Description
policy proposal
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.
Explanation & Answer
Please view explanation and answer below.
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United States Health Policy
Author
Affiliation
Course
Instructor
Due Date
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United States Health Policy
Introduction
The Affordable care Act is a significant improvement in the U.S public health policy;
through a sequence of revisions, expansions, and amendments to the many laws that together
make the federal lawful program for the U.S healthcare unit, the law provides special legal
provisions that had not been there before. It guarantees health in all states from birth to old age
by insurance coverage. Upon full implementation, the Act will reduce the number of uninsured
citizens by almost ¾ and cover an average of 94% of the whole population.
The Act consists of 10 distinct law-making Titles, and the Act has numerous main goals. The
most significant aim is to reach near-universal coverage through a collective responsibility by
the government, employers, and individuals. Another goal is to advance health insurance
coverage's quality, fairness, and affordability. Moreover, the program aims to improve
healthcare value, excellence, and competence while decreasing extravagant spending and
making the healthcare scheme more responsible to a varied patient population. In addition to
this is to reinforce central healthcare access while initiating longer-term deviations in primary
and defensive health care disposal. The final aim is to make planned savings in the public's
health by expanding community investments and clinical preventive care.
Q1
Impacts of the new law
The new law has extended premium subsidies to the high-income earners who did not
qualify for the service in the previous years. It has also increased the ACA subsidies for the
low-income individuals who had already trained for the program (Xu et al., 2021).
Furthermore, this strategy offers maximal grants for the completely unemployed individuals
under the unemployment benefit programs. The new law prevents excessive repayment of ACA
subsidies during taxation. Furthermore, the new Act gives grants to COBRA continuation
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coverage for retrenched employees and provides further incentives for regions that are yet to
expand their Medicaid facilities. In addition, the affordable care act has intervened to address
the shortcomings in the healthcare units that had initially left a lot of individuals without health
insurance and has dramatically extended Medicare coverage to many poor citizens and boosted
the marketplace for the persons below the 400% of poverty (Chu et al. 2021). Therefore the
uninsured population will have access to better health care programs that they had missed under
the previous laws that had restricted Medicare services to the insured. Moreover, the uninsured
will have an increased income since the cover ensures cheaper care than attending individual
Medicare services, which may be too expensive.
Since the new law has enabled incentives on the units that had not yet initiated the
program, there will be more opportunities for the community members to access the services
at their nearest health facilities without the need to travel to other regions seeking healthcare
services (Chu et al. 2021). Eventually, this will lead to coverage of more individuals to this
program. In summary, the new PPACA act, considering all the benefits from the inclusion of
the high-income earning individuals, the incentives for developing amenities, and the equitable
taxation plans, will ensure increased health spans of the citizens and the best working
experience for the healthcare units.
Q2
Evaluate and prioritize
Importance of Medicare
The Medicare program plays an essential role in ensuring the health and financial security of
about 60 million older and younger individuals that face disabilities. Some of the privileges of
this cover include physician services, hospital stays, and prescribed drugs.
Importance of Medicaid
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Being insured through Medicare helps the citizens in the U.S stay healthy through the
medication project since it is an assurance to get medical care whenever one gets sick. It helps
them get jobs as the program is an extension that needs more employees to implement. In
addition, having a medical cover helps American citizens care for their families and sort their
bills (Xu et al., 2021). Moreover, it ensures the economic growth of social amenities such as;
schools, hospitals, and communities.
Importance of individual mandate
The importance of the individual mandate program lies in spreading risk since it requires every
citizen- especially the healthy groups. Therefore the risk pools will be broad to lower the costs
for everyone, including those people with expensive medical needs.
I have listed the provisions in their order of importance in the descending order respectively in
the Medicare, Medic aid Personal mandate (Chu et al. 2021). I consider Medicare the essential
requirement since it caters to the needs of the most vulnerable, the old and young disabled
citizens. In the second place is medic aid which is essential for the welfare of any citizen but
does not necessarily use as it covers emergency issues. The most minor rank in my list is the
individual mandate; this is simply a requirement and cannot be as reliable as other people may
choose not to involve in the program.
Q3
Potential success
Making
primary
health
care
more
available
to
physically
un...