AJS 590 University of Purdue Global The Vision of The Affordable Care Act Executive Summary

Assignment Content

You have carefully crafted an extensive presentation about the policy you have targeted for analysis. You have supplied your stakeholders with the information they need to make an informed decision. It is important that you provide them with material that they can take with them to review. You decide to prepare a report that compliments your presentation.To begin, provide an executive summary for the policy you are analyzing.Write a succinct 525-to-700-word narrative that outlines what you have found to be attached to the policy you are analyzing. Provide the following:Vision, Mission, and Goals statementsMoney: How was the policy funded?What other social arenas benefited from this allocation?What other social arenas have suffered?Message: How was this policy introduced? How was progress communicated?From whom did they seek advice?Which stakeholders were not involved?Momentum: What conflicts and divisions have risen from the inception of this policy?What areas of civil rights have been affected?Supported?Harmed? The Affordable Care Act (ACA)
AJS/590
University of Phoenix
August 15, 2022
Introduction
• ACA is a value-based policy that supports hospitals
• It seeks to enhance communication and care coordination
• It also seeks to increase the quality of patient engagement.
• It was established to decrease the level of avoidable readmissions.
Consumers/patients
Workers
Key
Stakeholders
States
Healthcare providers
Cost-Benefit Analysis
Specifying
options
Deciding costs
and benefits
Identification of
impacts on
selected
indicators
Placing dollar
value on
impacts
ACA has increased awareness
ACA has increased collaboration on the national
level
Cost-Benefit
Analysis
ACA has also increased the quality of health care
to patients in America
ACA has reduced poor health care outcomes in
America
However, there is a potential to disproportionately
penalize hospitals
Steps for to go through
• Establishing what data is needed to be collected
• Setting a timeline for collecting the required data
• Determining the data collection method
• Collecting the gathered data
• Analyzing data and implementing findings
Kind of data to collect about ACA
• Service area information
• Plan attributes
• Business rules under ACA
• Network data about ACA
Financial and Human resources
• Funds to facilitate interviews and questionnaire design
• Analysis tools, including SPSS
• Hospital management, including managers and other leaders
• Data analysis experts
• Travel expenses
Results to expect
• High response rate from participants
• Significant coverage when collecting information
• Unbiased information from participants
• Relevant information regarding ACA
The Social And Financial Costs
Rebalance
federal spending
patterns
Reprogram
funding
Decreased
hospital
utilization
Reduced
spending
Expand access to insurance
Emphasize prevention and wellness
ACA Policy
Provisions
Increase consumer protections
Improve quality and system performance
Curb rising healthcare costs
Expand the health workforce
Access to
insurance
Funding
Provisions
• Expands access to Medicaid
• Creates eligibility to apply for
subsidies
Prevention and
wellness
• Lifted the ceiling on wellness
incentives to 30%
Increase
consumer
protections
• Bans insurers charging more or
denying coverage
Quality & System
performance
• Reduced annual increases
Curb rising
healthcare costs
• Value-based payment
initiatives
Expand the health
workforce
• Fund infrastructure, hiring, and
enhancing capacity
Complicated premium purchase
ACA Policy
Challenges
Shrinking networks
Not everyone has decreased
coverage
Complicated premium
purchase
• Improve Medicare Cost-Sharing Design
Contingencies
for ACA
Challenges
Shrinking networks
• Adapt suite of policy proposals
Not everyone has decreased
coverage
• Expanding existing programs
• Creating low-income insurance pool
Limitations & Social Implications
Limitations
• Inadequate services
• Growth of high-deductible health
plans
• Increased cost of monthly premiums
Social Implications
• Improved financial security
• Levels of volunteerism
Costs of Amending or Repeal of
ACA Policy
ACA Repeal to
reduce spending
for nonelderly
Repeal by 2021
at $90.9 billion
Conventional
scoring ($350
billion through
2027)
Dynamic scoring
($150 billion
through 2027)
Repeal Recommendations
Repeal to
improve in
access
Gain in
coverage;
Financial
security,
Increase
access and
utilization
Provisions & Resources
Access to insurance
• Expand regulatory and subsidies
structures for low-income people
• Revise cost-sharing and modest monthly
insurance premiums
Resources
• Federal legislation
• Administration, private parties, or state
law
Repeal challenges,
contingencies & resources
Challenge
• Congress support
Contingencies
• Advocacy & Aligning leaders
Resources
• Federal legislators, and health
administration, private parties,
or state legislators
Conclusion
 As seen, the ACA program encourages the national goal of enhancing health care for all
American people by connecting payment to quality hospital care. It was created under the
Obama regime; hospitals can be penalized if they have more than the expected standards
 The key federal provisions include quality, performance, protections, access, prevention
and wellness, healthcare costs, and health workforce
 The ACA policy still lacks in some areas, such as uninsured low-income population,
uncompensated care, and complexity I premium purchase
 Repeal is required to improve access to cover uninsured low-income populations, mainly
focusing on access, coverage gains, and financial security
References
• Blake, L., Francis, V., Johnson, J., Khan, M., & McCray, T. (2017). Developing
robust data management strategies for unprecedented challenges to
healthcare information. Journal of Leadership, Accountability, and
Ethics, 14(1), 22-31.
• Campos, P. A., & Reich, M. R. (2019). Political analysis for health policy
implementation. Health Systems & Reform, 5(3), 224-235.
• Chait, N., & Glied, S. (2018). Promoting prevention under the affordable care
act. Annual Review of Public Health, 39, 507-524.
https://doi.org/10.1146/annurev-publhealth-040617-013534
• CRFB (2017). The Cost of Full Repeal of the Affordable Care Act.
https://www.crfb.org/papers/cost-full-repeal-affordable-care-act
References Cont’..nd
• Fang, H., & Krueger, D. (2021). The affordable care act after a decade: Its
impact on the labor market and the macro economy. Annual Review of
Economics, 14. https://doi.org/10.1146/annurev-economics-051420-115149
• Guth, M., Garfield, R., & Rudowitz, R. (2020). The effects of Medicaid
expansion under the ACA: Studies from January 2014 to January 2020.
Kaiser Family Foundation.
https://www.kff.org/medicaid/report/the-effects-of-medicaid-expansion-un
der-the-aca-updated-findings-from-a-literature-review/
• Health Markets (2021). The Pros and Cons of the Affordable Care Act.
https://www.healthmarkets.com/resources/health-insurance/affordable-car
e-act-pros-and-cons/