In: Nursing
The Patient Protection and Affordable Care Act of 2010 otherwise known as Obama Care has been the center of debate among the government, policymakers, politicians, and health care providers over the past decade. For much of the last 4 years, the government has tried to repeal and replace Obama Care; however, they were unsuccessful in their attempts. There are currently modifications made to the initial Act. As a middle manager in the Health Care Industry, what type of attitude is most essential during this volatile period of change? Discuss your reasons?
The effect of multiple health insurance configurations in the United States has been studied by researchers, including:
Maintaining the ACA with no modifications
Repealing the statute without a workaround
Substituting a single payer scheme for the statute
Replacing the act with other steps to counter the expansion of coverage across Medicaid and the consumer market
The consequence of holding the ACA while altering main provisions, including:
Abrogation of the citizen mandate
Changes to tax credit subsidies
Revising legislation for the sector
Modifying the growth of Medicaid
To facilitate registration, the ACA uses a carrot-and - stick
approach. The carrot is the tax credit that subsidises premiums for
persons with low to moderate incomes that purchase insurance on the
market. These subsidies are egalitarian, with low-income households
receiving the highest sums. The stick is the individual mandate,
requiring most adults to receive coverage.
In general, the individual mandate has been unpopular and critics have opposed and contested it, often on the grounds that it is invasive and burdensome, often on more realistic grounds that it is ineffective as a motivation to enrol.
Study conducted in 2015 found that if the individual mandate were
eliminated and no other provision (such as a continuous coverage
requirement) replaced it, 12 million fewer individuals would have
insurance in 2017. Enrollment in the individual market will fall by
around 25 percent, with the greatest declines among the young and
safe.
The individual mandate has been replaced by many Republican bills, including the AHCA, with a provision that individuals retain ongoing health coverage or pay a tax. A continuous coverage provision is intended, like the individual mandate, to prevent people from waiting before they get sick to purchase insurance.
The ACA 's egalitarian formula for calculating tax credits in the markets is a primary priority of the ACA for those seeking reform. It works like this: enrollees must pay a maximum amount, depending on their salary, towards their premium. Enrollees earn the difference in the form of a tax credit if the benchmark plan premium exceeds that amount.