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The Patient Protection and Affordable Care Act of 2010 otherwise known as Obama Care has been...

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?

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Expert Solution

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

  • Repealing the individual mandate or replacing it


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.

  • Abort without substitution


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.

  • Substitute a continuous coverage requirement with

The individual mandate has been replaced by many Republican bills, including the AHCA, with a provision that individuals retain ongoing health coverage or pay a tax.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 Premium Tax Credit revision

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.


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