Affordable Care Act Essay Example for Free

Affordable Care Act Essay Abstract The Affordable Care Act Health coverage was developed to provide and guarantee coverage for sickness, injury and preventable health measures. Many people suffer from illness’ that go untreated because they have no health insurance or cannot afford it. The Patient Protection and Affordable Care Act allows everyone to have health insurance. In this case study I will explain how the affordable Care Act in North Carolina has improved. The impact of the Affordable Care act on the population that it affected The Patient Protection and Affordable Care Act (ACA) is the most comprehensive reform of the United States. The Affordable Care Act (ACA) also called Obama Care transforms the non-group insurance market in the United States, mandates that all residents will have health insurance, significantly expands public insurance and subsidizes private insurance coverage, raises revenues from a variety of new taxes, and reduces and reorganizes spending under the nation’s largest health insurance plan, Medicare. Many people are opposed to Obama Care, simply because their high Republican beliefs won’t allow them to participate in any program put in place by a Democrat. Participating in a Healthcare program shouldn’t be chosen by whichever political party you believe in, it should be determined by carefully thought out plans and weighing the pros and cons of whichever coverage best suits you and your family’s needs. The Affordable Care Act  does not affect people or families currently covered with adequate health insurance. Those who already have Heath Care in place are protected by the â€Å"Grandfather Policy†. However, it does affect lower income Americans without health care making below 138% of the Federal Poverty Level (FPL). They may qualify for Medicaid under Medicaid expansion, if they meet all of the policies requirements. This puts health care within reach of many people denied health care in the past. The President of the United States put laws in place that all people participate in the Affordable Care Act and get health care insurance or be penalized and pay monthly fines. This legislation ensures that all people be treated equally†¦ the rich, poor or anywhere in between, you must have health insurance. To some this program seems very beneficial, but we as Americans do not like the government controlling our Medicare choices. These newly enacted Affordable Care Acts were set in place to help all Americans receive health care and medical treatment. This act wasn’t put in place to provide care to people living in the United States illegally; undocumented immigrants and people who have been in the United States for less than five years do not qualify. The uninsured people, who gain insurance coverage in 2014, will obtain their coverage through the state’s Medicaid program. Beginning in 2014, the Affordable Care Act requires that states expand Medicaid coverage to most uninsured adults with modified adjusted gross income no greater than 138% of the federal poverty limit. Children in families with incomes no greater than 200% FPL will continue to be eligible for Medicaid or North Carolina Health Choice (North Carolina’s Child Health Insurance Program (CHIP). Other people will gain coverage through private insurance offered through the Health Benefit Exchange (HBE). (Milstead, 2013, p. 199) . The impact of the economics of providing care to patients from the organizations view In the case study, the impact of the affordable care act on North Carolina uninsured population in 2011 showed childless, non-disabled, nonelderly adults could not qualify for Medicaid. Being poor, unemployed or homeless did not qualify a person for Medicaid. People, who are uninsured, are more likely to delay care and less likely to receive  preventive services, primary care, or chronic care management. As of 2014, The Affordable care Act adults will be able to qualify for Medicaid if their income is no greater than 138 percent of the Federal Poverty Level. That income level was set at $30,429 for a family of four in 2010. However, some states do allow a family of four to have higher incomes and still qualify. The case study also showed that providing Medicaid to all people across the chart insured total coverage to all people and the FPL (Federal Poverty Level) had risen to a level where all peo ple were nearly identical to one another. Suggesting that if health care is provided equally throughout the nation there will be a lull in infectious diseases and untreated illnesses because everyone would seek treatment since they have coverage. Some of the economic growth and plans involve tax credits to individuals and families participating in Affordable Care Act, helping to keep participation affordable to all. Doing so helps to promote membership to all, thus keeping costs at a minimum and entices more families to participate. Another planned impact would be the cap placed on insurance company’s expenditures, careful monitoring of costs to provide service will eliminate overcharging by insurance companies and its affiliates. The government understands that it will take a number of years before the Affordable Care Act will show how much of a positive impact this program has on its participants. However, the government promises that keeping health care costs affordable will eventually lower rates and spending across the board. It says that with health care more available to all, more people get better and employees will come in to work reducing sick days and create better productivity, and financial gain for everyone. The Affordable Care Act also keeps families from financial ruin now when a family member becomes sick or unable to work they can still have health coverage through policies of their own or coverage provided through a participating family member. Before when a family member got sick they had to worry about being cut off of coverage if they lost their jobs. Families also had the added worry of escalating medical expenses while they were suffering through their sicknesses. Many feared losing their homes to pay for medical expenses. How the patients will be affected in relationship to the cost of treatment, quality of treatment, and access to treatment The Residents of North Carolina’s will have access to quality, affordable health care under the updated health insurance reform. The Affordable Care Act of 2014 will have a positive effect on patient safety and outcomes. It will provide many resources to allow patients easier access to insurance for health care costs and preventive care such as cancer screenings and vaccines. It will give incentives to health care facilities to improve the care being given. It is also mandated for all healthcare facilities to use electronic health record systems to keep track of all patient information to minimize errors. Doing this will also ensure that all patients receive the same care and treatment at all facility’s and that hospitals can share new developments or procedures. Reducing costs and prolonged hospital stays and long drawn out treatments, patients in need of specialized treatments can be sent to facilities better equipped to treat them with records of their treatments already in the system. (R. Kocher, J. Emanuel, M. Deparle, 2014, pp. 536-540) The Affordable Care Act provides medical coverage for families and children and is required to continue to make such coverage available for an adult child who is not married until the child reaches age 26. However, the Affordable Care Act is not obligated to make coverage available for a child of a child receiving dependent coverage. These people are considered parents themselves, and are expected to work and provide health care for their dependent children themselves. The ethical implications of this act for both the organization and the patients Since the beginning of 2010 adults, can qualify for Medicaid if their income is not greater than 138 percent of the Federal Poverty Level. Gaining strength over the last couple of years as of 2014 everyone is qualified to get Affordable Health Care as long as they meet the plans restrictions and verifications. As everyone in North Carolina gains health coverage, the state and county governments could potentially reduce some of the expense to safety net providers currently used to help pay for services to the uninsured. Under this new mandated health reform, hospitals and medical  providers will be assured funding and payment since this program is to be funded by the federal government. Thus providing a system where medical facilities can focus on patient care, and not worry about the un or under insured not being able to pay for the care they receive. When organizations across the entire United States are given enough funding to cover the expense of new equipment and supplies, it allows more opportunities for hiring more educated staff members, and lets health providers focus on patient care. The state of North Carolina may eventually experience a decrease in unnecessary use of the emergency department and reduced hospitalizations as more people gain coverage and access to preventive and primary care services. Once health care is made more readily available and affordable to more people and families, the risk of fraud and abuse of services would be greatly reduced. These worries and concerns will all but be eliminated because health care would now be available to all Americans. Even Americans who were once refused treatment due to pre-existing health problems can now be seen by a physician. The Affordable Care Act prohibits pre-existing condition exclusions, refusals of treatment and all other discriminations based on health status by group health plans. Reference Milstead, J. A. (2013). Health policy and politics: A nurses guide (Laureate Education, Inc., custom ed.). Sudbury, MA: Jones and Bartlett Publishers. Kocher, R., Emanuel, E. J., DeParle, N. M. (2010). The Affordable Care Act and the Future of Clinical Medicine: The Opportunities and Challenges. Annals Of Internal Medicine, 153(8), 536-W.190 Kovner, A. R., Knickerman, J. R. (2011). Health care delivery in the United States. (10th ed.). New York, NY: Springer. 2014, 01). Impact of Affordable Care Act on North Carolina Uninsured Population. StudyMode.com. Retrieved 01, 2014, from http://www.studymode.com/essays/Impact-Of-Affordable-Care-Act-On-46392180.html (P.L. 111-152 Summary of patient protection and affordable care act (P.L. 111-148, H.R. 3590), with amendments of the health care and education reconciliation act of 2010, H.R. 4872). (2010). Tax Management Tax Practice Series Bulletin, 22(7), 12-31. Retrieved from http://search.proquest.com/docview/193794262?accountid=14872

Patients with Life-Altering Illnesses Essay -- Nursing, Health Care

Communicating with someone who has a life-altering illness is not an easy task. A person needs to have compassion, patience, and listening skills. I have seen firsthand how a caring healthcare provider and having an attitude of optimism can prolong a person’s life. Illness can be characterized as acute, chronic, and life-altering (Tamparo). Acute is when a patient experiences severe symptoms for a short amount of time. Acute illnesses are not life-altering unless they are not treated. If left untreated, it may then lead into a chronic illness. A chronic illness is when the symptoms go on for a long period of time. Some examples are: arthritis, multiple sclerosis, emphysema, and chronic obstructive pulmonary disease. Chronic illnesses may then progress to a life-threatening illness. Some examples are: HIV/AIDS, cancer, heart disease and diabetes. This stage is when death is inevitable. More than forty-five percent of Americans are living with a chronic illness which affects their daily activities (Consortium). It not only affects the patient but family members as well. A few of the healthcare problems that are common with a life-altering illness are stress, trust issues with the healthcare system and family, depression, and end of life decision making. Having a good support system is so important to these patients so, keeping the communication open between the physician and patient will help tremendously. It will relieve some of the frustration that accompanies the illness. Some of the biggest obstacles patients with a life-altering illness deal with are: (1) The stigma of the disease (2) Lack of adequate family support (3) The impact of the disease on themselves and their family (4) Lack of adequate resources (Rober... ...ongress Briefed on the Self Management of Chronic Illness." (2011): 1-5. Consortium of Social Science Associations (COSSA). 2011. Web. 17 June 2011. Farber, MD, Neil J., Susan Y. Urban, MD, Virginia U. Collier, MD, Joan Weiner, PHD, Ronald G. Polite, Elizabeth B. Davis, PHD, and E. Gill Boyer â€Å"The Good News About Giving Bad News to Patients.† Dec. 2002. Groopman, Jerome E. The Anatomy of Hope: How People Prevail in the Face of Illness. New York: Random House, 2004. Print. Kowalczyk, Liz, ed. "Learning the Patient's View." 20 Mar. 2006. Web. 17 June 2011. Roberts, Cleora S., Cindy Severinsen, Chuck Kuehn, Drew Straker, and C. Joy Fritz. "Obstacles to Effective Case Management with AIDS Patients The Clinician's Perspective." Web. 17 June 2011. Tamparo, C., and W. Lindh. Therapeutic Communication for Healthcare. Clifton Park: Delmar Cenage Learning, 2007. Print.

Argumentation in the Adventures of Huckleberry Finn Essay

At the beginning of the story, The Adventures of Huckleberry Finn, Huck is constantly under the influence of a mother figure. That mother figure makes him feel guilty when he does something wrong, rewards him when he does something right, and also serves as a kind of protector of him. Although Huck does not realize it, he is always being looked after by something or other. At one point it’s the widow, and throughout most of the story it’s the river. In the story, The Adventures of Huckleberry Finn, the river becomes a provider of food, transportation, and refuge, metaphorically taking over the role as his mother when he runs away with Jim. At the beginning of the story, the Widow takes Huck under her wing and tries to teach him right from wrong. She makes him wear nice clothes, go to school, and say his daily prayers. Throughout his stay with the widow, Huck does not respond to the widow’s ways of teaching very well. When the widow asks Huck to do something, he does it, however, begrudgingly. She tries to teach Huck to become a gentleman and treats him as if he were her own son. When Tom Sawyer comes back into the picture, the widow takes on the motherly role of disapproval. She does not like the way Tom acts and makes believe all the time. This is why, rather than asking to see Tom, Huck usually snuck out when she did not know. The widow can not act as Huck’s mother for long though, because Huck is kidnapped by his father and fakes his own death to get away from everybody. After Huck’s â€Å"death,† he escapes to the river where he hides out on an island while his friends and family are searching for his body. During this time the river, without Huck realizing it, kind of takes over the role of mother. It provides protection from the elements when rain hits. It also hides Huck as the steamboat sails past with all his friends and family on board. Huck does not want the people to see him, or they will know he was just faking and will take him back to the life he is not fond of. Knowing this, Huck hides in the bushes and trees that grow along the river. When a mother knows that its child is in danger, she will hide it from the world so that it won’t get hurt. The river shows this motherly trait to Huck. The first thing a mother does for its child when it is a newborn, is to feed it. While Huck is a runaway, he needs food for survival. The river, in a way, provides this when Huck finds a loaf of bread floating down the river. Also later on in the story, Huck and Jim happen upon a house boat where they find many different types of fruit among other things.

Solutions to Arundel Partners Case - 1450 Words

solutions to arundel partners case http://www.justanswer.com/law/0vnrc-solutions-arundel-partners-case.html Executive Summary: A group of investors (Arundel group) is looking into the idea of purchasing the sequel rights associated with films produced by one or more major movie studios. Movie rights are to be purchased prior to films being made. Arundel wants to come up with a decision to either purchase all the sequel rights for a studios entire production during a specified period of time or purchase a specified number of major films. Arundels profitability is dependent upon the price it pays for a portfolio of sequel rights. Our analysis of Arundels proposal includes a net present value calculation of each movie production†¦show more content†¦- Only 1 year of historical data is available - We assume that production companies are willing to sell the sequel rights under our terms. - Probabilities of success have been calculated, but we have not been able to apply them to the per film value. In short, it is necessary to be subjective about the risk based on the probabilities of success. MORE INFORMATION: - More historical data would be useful to support our assumptions. - More data on success probabilities may help to direct the course of action - We would also like to have information about the willingness of production companies to sell sequel rights at a pre-negotiated price. Action Plan: Given our analysis of the motion picture industry, we recommend that Arundel carefully select the major film studios from which they intend to purchase sequel rights. The net present value of hypothetical sequels taken from the available previous years shows not only that the industry is highly volatile, but also that certain production studios are more volatile than others in terms of their recent performance. In addition, some studios are consistently less profitable than others. (See NPV for Each Production Company chart in appendix) Since the success of film studios are relatively stable in the short term (see Rental Shares of Major Film Distributors table and graph) Because of this stability, it is possible for Arundel to approach more profitable studios withShow MoreRelatedArundel Partners Case Analysis Essay1441 Words   |  6 Pages----------------------------------- spootyhead Apr 17, 2007 Arundel Partners Case Analysis ----------------------------------- Arundel Partners Case Analysis Executive Summary: A group of investors (Arundel group) is looking into the idea of purchasing the sequel rights associated with films produced by one or more major movie studios. Movie rights are to be purchased prior to films being made. Arundel wants to come up with a decision to either purchase all the sequel rights forRead MoreArundel Partners Case Analysis Essay1499 Words   |  6 PagesArundel Partners Case Analysis Executive Summary: A group of investors (Arundel group) is looking into the idea of purchasing the sequel rights associated with films produced by one or more major movie studios. Movie rights are to be purchased prior to films being made. Arundel wants to come up with a decision to either purchase all the sequel rights for a studios entire production during a specified period of time or purchase a specified number of major films. Arundels profitabilityRead MoreMarketing and E-commerce Business65852 Words   |  264 PagesListing of Chapter Opening Cases, Insight Cases, E-commerce in Action Cases, and Case Studies CHAPTER 1 THE REVOLUTION IS JUST BEGINNING Opening Case: Pinterest: A Picture Is Worth a Thousand Words Insight on Technology: Will Apps Make the Web Irrelevant? Insight on Business: Start-Up Boot Camp Insight on Society: Facebook and the Age of Privacy Case Study: The Pirate Bay: Searching for a Safe Haven CHAPTER 2 E-COMMERCE BUSINESS MODELS AND CONCEPTS Opening Case: Twitter’s Business Model Read MoreSolutions: Income Statement and Pearson Education121412 Words   |  486 PagesInvestor Behavior and Capital Market Efficiency Capital Structure in a Perfect Market Debt and Taxes Financial Distress, Managerial Incentives, and Information Payout Policy Capital Budgeting and Valuation with Leverage Valuation and Financial Modeling: A Case Study Financial Options Option Valuation Real Options Raising Equity Capital Debt Financing Leasing Working Capital Management Short-Term Financial Planning Mergers and Acquisitions Corporate Governance Risk Management International Corporate Finance