1. Describe the changes to Medicare that are direct results of the Patient Prote
ID: 174398 • Letter: 1
Question
1. Describe the changes to Medicare that are direct results of the Patient Protection and Affordable Care Act of 2010.
2. Analyze and explain the possible impacts upon the health care system as more Americans gain access to health care.
3. Explain the ways in which increased access to health care may affect baby boomers either positively or negatively.
4. Explore the role technology plays in accessing health care and on the Patient Protection and Affordable Act.
5. Analyze and explain the two new technologies that have affected health care in the past five years.
6. Analyze and describe the two new technologies that will be needed in the years ahead to keep up with the aging baby boomers.
Explanation / Answer
hello,
ans.1-The Patient Protection and Affordable Care Act (PPACA), also known as Affordable Care Act (ACA) or Obamacare was effected by March-23-2010 and other important provisions phased by january 2014.
- it shows the significant regulatory overhaul of the healthcare system of U.S.A. since the passage of Medicare and Medicaid in 1965.
-It was intended to increase
1. Health insurance quality
2.Affordability,
3. Lower the uninsured rate by expanding insurance coverage
4. Reduce the costs of healthcare.
-it was intended to insurers to accept all applicants & cover a specific list of conditions and charge the same rates regardless of pre-existing conditions or sex.
Changes to medicare after(PPACA).-
-significant decrease in the percentage & number of people without health insurance.
- The percentage ofpeople without health insurance fell from 16.0% in 2010 to 8.9% during the January-June 2016 period(The CDC report)
- Approximately 23 million people with insurance due to the law
-12 million people covered by the exchanges & 11 million made eligible for Medicaid(The Congressional Budget Office reported in March 2016)
-it covers
1.Essential health benefits(maternity and newborn care; ; emergency services; hospitalization;ambulatory patient services; mental health and substance use disorder services, prescription drugs; rehabilitative and habilitative services and devices; laboratory services; preventive and wellness services and chronic disease management etc. comes under it.
2.Contraceptives( it cover "additional preventive care and screenings" for women.)
3.Three way risk management system.(1.temporary reinsurance,2.temporary risk corridors 3. Permanent risk adjustment.
Ans.2- Possible impacts upon the health care system as more Americans gain access to health care are-
1- reported higher quality care(additional primary and preventive care)
2-Decreased out-of-pocket spending and increased outpatient visits.
3-improved health, improved drug affordability
4-lesser emergency departments visits
5- induced diabetes screening, glucose testing among diabetes patients & regular care for chronic conditions.
6-Health care cost/quality initiatives including incentives to reduce hospital infections, to adopt electronic medical records and adopt bundled payments to coordinate care and prioritize quality over quantity.
7-hospitals and primary physicians transform their practices economically, clinically & technically as well.
8-it helped to drive better health outcomes, lower costs, and improve their methods of distribution and accessibility.
Ans.3-development of new care models combined with advances in technology could save the system billions even as baby boomers pour into Medicare and live longer.
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