NURS 6050 THE ROLE OF THE RN/APRN IN POLICY EVALUATION

NURS 6050 THE ROLE OF THE RN/APRN IN POLICY EVALUATION

NURS 6050 THE ROLE OF THE RN/APRN IN POLICY EVALUATION

I chose the Affordable Health Care Act Policy as this is well-known and has been a big part of the legislation. The Affordable Care Act (ACA) makes affordable health insurance available to more people. The law provides consumers with subsidies and tax credits that lower costs for households with incomes between 100% and 400% of the federal poverty level (Affordable Care Act, 2020). Politics plays heavily into policy making and evaluation. A video from Walden University (2018) featuring Joel Teitelbaum shares, “It is clear that politics is playing a vital role in the design of the outset and now the implementation and evaluation of the ACA.” A program could not be successful after many years if it were not being evaluated and adjusted.

 

There have been several ways the ACA has been evaluated over time. After evaluation, the ACA has changed from 2011-2022. The policy will always change as the population grows, presidents change, and the cost rises or falls over time. One of the first ways the policy has been evaluated is by the number of individuals enrolled from 2010 to 2022. The government calls this administrative data and has looked at how many people have enrolled through new health insurance marketplaces or the number of people who have enrolled in Medicaid. As numbers have increased over time, policymakers have assumed success. So, if fewer Americans lack health insurance, it will be a crucial indicator of how well the ACA is working.

 

Administrative data can be limited, so A lot of the policies evaluation has come from surveys over time. In 2014 before federal surveys were allowed, they launched, the Health Reform Survey, this is a quarterly survey of the nonelderly designed to provide timely information on implementation issues under the Affordable Care Act (ACA) and changes in health insurance coverage and related health outcomes (Long,2014).  This looked at data, affordability, participation, and healthcare access. It helped give a good visual of implementation success. After that rolled out so did other surveys that had been given to private entities, which ask about health insurance by type of coverage and track changes over time. Another survey that is often a source of health coverage evaluation is the Annual Social and Economic Supplement (ASEC) to the Current Population Survey, which provides socioeconomic and demographic information, including health coverage status, for the non-institutionalized U.S. population (Montero,2022). The surveys look at insurance utilization and insurance status. The survey data received from the U.S. Department of Human Services and Medicare has been used for the evaluation and success of the policy.

 

Social determinants weigh heavily in the health world, especially regarding the ACA. The World Health Organization defines social determinants of health as the conditions in which people are born, grow, live, work, and age (Abrams,2017). Racism, poverty, unsafe neighborhoods, and lack of education are some of the many social determinants that create health inequity in our country (Leong & Roberts,2013). Not everyone had access to healthcare in 2010 due to the high costs of plans. Poverty greatly affected this over time as money was required to deliver efficient care safely. The Affordable Care Act expansion did lessen the consequences of socioeconomic status and healthcare access by assisting disadvantaged persons in receiving health services. The ACA has been a tremendous help to those falling at or under the poverty level.

References

 

Abrams, M. (2017). Chapter 7 – Social Determinants of Health. Alliance for Health Policy. Retrieved October 19, 2022, from https://www.allhealthpolicy.org/sourcebook/social-determinants-of-health/

Centers for Medicare & Medicaid Services. (2020). Affordable Care Act (ACA). Federal Poverty Level (FPL) – Glossary | HealthCare.gov. Retrieved October 19, 2022, from https://www.healthcare.gov/glossary/federal-poverty-level-fpl/ 

Leong, D., & Roberts, E. (2013). Social determinants of health and the Affordable Care

Act. Rhode Island medical journal (2013)96(7), 20–22.

Long , S. (2014). What do we know about ACA implementation? introducing the Health Reform Monitoring Survey. Introducing the Health Reform Monitoring Survey. Retrieved October 20, 2022, from https://www.urban.org/urban-wire/what-do-we-know-about-aca-implementation-introducing-health-reform-monitoring-survey 

Montero,A. (2022). Measuring Changes in Insurance Coverage Under the Affordable Care Act.

KFF. Retrieved October 19, 2022, from https://www.kff.org/health-reform/poll-finding/5-charts-about-public-opinion-on-the-affordable-care-act-and-the-supreme-court/

Walden University, LLC. (Producer). (2018). Introduction to Health Policy and Law with Joel

Teitelbaum [Video file]. Baltimore, MD: Author.

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NURS 6050 THE ROLE OF THE RN APRN IN POLICY EVALUATION
NURS 6050 THE ROLE OF THE RN APRN IN POLICY EVALUATION

Discussion Response #1

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I like your choice of program for this discussion. The ACA has undergone quite a bit of change as it has changed hands throughout different presidencies. I agree that it has had many positive impacts on people below the poverty line and has led to many becoming insured that could previously not afford to be. I believe that evaluating this program in future years is key as the times change. What was the solution when the program was signed into law may not be the solution in future years. As the program changes hands and different presidents and congress staff changes, hopefully beneficial changes are made to allow this to continue to be a beneficial program. I do not think there is a perfect solution to healthcare, however those in charge must strive to continue to evaluate and amend this program.

-Joe

References

Centers for Medicare & Medicaid Services. (2020). Affordable Care Act (ACA). Federal Poverty   Level (FPL) – Glossary | HealthCare.gov.                   Retrieved October 27, 2022, from https://www.healthcare.gov/glossary/federal-poverty-level-fpl/

Effect of the Affordable Care Act in Maryland. (n.d.). ballotpedia.org/ Retrieved on 10/27/2022 from                                                                                    https://ballotpedia.org/Effect_of_the_Affordable_Care_Act_in_Maryland_(2009- 2017)

RE: Main Post

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Affordable Care Act (ACA) can also be measured through the promotion of personal well-being. If ACA prevents and relieves pain suffering and disability and minimizes loss of life, then it’s doing what it was designed to do.

Affordable Care Act can also be measured through its effect on meeting people’s health needs as the disease is usually thought of as an adverse departure from the normal level of functioning. The ACA should therefore help people to maintain or restore normal functioning or to compensate for the inability to function normally.

Another way ACA is measured is through equitable access. Equitable access could be interpreted as access to whatever an individual needs or benefits from. For instance, if a given level of care is available to one individual, it must be available to all. ACA was designed to ensure that there is equitable access to healthcare for all individuals who enjoy healthcare benefits (Munson & Lague, 2016)

 

 

References

Milstead, J. A. (2014). Health policy and politics (5th ed.). Jones & Bartlett Learning.

Munson, R., & Lague, I. (2016). Intervention and reflection: Basic issues in bioethics (10th ed.). Cengage Learning.