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Health Care Reform The Dismantling of the Affordable Care Act Discussion

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Can you help me understand this Health & Medical question?

Please answer the following Discussion Question. Please be certain to answer the four questions on this week DQ and to provide a well-developed and complete answer to receive credit. Also, please ensure to have read the assigned chapters for the current week.

Case Study, Chapter 21, Health Care Reform: The Dismantling of the Affordable Care Act

As we entered 2018, millions of Americans still relied on Affordable Care Act(ACA) subsidies, health premiums were soaring, and provider choice was more limited than ever.There was, however, momentum for reform. Health care was identified as the country’s leading priority for Democrats (54%) and the second highest priority for Republicans (42%) at the close of 2017. A group of registered nurses debate the issue of health care reform

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1. The nurses debate whether the country feels that health care reform is really necessary. Discuss reasons why reform is needed and what that reform should address.

2. What were the 10 essential benefits guaranteed by insurance plans in the ACA Health Care Marketplace?

3. What are the successes of the ACA?

4. What are the failures of the ACA?

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Chapter 21 Health Care Reform: The Dismantling of the Affordable Care Act Copyright © 2016 Wolters Kluwer Health | Lippincott Williams & Wilkins Patient Protection and Affordable Care Act (PPACA) ❖ Commonly known as the Affordable Care Act (ACA) or Obamacare ❖ The relatively swift passage of the ACA came as a surprise to many ❖ Over first six years of its implementation, partisan efforts to revoke it were almost constant ❖ 2016 election of Donald Trump as president placed efforts to repeal and replace ACA became front and center Copyright © 2020 Wolters Kluwer • All Rights Reserved Why Is Health Care Reform Necessary ❖ Costs are uncontrolled ❖ Access is unequal ❖ Quality health care rankings are poor ❖ Medical errors permeate the system Copyright © 2020 Wolters Kluwer • All Rights Reserved The Affordable Care Act: Successes #1 ❖ Provided the first real hope for Americans of significant reductions in numbers of uninsured ❖ Provided great access to coverage for those with preexisting conditions ❖ Mandated health-care insurance provision by employers ❖ Critical strategies for ACA included bundled payments, accountable care organizations, value-based purchasing, and medical homes Copyright © 2020 Wolters Kluwer • All Rights Reserved The Affordable Care Act: Successes #2 ❖ Businesses with more than 50 employees were required to provide health insurance or pay a fine ❖ The individual mandate clause of the ACA required individuals to buy insurance or pay a penalty at tax time o Exemptions to this penalty were implemented in early 2018 (See Table 21.1) o With repeal of individual insurance mandate, the incentive for people to purchase health care insurance goes away in 2019 Copyright © 2020 Wolters Kluwer • All Rights Reserved The Affordable Care Act: Successes #3 ❖ New health insurance marketplaces (exchanges) were created as part of the ACA ❖ Small businesses became eligible to buy affordable qualified health benefit plans in this marketplace ❖ All exchange plans were required to provide 10 essential health benefits (see Box 21.1) ❖ See Box 21.2 for a recap of the successes of the ACA Copyright © 2020 Wolters Kluwer • All Rights Reserved Question #1 Is the following statement true or false ❖ Under the mandates of the Affordable Care Act, all employers were required to provide health care coverage to their employees. Copyright © 2020 Wolters Kluwer • All Rights Reserved Answer to Question #1 False ❖ Only businesses with more than 50 employees were required to provide health insurance or pay a fine. Copyright © 2020 Wolters Kluwer • All Rights Reserved The Affordable Care Act: Failures #1 ❖ The ACA was shrouded in confusion and misinformation ❖ Broken promise that people who were satisfied with their previous coverage could remain on their plan ❖ Consumers felt enrollment periods were too limited and the website was too complicated ❖ Costs were often prohibitive for both the government and consumers ❖ Despite the implementation of the ACA, the cost of health care insurance was out of reach for many Copyright © 2020 Wolters Kluwer • All Rights Reserved The Affordable Care Act: Failures #2 ❖ The staggering cost of federal subsidies to insurers, and uneven allocation of their use was a concern ❖ More Americans opposed the law than favored it by 2016 ❖ See Box 21.3 for a summary of ACA failures Copyright © 2020 Wolters Kluwer • All Rights Reserved Legislative Efforts to Reform a Broken Health care System #1 ❖ Multiple bills to repeal and replace the ACA were introduced into the House or Senate in 2017 without legislative consensus (see Table 21.1) ❖ Common theme was a reduction in mandates for individuals and businesses to buy or provide health insurance and defunding of government subsidies for vulnerable populations like the elderly or poor. ❖ Every stakeholder organization weighed in to oppose repeal Copyright © 2020 Wolters Kluwer • All Rights Reserved Legislative Efforts to Reform a Broken Health care System #2 ❖ The outcome of legislative efforts were highly partisan ❖ Republicans tried to pass legislation to repeal portions of the ACA ❖ Democrats unanimously held the line in opposition ❖ The Medicaid program will be a prime target for reform in 2018 ❖ Deficit concerns created by the 2017 tax plan are influencing reform efforts Copyright © 2020 Wolters Kluwer • All Rights Reserved Question #2 ❖ Which of the following agencies will be a prime target for reform in 2018? A. Medicare B. Medicaid C. CHIP D. Social Security Administration Copyright © 2020 Wolters Kluwer • All Rights Reserved Answer to Question #2 B ❖ The Medicaid program, which is projected to account for approximately $385 billion of federal spending in 2017, will be a prime target for reform in 2018. Copyright © 2020 Wolters Kluwer • All Rights Reserved President Trump’s Incremental Dismantling of the ACA #1 ❖ President Trump has been successful in undermining what is left of the ACA by: o Cutting the 2018 open-enrollment period to half that of 2017 o Cutting advertising by 90% o Reducing navigator funding by 40% o Closing the federal marketplace for maintenance several hours each week during open enrollment o Barring regional office staff members from cooperating in enrollment efforts Copyright © 2020 Wolters Kluwer • All Rights Reserved President Trump’s Incremental Dismantling of the ACA #2 ❖ President Trump has been successful in undermining what is left of the ACA by: o Issuing an executive order endorsing approaches to siphoning off health individuals from the ACA market o Cutting of reimbursements to insurers to cover costsharing reductions for low-income individuals o Expanding access to association health plans o Easing restrictions on short-term health plans o Limiting consolidation within the insurance and hospital industries Copyright © 2020 Wolters Kluwer • All Rights Reserved President Trump’s Incremental Dismantling of the ACA #3 ❖ President Trump has been successful in undermining what is left of the ACA by: o Increasing competition and choices in health care o Making cuts to the 340B Medicare drug discount program in 2017 o Signing into law the Tax Cuts and Jobs Act passed by Congress Copyright © 2020 Wolters Kluwer • All Rights Reserved What’s Ahead? #1 ❖ It appears that some things will stay the same: o Every county will have an insurer in their ACA marketplace in 2018 o Health care consumers will still be able to sign up on the federal exchange or their state marketplaces o Subsidies will be available to help lower premiums or reduce deductibles and copays o If qualified consumers will be able to shop and compare coverage options o As of May 1, 2018, the uninsured rate remained at 9.1% Copyright © 2020 Wolters Kluwer • All Rights Reserved What’s Ahead? #2 ❖ It appears that some things will change: o Young, healthy individuals should mean lower costs and the elimination of the individual mandate penalty o Healthy individuals would be eligible to purchase short-term association plans that would cost less but not guarantee unlimited annual or lifetime benefits o Health costs will rise for consumers with chronic illnesses o Cost will skyrocket for seniors who lose Medicaid coverage Copyright © 2020 Wolters Kluwer • All Rights Reserved What’s Ahead? #3 ❖ It appears that some things will change: o Fewer people will be enrolled in the health care exchanges in 2018 o Premiums for the benchmark silver health exchange plan in 2018 will soar 37% on average o Increases will occur in the gold plan as well though at a lower level Copyright © 2020 Wolters Kluwer • All Rights Reserved Question #3 Is the following statement true or false? ❖ Under Trump’s health care reform plan, if you have a chronic illness, you will most likely pay more for health care insurance. Copyright © 2020 Wolters Kluwer • All Rights Reserved Answer to Question #3 True ❖ Under Trump’s health care reform plan, if you have a chronic illness, your costs will rise because you will have to rely on the ACA plans on the exchanges. As health customers leave those plans, the companies will raise prices to remain profitable, resulting in rising health care cost nationally. Copyright © 2020 Wolters Kluwer • All Rights Reserved End of Presentation Copyright © 2020 Wolters Kluwer • All Rights Reserved ...
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Final Answer

Attached.

1

Running head: HEALTH CARE REFORM

Health Care Reform
Name
Institution Affiliation
Date

HEALTH CARE REFORM

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Reasons why health reform is needed and what it should address
Quality of health to the general public is critical since it influences patients' health
outcomes and satisfaction. Health care reform is necessary because in the U.S health care costs
are high, and there are high numbers of uninsured people who lack quality care due to lack of
finances. The other reason is to ensure equal access to care for all people irrespective of financial
capabilities. In the U.S, there is unequal access to health care, particularly for patients with
preexisting conditions such as diabetes and with low socioeconomic status (Borelli, Bujanda,
Maier, 2016). The reform should address issues of how it will ...

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