Question

Is the the Affordable Care Act (ACA) meeting its goal and doing what was intended when passed. If so how? If nt, why?

Answer 1

The Affordable care Act   has 3 main Objectives

1. To reform the private market especially for the individuals and small group punchers

2. To expand Medicaid to the working poor with income up to 133% of US government level

3. To change the way that medical decision are made

All three are relay primarily on private choices rather than government regulations and rooted in expectations of rational decision making shaped by incentives programs such as MIPS

There is no question that the ACA has changed the health system in the United States and will continue to have a profound impact the years to come. It is less clear that we will realize the promise of higher value care efficiently provided in the best location at pair competitive price the insurance market the primary target of the health reform defiantly will more competitive, open, and fair in access and cost.

The impediments in the provider and supplier sectors, however, will keep more intensive insurance competition from having the impact that it might on the structure of the system and delivery of care. Demand may not flow to the best places if financial incentives continue to direct care to captive providers with in the closed system and contacted partners. Market forces exploiting information asymmetry may continue to drive drugs and specialty care utilization beyond what new comparative effectiveness information and reorganized accountable care organization might suggest would more appropriate. The ability of hospitals, specialty physicians, and even primary care groups to negotiate collectively and threaten to withhold services can continue be used to level to extract higher payment in spite pressure from the ACA