Affordable Health Care Act: Implementing Health Care Reforms

According to the journal ‘The Online Journal of Issues in Nursing’ Sorrell attempts to ascertain how legislature, individual and communities struggle to enact health care reforms that are upheld constitutionally in the Patient Protection and Affordable Care Act (PPACA). The health care act was first enacted in 2010. The Affordable Care Act outlines important ethical reforms of justice that provide quality health care to everyone across the U.

S regardless their financial status and pre-existing conditions (sex). This paper research discusses Patient Protection and Affordable Care Act and its provisions to regulate equality among individuals and medical professionals in sharing resources and benefits of health care act (Sorrell, 2012). According to Sorrell, provisions enacted outlines guidelines to insurers, state, consumers and employers on strategies to employ to expand on coverage of insurance, control of cost and prevention of target.

Inclusive reforms in the PPACA prohibits insurers from denying consumers coverage of pre-existing conditions, funding or subsidizing rates of insurance rate, expanding the entitlement of Medicaid and provision of business with incentives of health care benefits. The primary objective of the project was targeting individuals aged between 19-64 years. This was as a result of deteriorated access to health care and health services in general, especially the uninsured in the years 2000-2010 (Kenny, 2012). The bill implementation into law will see through an insurance coverage of 94% of the total population of United States citizens.

This will increased Medicaid by 15 million people as beneficiaries, hereby reducing the number of uninsured by 31 million people. However, the statistics approximates that about 24 million people will still remain uncovered by the insurance (Kenny, 2012). Major aims of ethical health care project implicate five benefits. Firstly, the June 2012 Court decision on PPACA act has the potential to provide quality, valuable and efficient health care outcomes at a subsidized cost while aiming at accountability to diverse population (Sorrell, 2012).

Secondly, the act provides consumers with freedom of choice on when, who and where to get health care and health care services. Third, the provision enacted allows individuals, employers and government to have a common pool and responsibility of sharing cost and benefits of health care. Forth is to providing accessible health care while availing long term changes of both primary and precautionary health care. Lastly, the act provides affordable insurance premium while placing a strategic investment in public health through its expansion project.

Health insurance coverage reforms provisions ensures insurance premium and subsidized cost sharing rules are administered to form new markets for health insurance purchasing. Affordable Care Act provides insurance coverage to individuals who are legally present only. ACA reinforces existing laws of insurance coverage while constructing an affordable health insurance protection for individual with minimal essential coverage such as Medicaid. Medicaid gives an insurance cover to all people in U.

S including individuals earning fewer than 133% of the federal poverty level (Nazir et al. , 2013). Affordable Care Act symbolizes power to reframe the financial affiliation between Americans and the health-care system to stalk the health insurance crisis that has enclosed individuals, families, communities, the health-care system, and the economy of the nation. It is also this basic recreation of Americans’ correlation to health insurance that lies at the epicenter of the legal battle over the law’s constitutionality.

This is as a result query arising of whether the law falls within Congress constitutional laws rests on whether the Supreme courts come to assess legislation as controlling our economic approach to the acquisition of health care and health services (Nazir et al. , 2013). The Affordable Care Act sets range of federal ethics for guarantors that sell products in both the individual and health insurance markets, and self-insured individuals. The aim of these ethics is to prohibit discernment against particular individuals with less than perfect health.

Similarly, the Act prohibit annual dollar coverage limits, exclusions of use of preexisting condition and unnecessary waiting phases and requires the use of “modified community rating” so that charges can differ only to a limited notch centered on age, as well as by family scope and use of tobacco. The act also warrants the right to internal and external unbiased appeal measures when coverage is deprived, and needs guarantors or insurer to cover routine medical care as part of clinical trials concerning life-threatening diseases.

Sorrell is forthcoming about methods and enhances his research with scholarly research on impact of PPACA on insurance company to continue providing cover to consumers even after falling ill. Sorrell’s research is accurate, timely, descriptive and well documented. The PPACA reflects and address some of the ethical concerns of reforming societal injustices experienced in later years. To sort out societal injustices, health practitioners have a moral obligation to develop and distribute resources fairly.

Everyone is entitled to access quality health care not as a privilege or an option. The PPACA changes social contrast and attitude fights for the opportunity to enjoy and achieve good adequate medical care (Sorrell, 2012). Affordable Care Act restructures the health-care system for long-term variations in health-care quality, the societal arrangement and project of health-care exercise, and health information transparency. This is achieved through introducing extensive changes into Medicaid that encourage the Secretary of the U. S.

Department of Health and Human Services (HHS) and state Medicaid platforms to test new modes of acquisition and service delivery, such as medical homes, clinically combined acquisitions for episodes of maintenance, and bundled payments. These modifications are projected to permit public payers to slowly but powerfully push the health-care system into behaving in different ways in terms of how health-practioner work in a more clinically combined style, calibrate the value of their maintenance and report on their recital, and aim for quality enhancement to chronic health illnesses that consequence in regular clinic visits.

HHS and the states are expected to test acquisition and delivery system reforms that also entice private client involvement to capitalize on the potential for cross-payer changes that can, in turn, apply additional pressure on health-care providers and organizations (Nazir et al. , 2013). The ACA approximates 60 million persons are measured as medically underserved as a result of a combination of raised health risks and a shortage of primary health-care specialists.

To begin to more swiftly alleviate this shortage in advance of the carrying out of the health insurance coverage necessities, the Act capitalizes in a major development of community health centers and the National Health Service Corps. Over the fiscal year (FY) 2011 to FY 2015 time intervals, the Act will invest $11 billion in health centers and $1. 5 billion in the National Health Service Corps. These developments are expected to cause in a replication of the number of patients served, raising the total number of health center patients from 20 million in 2010 to roughly 40 million by 2015 (Nazir et al.

, 2013). Investing in primary health care in medically underserved communities broadens coverage for effective health services and makes direct public health investments. Fraction of the investments come in the form of new regulatory necessities related to coverage of clinical preventive services without cost sharing, an important shift in the affiliation between health insurance and clinical preventive care.

Similarly, the Act offers the expansion of a national prevention plan and the foundation of a Prevention and Public Health Trust Fund to fund community investments that will advance public health. The finance, with a value set at $15 billion, arrange for extra financing for prevention activities commencing in FY 2010 and ongoing annually (Sorrell, 2012). The Affordable Care Act will profoundly modify the policy setting in which public health is experienced. The legislation will take years to implement, and its full meaning can only be intellectualized at this point.

Availability of prevention or health center funding presents important financing opportunities. These funding opportunities are important to communities all over the country, and public health agency alertness and support to local community coalitions will be crucial. At the same time, these characteristics of the Act perhaps embody relatively acquainted public health practice turf, from a conceptual and practical perspective. The ACA requires nonprofit hospitals to participate in major community health planning.

Hospitals are also anticipated to prove how their investment of resources into the communities they serve mirrors the priorities contained in their plans. How can public health agencies participate in hospitals around planning? How can agencies and communities guarantee ideal use of the resources that will be spent in these community planning activities and the resulting effect of plans on hospitals’ community benefit expenditures? In total, the Affordable Care Act is transformational and enormous execution of challenges lie ahead.

But the opportunities for major improvements in public health policy and practice are simply incomparable. The Act embodies a single opportunity not only to transform coverage and care, but also to reconsider the basic mission of public health in a nation with worldwide coverage (Nazir et al. , 2013). References Sorrell, J. (2012). Ethics: The Patient Protection and Affordable Care Act: Ethical Perspectives in 21st Century Health Care. The Online Journal of Issues in Nursing Vol. 18 No. 1. Pear, R. (2009).

Senate Passes Health Care Overhaul Bill. The New York Times Nazir, A. , LaMantia, M. , Chodosh, J. , Khan, B. , Campbell, N. , Hui, S. , & Boustani, M. (2013). Interaction Between Cognitive Impairment and Discharge Destination and Its Effect on Rehospitalization. Journal Of The American Geriatrics Society, 61(11), 1958-1963. Kenney, G. M. , McMorrow, S. , Zuckerman, S. , & Goin, D. E. (2012). A decade of health care access declines for adults holds implications for changes in the Affordable Care Act. Health Affairs, 31(5), 899-908.