NRS 428 What are the most important elements of the Affordable Care Act in relation to community and public health?

NRS 428 What are the most important elements of the Affordable Care Act in relation to community and public health?

NRS 428 What are the most important elements of the Affordable Care Act in relation to community and public health?

President Barack Obama enacted a sweeping healthcare reform known as the Affordable Care Act (ACA) in March 2010. The Patient Protection and Affordable Treatment Act, sometimes known as Obamacare or just the legislation, is a set of healthcare regulations designed to provide millions of Americans without health insurance with access to medical care, raise the standard of care, and lower the cost of healthcare. Since Medicare and Medicaid, it constitutes the most important change to the American healthcare system. the act made it mandatory for Americans to purchase or else obtain health insurance, enlarged the eligibility for Medicaid, established health insurance exchanges, and forbade insurance providers from refusing coverage (or raising premiums) on the basis of pre-existing conditions. Children can continue to be covered by their parents’ insurance up until the age of 26. In order to implement the Affordable Care Act, nurses must assist patients with their medical requirements and make sure that all providers, most notably physicians, are given accurate patient information. Compliance with laws and rules pertaining to security and privacy rights is the responsibility of nurses.

Jordan & Duckett. (2014). The Affordable Care Act and Public Health. Northwestern Student Affairs. The Affordable Care Act and Public Health – Northwestern Public Health Review

Great post! Many people were denied coverage of no fault of their own, other than having a pre-existing condition. The ACA was crucial in changing some of the pathology of the current healthcare system, enabling patients with pre-existing conditions to obtain insurance, treatment and care. Since the introduction of the ACA, more than 20 million Americans have gained insurance, which has improved socioeconomic and racial gaps in coverage (Rapfogel et al. 2020). When considering the impact of social determinants of health, it is hard not to recognize the ACA as an amazing example of progress.

Rapfogel, N., Gee, E. and Calsyn, M. (2020). 10 Ways the ACA has improved Healthcare in the Past 10 Years. Center for American Progress. https://www.americanprogress.org/issues/healthcare/news/2020/03/23/482012/10-ways-aca-improved-health-care-past-decade/

The Patient Protection and Affordable Care Act (ACA), colloquially called ‘Obama Care’ was signed into law in 2010 by the sitting president, President Obama. The primary goals are: increasing the number of the insured, improving the quality of care, and reducing the costs of health care. It represents the most significant transformation of the American health care system since Medicare and Medicaid (Laxmaiah, et.al., 2011). Before then “large disparities in health insurance coverage and access to health services have long persisted in the US Health system” (Buchmueller, et.al., 2019). This disparity is mostly because of socio-economic conditions. The low-income Americans are not eligible for Medicaid and Medicare, and cannot afford the cost of private health insurance which is mostly through employee-employer based. With Accordin the Buchmueller, a general pattern after the ACA was that insurance coverage increased most among groups whose members were most likely to be uninsured before the reforms.

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One of the important elements of the ACA in relation to community and public health is that Medicare and new private insurance policies are required to cover proven clinical preventive services at no cost to all and more attention is directed to primary and preventative care. Screening mammograms, preventive vaccines are given at no charge to the individual. Nurses are the largest group of health professional that serve in the communities. Through give health education, treat, and rehabilitate and give vaccines and other preventive care. According to the American Nurses Association (ANA), registered nurses are fundamental to the critical shift needed in health services delivery” (ANA, 2014). Through the ACA, scholarships and loan repayments have been awarded to health care professionals, the Nurse Education Loan Repayment Program (NELRP) is a selective program of the U.S. Government that help alleviate the critical shortage of nurses; the Nurse Faculty Loan Program (NFLP) to facilitate education of nurses (American Nurses Association, 2014). The role of the nurse is implementing the ACA law is to continue delivering quality care and patient education. Take measures to prevent hospital acquires infection to patients.  Nurse should take advance to Advance Practice Registered Nurse (APRN) positions so they can prescribe, educate, and treat patients in the rural communities. Nurses should advance and expand their education and take leadership roles and positions so they can be part of health care policy makers.

Reference

AMA (2014). Health Care Reform. Health Care Transformation: The Affordable Care Act and More. Retrieved from https://www.nursingworld.org/~4afc9b/globalassets/practiceandpolicy/health-policy/healthcare-reform-document.pdf

Buchmueller, T.C., & Levy, H.G., (2019). The ACA’s Impact On Racial And Ethnic Disparities In Health Insurance Coverage And Access To Care. Retrieved from https://www.proquest.com/docview/2375461521/fulltextPDF/C4F1A0E3AB344E37PQ/1?accountid

Laxmaiah, M. et.al., (2011). Medicare Physicians Payment Systems: Impact of 2011 Schedule on Interventional Pain Management. Retrieved from www.ajnr.org

One of the roles of a Community Health Nurse is to empower people in developing and implementing methods to actively manage their own health This can be one strategy that can impact vulnerable population with ACA, especially with patients on long term care. Continuing Individualized Management Towards Patient-Centered Targets (IMPaCT). A study conducted in Philadelphia is an RCT in which CHWs meet high-risk patients in the hospital on the day of admission and follow up with patients at discharge to identify barriers to care. During discharge, they follow up with patients and accompany them to their first outpatient visit to assist in addressing clinical barriers with their primary care providers. This novel study of a CHW intervention could be a generalizable, potentially cost-effective strategy to reduce hospital readmissions among high-risk patients specifically assist with readmission reduction and transitions from inpatient to outpatient care.

The legislation focuses on hospital readmissions as an important area of reform and cost control, with the ACA

NRS 428 What are the most important elements of the Affordable Care Act in relation to community and public health
NRS 428 What are the most important elements of the Affordable Care Act in relation to community and public health

decreasing Medicare reimbursements for readmissions by 1% in 2012 and incrementally decreasing reimbursements yearly through October 2015. A national priority is the development of innovative models that can lead to lower rates of hospital readmissions and improved care transitions from inpatient to outpatient settings. There have been successful CHW interventions that reduced hospital readmissions in pediatric asthma patients and adult chronic illness interventions that reduced hospital admissions.

Reference.

Martinez J, Ro M, William Villa N, Powell W, Knickman JR. Transforming the Delivery of Care in the Post–Health Reform Era: What Role Will Community Health Workers Play? American Journal of Public Health. 2011;101:e1–e5. [PMC free article] [PubMed] [Google Scholar].