NSG 4068 Week 3 Discussion
NSG 4068 Week 3 Discussion
NSG 4068 Week 3 Discussion
Current Provisions in ACA & Failed First Version of AHCA
The Affordable Care Act or the Patient Protection Act enacted during the Obama administration, and pushed by the democrats has the key provisions targeting reduced costs of healthcare, increased healthcare insurance for the low earners and making healthcare accessible to all (McIntyre & Song, 2019). Moreover, the provision of this act also put more emphasis on health promotion measures as a means of reducing burden on already overstretched healthcare systems. Healthcare service providers are called upon to promote efficiency of the treatment options, cutting down on healthcare fraud and abuse of the health insurance provisions. In terms of the insurance, there was a deliberate move to significantly reduce uncompensated care offer patients’ alternative forms of health insurance covers (Silberman, 2020). Patients with pre-existing medical conditions were also beneficiaries of the ACA in the healthcare system.
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On the contrary, the America Healthcare Act (AHCA) was a Republican agenda pushed through during Trump
NSG 4068 Week 3 Discussion
administration. Its main motive was to repeal and replace the ACA (Fiedler et al., 2017). However, there were several provisions that did not go well with some of the Republican legislators. One among them was the expansion of Medicaid. This was viewed widely by the Republicans as an extension of the ACA. There was a capping introduced to ensure that the federal government will subsidize the healthcare cost up to a certain level beyond which the state government will be required to fill in the remaining deficit. There were 19 states that rejected the expanded Medicaid under ACA, hence in the AHCA such states were offered a safety net funding to help increase resources for Medicaid providers. While the ACA offered insurance subsidies based on income and cost, on contrary the AHCA replaced the subsidies on credit based on age.
References
Fiedler, M., Aaron, H. J., Adler, L., & Ginsburg, P. B. (2017). Moving in the Wrong Direction — Health Care under the AHCA. New England Journal of Medicine, 376(25), 2405–2407. https://doi.org/10.1056/nejmp1706848
McIntyre, A., & Song, Z. (2019). The US Affordable Care Act: Reflections and directions at the close of a decade. PLOS Medicine, 16(2), 1–3. https://doi.org/10.1371/journal.pmed.1002752
Silberman, P. (2020). The Affordable Care Act: Against the Odds, It’s Working. North Carolina Medical Journal, 81(6), 364–369. https://doi.org/10.18043/ncm.81.6.364