Question

Rationalize the fundamental way in which these laws play a pivotal part in understanding the roles that today’s health care administrators play.

Answer 1

The Truman Administration (1945-1953):

He recommended universal health coverage proposal (which was paid and administered by a national health insurance board) to Congress but it was died in the Congress.

The Eisenhower Administration (1953-1961):

During the period of 1956 the military Medicare Program (provides healthcare services payment to military dependents)

The Kennedy Administration (1961-1963):

King-Anderson bill (Social Security benefits package to 65 years of age and older people) was supported by Kennedy’s administration. Kennedy’s administration laid foundation of what would become Medicare but in the Committee bill was defeated.

The Johnson Administration (1963-1969):

The Medicaid and Medicare programs were signed into law in the year 1965. The Great Society a social reforms was established in the Johnson Administration.

The Nixon Administration (1969-1974):

The national health insurance standard act (competition arisen between the expand coverage and private insurers was maintained) was proposed in the Nixon Administration. But unfortunately it did not pass.

The Ford Administration (1974-1977):

The National Health Planning and Resources Development Act of 1974 was an effort to reign in escalating healthcare costs. The main goal of HPRDA is to avoid and decrease healthcare services and facilities unnecessary duplication. In the year 1986 the CON mandate of the HPRDA was repealed.

The Carter Administration (1977-1981):

Jimmy Carter called for national healthcare insurance with universal coverage, and also prepared a legislative proposal this proposal. Finally the concept principle was endorsed by American Hospital Association, but had reservations about any system that took a universal, "one-size-fits-all" approach.

The Reagan Administration (1981-1989):

Several new laws were enacted during the President Reagan's period and they are mainly aimed to decrease federal healthcare spending and focused on efficiencies improvement through Medicare reimbursement changing methodologies in most cases. He was stepping up anti fraud measures. In the year 1988 the Medicare Catastrophic Coverage Act was the first major expansion of Medicare benefits.

The George H.W. Bush Administration (1989-1993):

In the healthcare President Bush's main agenda is to decrease abuse and fraud in the Medicaid and Medicare programs. For reducing federal health care growth spending he passed healthcare legislation reforms like prohibition on physician "self-referrals" for clinical laboratory services (Stark I). In the year 1988 Medicare Catastrophic Coverage Act was inherited by President George H.W. Bush.

The Clinton Administration (1993-2001):

President Clinton sent the American Health Security Act of 1993 (provide affordable health insurance) to Congress. The Health Insurance Portability and Accountability Act is an important healthcare reform measures were enacted during President Clinton's term. During the Clinton administration health insurance coverage would be provided through private insurers.

The George W. Bush Administration (2001-2009):

President Bush's domestic legacy does, however, include one of the largest expansions of Medicare in the program's history. The Medicare Drug Improvement and Modernization Act of 2003 made numerous changes to the Medicare program, the most important of which is the prescription drug coverage benefit, created as Medicare Part D.

The Obama Administration (2009 - 2017):

The Patient Protection and Affordable Care Act (PPACA) are commonly called the Affordable Care Act. Generally titled ObamaCare is a fundamental regulation engaged into guideline by President Barack Obama. On March 23, 2010 United States federal statute signed it into a law. It is aimed at transforming the medical practices of hospitals and primary physicians financially, technologically and clinically. It is the single biggest piece of health care legislation since the creation of Medicare and Medicaid in 1965. The three goals of the ACA are to cover the uninsured, reduce the growth of health care spending and improve the efficiency of the health care delivery system.

The main objective of the ACA is to expand health insurance coverage to an estimated 32 million uninsured Americans and strengthen existing coverage. Under this act, the minimum standards of healthcare have been established. There are provisions for federal subsidies for low income individuals and families. In the light of these facts, the PPACA is definitely a positive step in the American healthcare. This would improve the methods, as well as accessibility of health services. The cost of health services would also come down. Health care fraud and abuse are mostly reduced after this health reform act. The PPACA is predestined to bring together the affordability and amount of health cover coverage for Americans, and lessening the overall charges of wellbeing upkeep for personalities and the management.

Obamacare affect on Organizations:

The Obamacare will affect many aspects of health care across the nation. Below are five ways the new law will influence procedures surrounding hospitals, doctors, nursing homes and insurers.

1. Hospitals: The Affordable Care Act allows the federal government to withhold Medicare payments from hospitals if too many patients return within 30 days of discharge for certain ailments such as a heart attack or pneumonia. There will be more emphasis on improving the quality of care in hospitals by reducing complications from infections.

2. Doctors: Doctors expect to see more patients showing up for annual physicals, which will be covered under the new law. That means doctors may be able to spot health problems early, before they reach a crisis. The law forces physicians to convert their handwritten patient files to electronic medical records, offering financial incentives if conversion is completed and electronic files are used in a meaningful way.

3. Nurse: Most private health insurance plans did not pay for nursing homes or assisted living before the new health care law, and that isn’t changing. Some nursing facilities will also receive a bundled payment for all services delivered during what the government refers to as an “episode of care,” such as a heart attack or hip replacement.

4. Insurance: will now be able to charge families at different rates based on the number of children. Insurers can now charge a family with three kids more than a family with two kids, according to the Centers for Medicare and Medicaid Services. There will be a new limit on how much executive pay insurance companies can deduct from their taxes limits similar to those the government put on troubled banks that took federal bailout money.

The trump Administration (2017 – present):

President Donald Trump repeals and replaces the Affordable Care Act or Obamacare with reforms that expand choice, increase access, lower costs, and at the same time, provide better health care. Trump said Obamacare's mandate that nearly all Americans have some form of health insurance or face a fine "was never the right choice for America. Obamacare has been credited with expanding health coverage to 20 million Americans in the past six years. But Trump, said there are more than enough reasons for lawmakers of both parties to get together to get rid of the law.

Trump effect on organizations:

Trump proposed to block grant Medicaid to the states. Beyond directing greater flexibility and grassroots led control over spending to individual states, he argued that changing the model from an entitlement program to a block grant will further encourage states to seek out and Healthcare and the Trump effect eliminate fraud, waste, and abuse. Critics of this approach suggest millions of low income Americans on Medicaid could lose their health coverage. These critics reference proposed spending cuts to Medicaid and potential repeal of the ACA, because the ACA delivered federal funding to states to expand Medicaid eligibility beginning in 2014. The most recent Medicaid enrollment data reveal that about 60 million Americans have Medicaid, and about half are children.

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