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ACA will not improve healthcare cost, quality and access
ByBrandy Rotarius, Kelly Morgan and Fiona
Gumbo
The intentions of the ACA are to improve healthcare cost, quality and access, but we believe that the ACA will not improve healthcare cost, quality or access.
Introduction
Federal Estimated cost $828 billion
Out of pocket
Individuals $6645
Families $13290
Estimated Cost
Tax Increases Medicare .9% Added Taxes
Unearned income 3.8% Health insurance premiums 40%
Individuals $10,200 Families $27,500
Employers
Cost
Annual fees Healthcare providers Manufactures & Importers of certain
medical devicePenalties
No insurance $695 or 2.5% of a person’s income
whichever is higher.
Cost
Increased Patient Population-due to mandatory health care insurance requirement
Affects on Quality of Care:-more patients to take care of-negative impact on quality of care
Quality of Care and the Patient Population
Not enough physicians-due to high patient population-physicians/consumers long standing
opposition to non-physician practitioners
Affects on Quality of Care:- Increased pressures on the provider
Quality of Care and the Health Care Provider
Readmissionspenalties incurred for what are seen as “preventable readmissions”
High risk patient transitional carefocus on community-based transitions of care
Effects on Quality of Care:- overtreatment of patients- higher risk of spread of communicable diseases
-lack of space within health care facilities
Quality of Care and the Health Care Facility
Detroit Medical Center Primary care physician physicians current thoughts/feelings of;
- the new ACA law -quality of care to the patient - The increased role the NP (Nurse practitioner) or PA (Physician assistant) could play within the office- how the ACA will affect her as a medical doctor- the new law and how it will affect her specific patient population and in what ways- additional comments/questions
Health Care Provider Interview
Putting into place the ACA will cause many complications. All aspects including the health care facilities and providers, along with the patient population are interrelated. Thus, problems that occur within one of these components that negatively impact quality of care will also cause problems within another area as well.
Quality of Care within the Heath Care System as a Whole
30 million newly insured individuals increase the patient population.
No clear ways of the current healthcare system to adopt to new patient population.
Problems with accessing healthcare .
Access of HealthCare
Healthcare provider shortages worsened by increase in patients from newly insured group.
Provisions to increase providers will take time.
Trends to be seen include longer wait times for appointments, crowded ER, pressure to train new physicians.
Access of Healthcare
Goal of affordable care act to bridge the gap between healthcare and public health through preventative care.
Few preventative care initiatives currently in place.
Problems with accessing preventative care services until they are established.
Access of HealthCare
Affordable care act goal to have everyone insured.
Prediction that an estimated 26 million will still be uninsured by 2016.
Challenges for the uninsured group to access healthcare.
Access of Healthcare
The ACA will not improve healthcare cost, quality or access due to; The estimated cost, the increase in taxes,
added fees The increase in patients, the shortage of
healthcare staff
Conclusion
Questions
As ACA insures more Americans, doctor shortage looms. (2013). Retrieved July 2013, from MPR News: http://minnesota.publicradio.org/display/web/2013/07/09/daily-circuit-aca-doctor-shortage
Brunner, R. D.(2010). Adaptive governance as a reform strategy. Policy Science,43, pp. 301-341. doi:10.1007/s11077- 010-9117-z
Cogan, J. (2011). The Affordable Care Act's Preventive Services Mandate: Breaking Down the Barriers to Nationwide Access to Preventive Services. Journal Of Law, Medicine & Ethics, 39(3), 355-365.
Coleman, E.A. (2003). Falling Through the Cracks: Challenges and Opportunities for Improving Transitional Care for Persons with Continuous Complex Care Needs, the American Geriatrics Society, vol. 51. no.4 (549-555)
Doscher, C. (2012). Advance for NPs & PAs. Retrieved July 2013, from nurse-practitioners-and-physician- assistants.advanceweb.com: http://nurse-practitioners-and-physician-assistants.advanceweb.com/Columns/Physician-Assistants-Inside-Out/More-Patients-Under-the-Affordable-Care-Act.aspx
Jacobson, P. D., Jazowski, S. A. (2011). Physicians, the Affordable Care Act, and Primary Care: Disruptive Change or Business as Usual? Journal of General Internal Medicine; Vol. 26 (8),
pp. 934-7.
Knudson, L. (2012). Affordable Care Act Ruling Introduces Sweeping Changes to Health Care System, AORN Journal, 96 (3): Connections: C1, C8-9.
References
Nardin, R., Zallman, L., McCormick, D., Woolhandler, S. & Himmelstein, D. (2013). The unisured after implementation of the affordable care act; A demographic and Geographical analysis. Retrieved July 2013, from HealthAffairs Blog: http://healthaffairs.org/blog/2013/06/06/the-uninsured-after-implementation-of-the-affordable-care-act-a- demographic-and-geographic-analysis/
Phillips, C., Pace, D. (2012-2013). The Alta Project: Expanding Innovation in Care Transitions. Journal of the American Society on Aging, 36 (4): 105-8
Robert Wood Foundation: retrieved from: www.rwjf.org/qualityequality /glossary.jspShaffer, E. (2013). The Affordable Care Act: The Value of Systemic
Disruption. American Journal Of Public Health,103(4), e1-e4.
Shaffer, E. (2013). The Affordable Care Act: The Value of Systemic Disruption. American Journal Of Public Health,103(4), e1-e4.
References