Question

Explain the impact of the Affordable Care Act on health care organiation and finance.

Answer 1

Affordable care act enabled more individuals to gain health insurance coverage it also sparked an increase in patient financial responsibility made changes in healthcare revenue cycle including more patient financial responsibility and lower reimbursement rates. It's general impacts on patient and healthcare organisation are as follows:- patient protection for all new plans , patient can choose primary care provider , prohibiting insures from requiring prior authorisations before a woman seed a gynaecologist ,ensuring emergency care.Extension of dependent of young adults age limit till 26 yrs. All new health insurance policies must cover preventive care. No lifetime limits in coverage, restricted annual limits on coverage prohibits rescission when claims is filed and except in case of fraud. Appeal process when a consumer has a problem with his coverage the insurance company must provide a process of customers appeal. Hospital will be able to maintain their profit but revenue growth will stagnate. Decrease in hospital readmission as it panelized hospital for excessive readmission by reducing their based Medicare reimbursement by 3%. More value based care necessities more healthcare management techniques . Upfront patient billing strategies. Promotes focus on Medicare billing compliance to avoid healthcare fraud investigation. To over come all this we can prepare a healthcare revenue cycle for value based care.