#12 The ACAs Effect on Key Targets
This module’s readings provide analysis and insight into the ACA’s effect on
various targets/ beneficiaries, as well as different ways to analyze its impact
based on key health/ public health factors. In 3 paragraphs, discuss how the
ACA can be assessed on these key variables:
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Access to health insurance/health care for the uninsured and
underinsured
Impact on financing and cost containment
Contributions to broad aspects of health, wellness, and public health
Contributions to social equity and social justice
What is/will be needed (in terms of policy, financing, and/or politics) to
maintain and increase the reach of the ACA and ensure its long-term
viability
Critically Analyzing the ACA
Program Learning Outcomes
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PLO 1. Promote community capacity, health, and well-being using results
from analysis of health problems, issues, strengths, and the needs of
diverse populations.
PLO 3. Create solutions for public health concerns found in diverse
communities by assessing their major environmental, social, behavioral,
cultural, political, legal, and regulatory factors.
PLO 4. Design public health access and quality strategies/policies for
diverse populations.
PLO 6. Demonstrate professional and ethical leadership inclusive of
strategic planning and decision making skills.
Course Learning Outcomes
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CLO 1. Categorize and analyze ways of analyzing health problems, issues,
strengths, and needs of diverse populations to help bring about community
capacity, health, and well-being. (ties to PLO 1)
CLO 3. Assess proposed solutions for improving public health from an
interdisciplinary and cross-disciplinary perspective, incorporating
evaluation of various factors. (ties to PLO 3)
CLO 4. Evaluate policies and proposed solutions for improving health and
public health with an eye toward programs to serve and benefit diverse
populations. (ties to PLO 4)
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CLO 6. Evaluate and employ ethical/ bioethical, cultural, and moral issues
and solutions related to public health policy and decision making. (ties to
PLO 6)
Module Learning Outcomes
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MLO 2. Assess and articulate broad approaches and theories associated
with public policy in the context of healthcare policy. (ties to CLO 1)
MLO 3. Evaluate different ways of analyzing public policy in a healthcare
context via application of these models. (ties to CLO 1)
MLO 9. Assess ACA’s impact on key targets and beneficiaries in terms of
various evaluative factors: access to health care; equity and inclusion;
quality of care and health outcomes; elimination or addition of health
disparities, etc. (ties to CLO 3)
MLO 11. Evaluate and critique health disparities and cultural competency
in the context of the key targets and beneficiaries of the Affordable Care
Act and other health/public health programs. (ties to CLO 4)
MLO 12. Identify and assess current and future challenges to ACA
implementation in terms of expanding access to the uninsured and the
law’s financial/market sustainability. (ties to CLO 4)
MLO 15. Assess and characterize key ethical/bioethics issues and
questions in public policymaking. (ties to CLO 6)
MLO 16. Characterize and differentiate key ethical codes and policies in
health (e.g., American Public Health Association, etc.) and apply to them to
public policymaking. (ties to CLO 6)
References
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Alonzo-Zaldizar, R. (2012, March 28). Spin meter: Now they’re all calling it
“Obamacare.” CSN News.
Bui, Q., & Sanger-Katz, M. (2015, Oct. 30). We mapped the uninsured.
You’ll notice a pattern. New York Times.
Currie, J., & Schwandt, H. (2016, April). Inequality: The good news from a
county-level approach. NBER Working Paper 22199, JEL No. J11.
Evans, M. (2016, March 5). The Affordable Care Act isn’t wiping out unpaid
hospital bills. Modern Healthcare.
McMorrow, S., & Holohan, J. (2016, June). The widespread slowdown in
health spending growth implications for future spending projections and the
cost of the Affordable Care Act, an update. Robert Wood Johnson
Foundation & Urban Institute.
Newkirk, V. (2016, June 15). The less Affordable Care Act? The Atlantic.
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Quealy, K., & Singer-Katz, M. (2014, Oct. 29). Obama’s health law: Who
was helped most? New York Times.
Rubin, J., et al. (2016). Are better health outcomes related to social
expenditure? RAND Institute.
Young, J. (May 4, 2016). More red states embrace Obamacare, just as
long as you don’t call it that. Huffington Post.
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