Affordable Care Act: Policy proposal

timer Asked: Feb 4th, 2019
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Question Description

In this final project, imagine you are the chief executive officer (CEO) of your health organization, and you are asked by your organization's board of directors to prepare a policy proposal to be submitted to your local area Congressperson.

In this policy proposal you are defending, challenging, or both the policy mandate. You need to use the information that you have learned over the past weeks about health care management in the U.S. to address the following:

  • From your research over the course of the last few weeks, assess what impact do you think the changes to the Patient Protection and Affordable Care Act (PPACA) and/or current legislation will have on the uninsured population in your local community or region?
  • Evaluate and prioritize the importance of the provisions studied in previous weeks (e.g., Medicare, Medicaid, and the individual mandate) from the most important to the least important. State the reasons you ranked the provisions in the order you presented.
  • Analyze the potential success or failure of this Act and changes based on your organization and your local health care needs. Justify your opinion.
  • Discuss future implications of this Act's success or failure.
  • Recommend policy updates, changes, revisions, and so forth to the PPACA and/or current legislation that will address the opportunities and challenges that your organization and local community may deal with.

Note: Your policy proposal should be 5-6 pages, not including title page and reference page, formatted in the APA style, and it should include 8 quality references, 4 of which are from peer-reviewed health care journals and published within the last 5 years.

Tutor Answer

School: Purdue University


Affordable Care Act- Outline
Thesis Statement: Efforts to repeal the Affordable Care Act are likely to increase the number of
uninsured people while increasing the cost of insurance hence there is need to expand Medicaid
and revise regulations to increase affordability for low-income people.
I. Introduction
II. Impact of changes
III. Priorities
IV. Potential success
V. Future implications
VI. Recommendations



Affordable Care Act


Affordable Care Act

The Patient Protection and Affordable Care Act (PPACA) has been one of the main items
that the current government focuses on. The statute was enacted by the 111th Congress and
signed into law by President Barack Obama in 2010 and hence often nicknamed “Obamacare.”
The current debate, mostly proposed by the Republicans in Congress led by President Donald
Trump has mostly sought to repeal or change the act with some of the provisions having been
implemented in 2017. These implementations change access to healthcare and especially
insurance premiums and hence affect the insured population. Efforts to repeal the Affordable
Care Act are likely to increase the number of uninsured people while increasing the cost of
insurance hence there is need to expand Medicaid and revise regulations to increase affordability
for low-income people.
The PPACA worked to reduce the number of uninsured Americans and hence improved
insurance coverage for all Americans. According to Courtemanche et al. (2019), upon the
implementation of most of the ACA provisions in 2014, coverage increased reducing the
population of uninsured Americans by half by 2016. This has been mainly credited to the
expansion of Medicaid eligibility and also the critical changes made to the individual insurance
markets. On the other hand, the increased coverage led to increased spending especially through
new taxes especially to the top 1% in the society. Changes that the Trump administration has
implemented mostly aim at reducing the taxes and help households belonging between 100% and
400% of the poverty line to afford these policies. Although the PPACA has been widely
politicized, the nonpolitical position of our organization coming from an expert analysis is that
the changes to the act are likely to increase the number of uninsured people and also undermine
the core aspects of Medicare and Medicaid, the foundations of the American healthcare system.


Impact of Changes

One of the most controversial and most unpopular decisions made in the revisions to the
act are to repeal the individual and employer mandates. This move made ...

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