NRS 428 Topic 4 DQ 2

The Affordable Care Act was signed into law by President Barack Obama in March 2010. Many of the provisions of the law directly affect health care providers. Review the following topic materials: 

“About the Affordable Care Act” 

“Health Care Transformation: The Affordable Care Act and More” 

What are the most important elements of the Affordable Care Act in relation to community and public health? What is the role of the nurse in implementing this law? 

 

JUDICHIELLE 

The Affordable Care Act (ACA) was signed into law by President Barrack Obama in March 2010 as a comprehensive healthcare reform. The act simply known as Obamacare includes a list of health-related provisions which were intended to extend healthcare insurance to millions of uninsured Americans. The act expanded the Medicaid eligibility, creating health insurance companies and helped prevent insurance companies from denying coverage or overcharging due to pre-existing conditions. The act also allowed children to remain under the insurance plans of their parents until they reach the age of 26. 

Since the enactment of the act, millions of Americans have benefited through obtaining insurance coverage. Many of the unemployed and those with low paying jobs are now able to afford quality healthcare services as a result of the act. Some people who were unable to work due to disabilities or family obligations or also due to pre-existing conditions are now able to enjoy quality healthcare services. Since the act become law, over 16 million Americans had obtained health insurance within the first five years with young adults making up the biggest percentage of the newly insured citizens. More people can afford the health insurance as a result with insurance companies now spending over 80% of their premiums on medical care and improvements. Insurance companies do not overcharge premiums giving more people access to health insurance companies. 

 

In relation to community and public health, the ACA has contributed immensely through making healthcare more affordable to communities and populations who there before were unable to afford health insurance. Most people in communities where people survive on low income to sustain their livelihood are now able to afford insurance companies while those with pre-existing conditions are not overcharged by insurance companies. The nurse has a very important role in implementing the ACA law through guiding clients on the availability of the ACA and the benefits that they can get form enlisting. The nurse also has the role to ensure that community members who are in need are well informed about the Affordable care Act through organizing for health promotion programs and advocating for the community health awareness. 

 

References 

 

Protection, P., & Act, A. C. (2010). Patient protection and affordable care act. Public law, 111(48), 759-762. 

 

Blumenthal, D., Abrams, M., & Nuzum, R. (2015). The affordable care act at 5 years. 

 

Hamel, M. B., Blumenthal, D., & Collins, S. R. (2014). Health care coverage under the Affordable Care Act—a progress report. The New England journal of medicine, 371(3), 275-81. 

 

KADIATU 

The Patient Protection and Affordable Care Act, or Obamacare, is sometimes known as the Patient Protection and Affordable Care Act (PPACA). The Affordable Care Act (ACA), proposed on March 23, 2010, and signed by President Obama, was the first step toward giving health-care coverage to the uninsured. In 2014, the amended version of the Affordable Care Act (ACA) made it possible for those under the age of 65 years old to be eligible if their total family income was less than 33% of the poverty level (ncsl.org). The proposal was designed to improve insurance access, coverage, and system performance and encourage preventative and wellness treatment and patient safety. 

The ACA provision allows the insurance providers to adhere to a strict set of rules and restrictions. The policy was established to increase insurance coverage, improve program efficiency and performance, and improve health and wellness care and patient safety. After March 23, 2010, all insurance policies must cover essential primary and secondary preventative treatments, such as mammography, blood pressure, and cholesterol screenings, immunization, and specific laboratory tests, as screening for some states allows for preventive practices, improves public knowledge about various diseases, and necessitates public health education campaigns(Rosenbaum, 2011). 

 

The American Nurses Association has long pushed for nurses, urging lawmakers to acknowledge the true worth of nursing and nurses via protection and affordable care legislation. Nurses already play a critical role in operational efficiencies, treatment continuity, and patient welfare, and recent advancements in nursing education have given us even more opportunities to do so. Nurses significantly impact the healthcare system because they are the single largest group that supports nurse training programs and expands healthcare scholarship and student loan programs. Nurses can influence policies that affect public health. 

 

Health care that works for Americans. (n.d.). The White House. https://obamawhitehouse.archives.gov/healthreform/healthcare-overview 

 

Rosenbaum S. (2011). The Patient Protection and Affordable Care Act: implications for public health policy and practice. Public health reports (Washington, D.C. : 1974), 126(1), 130–135. https://doi.org/10.1177/003335491112600118 

 

The Affordable Care Act: A brief summary. (n.d.). Legislative News, Studies and Analysis | National Conference of State Legislatures. https://www.ncsl.org/research/health/the-affordable-care-act-brief-summary.aspx 

 

CHIDOZIE 

Since its adoption in 2010, the Affordable Care Act (ACA) has extended access to comprehensive health coverage to millions of previously uninsured Americans through the expansion of Medicaid, the establishment of the Health Insurance Marketplace, and the creation of several consumer protections designed to mitigate discrimination from providers and healthcare systems and to limit insurers’ ability to deny, limit, or cancel coverage.  

Initial results from the ACA lowered the number of the uninsured, now estimated at 30.4 million, or 9.4% by the Centers for Disease Control and Prevention (CDC), down 18.2 million people since the passage of the ACA in 2010. Recently, concerns have arisen about the sustainability of these results, including several actions, regulations, and proposals that have the potential to threaten both the availability and the adequacy of plans in the insurance marketplace. Millions of Americans remain uninsured or underinsured, with half of uninsured adults reporting the cost of coverage as the primary factor. Moreover, the progress made across the previous 5 decades in reducing cardiovascular death and disability has stalled, and increasingly, we are learning that striking differences in cardiovascular mortality remain across sex, gender identity, race, and ethnicity, driven largely by geographic locations, income levels, level of education, and other social determinants of health.  

Nurses view the healthcare industry from a privileged perspective. They not only help patients, but, given the amount of charting and paperwork they encounter, they also gain insight into the workings of the health insurance industry (Nurse Journal staff, 2021). Nurses offer a unique, expert, bedside perspective on the healthcare system and, as one of the largest healthcare professions, can be effective in healthcare political action,” Weatherspoon says. “Working at the point of care, nurses see the good things and the areas that need improvement.” Nursing professionals can use this knowledge to improve the healthcare industry by advocating and taking political action, Weatherspoon adds. One way to do this is by contacting representatives from your state legislature.  

References  

Nurse Journal Staff. (2021, October 26). The Affordable Care Act and nursing | NurseJournal.org. NurseJournal. https://nursejournal.org/resources/affordable-care-act-nursing-guide/ 

Warner, J. J., Benjamin, I. J., Churchwell, K., Firestone, G., Gardner, T. J., Johnson, J. C., Ng-Osorio, J., Rodriguez, C. J., Todman, L., Yaffe, K., Yancy, C. W., & Harrington, R. A. (2020). Advancing healthcare reform: The American Heart Association’s 2020 statement of principles for adequate, accessible, and affordable health care: A presidential advisory from the American Heart Association. 

REPLY 

SN 

 

The Affordable Care Act was signed into law by President Barack Obama in March 2010. Many of the provisions of the law directly affect health care providers. Review the following topic materials: 

“About the Affordable Care Act” 

“Health Care Transformation: The Affordable Care Act and More” 

What are the most important elements of the Affordable Care Act in relation to community and public health? What is the role of the nurse in implementing this law? 

 

JUDICHIELLE 

The Affordable Care Act (ACA) was signed into law by President Barrack Obama in March 2010 as a comprehensive healthcare reform. The act simply known as Obamacare includes a list of health-related provisions which were intended to extend healthcare insurance to millions of uninsured Americans. The act expanded the Medicaid eligibility, creating health insurance companies and helped prevent insurance companies from denying coverage or overcharging due to pre-existing conditions. The act also allowed children to remain under the insurance plans of their parents until they reach the age of 26. 

Since the enactment of the act, millions of Americans have benefited through obtaining insurance coverage. Many of the unemployed and those with low paying jobs are now able to afford quality healthcare services as a result of the act. Some people who were unable to work due to disabilities or family obligations or also due to pre-existing conditions are now able to enjoy quality healthcare services. Since the act become law, over 16 million Americans had obtained health insurance within the first five years with young adults making up the biggest percentage of the newly insured citizens. More people can afford the health insurance as a result with insurance companies now spending over 80% of their premiums on medical care and improvements. Insurance companies do not overcharge premiums giving more people access to health insurance companies. 

 

In relation to community and public health, the ACA has contributed immensely through making healthcare more affordable to communities and populations who there before were unable to afford health insurance. Most people in communities where people survive on low income to sustain their livelihood are now able to afford insurance companies while those with pre-existing conditions are not overcharged by insurance companies. The nurse has a very important role in implementing the ACA law through guiding clients on the availability of the ACA and the benefits that they can get form enlisting. The nurse also has the role to ensure that community members who are in need are well informed about the Affordable care Act through organizing for health promotion programs and advocating for the community health awareness. 

 

References 

 

Protection, P., & Act, A. C. (2010). Patient protection and affordable care act. Public law, 111(48), 759-762. 

 

Blumenthal, D., Abrams, M., & Nuzum, R. (2015). The affordable care act at 5 years. 

 

Hamel, M. B., Blumenthal, D., & Collins, S. R. (2014). Health care coverage under the Affordable Care Act—a progress report. The New England journal of medicine, 371(3), 275-81. 

 

KADIATU 

The Patient Protection and Affordable Care Act, or Obamacare, is sometimes known as the Patient Protection and Affordable Care Act (PPACA). The Affordable Care Act (ACA), proposed on March 23, 2010, and signed by President Obama, was the first step toward giving health-care coverage to the uninsured. In 2014, the amended version of the Affordable Care Act (ACA) made it possible for those under the age of 65 years old to be eligible if their total family income was less than 33% of the poverty level (ncsl.org). The proposal was designed to improve insurance access, coverage, and system performance and encourage preventative and wellness treatment and patient safety. 

The ACA provision allows the insurance providers to adhere to a strict set of rules and restrictions. The policy was established to increase insurance coverage, improve program efficiency and performance, and improve health and wellness care and patient safety. After March 23, 2010, all insurance policies must cover essential primary and secondary preventative treatments, such as mammography, blood pressure, and cholesterol screenings, immunization, and specific laboratory tests, as screening for some states allows for preventive practices, improves public knowledge about various diseases, and necessitates public health education campaigns(Rosenbaum, 2011). 

 

The American Nurses Association has long pushed for nurses, urging lawmakers to acknowledge the true worth of nursing and nurses via protection and affordable care legislation. Nurses already play a critical role in operational efficiencies, treatment continuity, and patient welfare, and recent advancements in nursing education have given us even more opportunities to do so. Nurses significantly impact the healthcare system because they are the single largest group that supports nurse training programs and expands healthcare scholarship and student loan programs. Nurses can influence policies that affect public health. 

 

Health care that works for Americans. (n.d.). The White House. https://obamawhitehouse.archives.gov/healthreform/healthcare-overview 

 

Rosenbaum S. (2011). The Patient Protection and Affordable Care Act: implications for public health policy and practice. Public health reports (Washington, D.C. : 1974), 126(1), 130–135. https://doi.org/10.1177/003335491112600118 

 

The Affordable Care Act: A brief summary. (n.d.). Legislative News, Studies and Analysis | National Conference of State Legislatures. https://www.ncsl.org/research/health/the-affordable-care-act-brief-summary.aspx 

 

CHIDOZIE 

Since its adoption in 2010, the Affordable Care Act (ACA) has extended access to comprehensive health coverage to millions of previously uninsured Americans through the expansion of Medicaid, the establishment of the Health Insurance Marketplace, and the creation of several consumer protections designed to mitigate discrimination from providers and healthcare systems and to limit insurers’ ability to deny, limit, or cancel coverage.  

Initial results from the ACA lowered the number of the uninsured, now estimated at 30.4 million, or 9.4% by the Centers for Disease Control and Prevention (CDC), down 18.2 million people since the passage of the ACA in 2010. Recently, concerns have arisen about the sustainability of these results, including several actions, regulations, and proposals that have the potential to threaten both the availability and the adequacy of plans in the insurance marketplace. Millions of Americans remain uninsured or underinsured, with half of uninsured adults reporting the cost of coverage as the primary factor. Moreover, the progress made across the previous 5 decades in reducing cardiovascular death and disability has stalled, and increasingly, we are learning that striking differences in cardiovascular mortality remain across sex, gender identity, race, and ethnicity, driven largely by geographic locations, income levels, level of education, and other social determinants of health.  

Nurses view the healthcare industry from a privileged perspective. They not only help patients, but, given the amount of charting and paperwork they encounter, they also gain insight into the workings of the health insurance industry (Nurse Journal staff, 2021). Nurses offer a unique, expert, bedside perspective on the healthcare system and, as one of the largest healthcare professions, can be effective in healthcare political action,” Weatherspoon says. “Working at the point of care, nurses see the good things and the areas that need improvement.” Nursing professionals can use this knowledge to improve the healthcare industry by advocating and taking political action, Weatherspoon adds. One way to do this is by contacting representatives from your state legislature.  

References  

Nurse Journal Staff. (2021, October 26). The Affordable Care Act and nursing | NurseJournal.org. NurseJournal. https://nursejournal.org/resources/affordable-care-act-nursing-guide/ 

Warner, J. J., Benjamin, I. J., Churchwell, K., Firestone, G., Gardner, T. J., Johnson, J. C., Ng-Osorio, J., Rodriguez, C. J., Todman, L., Yaffe, K., Yancy, C. W., & Harrington, R. A. (2020). Advancing healthcare reform: The American Heart Association’s 2020 statement of principles for adequate, accessible, and affordable health care: A presidential advisory from the American Heart Association. 

REPLY 

SN 

 

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