsibility is not ours alone, our Chief Nurse Executives (CNEs) and Director of Nursing (DON), and senior nursing management staffs to lead the journey Disch J. (2008). I find it overwhelming that the majority of the research literature (studies, surveys and reports believe nursing plays the pivotal role in changing the face of health care and improving quality care and patient safety.

This can also easily be done by actively engaging in initiatives that promote diversity and equity in healthcare, such as participating in diversity training programs, joining professional organizations focused on inclusivity, and advocating for policy changes that address healthcare

The real debate is how can we accomplish the goal of universal healthcare in the most affordable and sustainable way. The United States is evaluated as a wealthy country, yet there are more penurious countries who provide health maintenance, paid through higher taxes. “In the United Kingdom and other European countries, payroll taxes average 37% - much higher than the 15.3% payroll taxes paid by the average US worker” (Gregory). With this data, the only reform would be to end the private health insurance companies of dominant health services, and incorporate a single payer system. Conversely, it is factual that taxes will rise, but the implementation of universal healthcare will better the health of American citizens.

The law that was intended to improve the status quo of health care has, in essence, caused a dangerous paradigm shift in health care costs. Fundamentally, the Affordable Care Act is a failed attempt to reduce health care costs in the United States. The Act was designed to increase affordability of health insurance for extremely low-income families; nevertheless, the Act exponentially increased health insurance costs for the majority of Americans. In America, majority rules-- why should health care be an

The Affordable Care Act has shifted focus on health and wellness of patient populations urging hospitals to do a community needs assessment and come up with a strategy to address these needs. Hospitals most often partner with community and professional organizations to address the health need (Stempniak, 2014). This is an example of how the four spheres are all interrelated. Nurses are at the heart of this movement, providing the necessary skills, experience and expertise to address the needs of the population being served (Shamian,

Many Americans were led to believe that the introduction of the Patient Protection and Affordable Care Act in 2009 would put an end to disparities in health care access. While it did improve the situation for a small percentage of the population there are still many Americans who lack access to good quality health care. Health care access in America is determined by money and those in lower socioeconomic groups frequently tend to miss out on adequate care. In a recent health care report by the national health research foundation Kaiser Family Foundation, it was noted “health care disparities remain a persistent problem in the United States, leading to certain groups being at higher risk of being uninsured, having limited access to care, and experiencing poorer quality of care” (Kaiser Family Foundation). The current health care