aca will not improve healthcare cost, quality and access by brandy rotarius, kelly morgan and fiona...

ACA will not improve healthcare cost, quality and access

ByBrandy Rotarius, Kelly Morgan and Fiona

Gumbo

The intentions of the ACA are to improve healthcare cost, quality and access, but we believe that the ACA will not improve healthcare cost, quality or access.

Introduction

Federal Estimated cost $828 billion

Out of pocket

Individuals $6645

Families $13290

Estimated Cost

Tax Increases Medicare .9% Added Taxes

Unearned income 3.8% Health insurance premiums 40%

Individuals $10,200 Families $27,500

Employers

Cost

Annual fees Healthcare providers Manufactures & Importers of certain

medical devicePenalties

No insurance $695 or 2.5% of a person’s income

whichever is higher.

Cost

Increased Patient Population-due to mandatory health care insurance requirement

Affects on Quality of Care:-more patients to take care of-negative impact on quality of care

Quality of Care and the Patient Population

Not enough physicians-due to high patient population-physicians/consumers long standing

opposition to non-physician practitioners

Affects on Quality of Care:- Increased pressures on the provider

Quality of Care and the Health Care Provider

Readmissionspenalties incurred for what are seen as “preventable readmissions”

High risk patient transitional carefocus on community-based transitions of care

Effects on Quality of Care:- overtreatment of patients- higher risk of spread of communicable diseases

-lack of space within health care facilities

Quality of Care and the Health Care Facility

Detroit Medical Center Primary care physician physicians current thoughts/feelings of;

- the new ACA law -quality of care to the patient - The increased role the NP (Nurse practitioner) or PA (Physician assistant) could play within the office- how the ACA will affect her as a medical doctor- the new law and how it will affect her specific patient population and in what ways- additional comments/questions

Health Care Provider Interview

Putting into place the ACA will cause many complications. All aspects including the health care facilities and providers, along with the patient population are interrelated. Thus, problems that occur within one of these components that negatively impact quality of care will also cause problems within another area as well.

Quality of Care within the Heath Care System as a Whole

30 million newly insured individuals increase the patient population.

No clear ways of the current healthcare system to adopt to new patient population.

Problems with accessing healthcare .

Access of HealthCare

Healthcare provider shortages worsened by increase in patients from newly insured group.

Provisions to increase providers will take time.

Trends to be seen include longer wait times for appointments, crowded ER, pressure to train new physicians.

Access of Healthcare

Goal of affordable care act to bridge the gap between healthcare and public health through preventative care.

Few preventative care initiatives currently in place.

Problems with accessing preventative care services until they are established.

Access of HealthCare

Affordable care act goal to have everyone insured.

Prediction that an estimated 26 million will still be uninsured by 2016.

Challenges for the uninsured group to access healthcare.

Access of Healthcare

The ACA will not improve healthcare cost, quality or access due to; The estimated cost, the increase in taxes,

added fees The increase in patients, the shortage of

healthcare staff

Conclusion

Questions

As ACA insures more Americans, doctor shortage looms. (2013). Retrieved July 2013, from MPR News: http://minnesota.publicradio.org/display/web/2013/07/09/daily-circuit-aca-doctor-shortage

Brunner, R. D.(2010). Adaptive governance as a reform strategy. Policy Science,43, pp. 301-341. doi:10.1007/s11077- 010-9117-z

Cogan, J. (2011). The Affordable Care Act's Preventive Services Mandate: Breaking Down the Barriers to Nationwide Access to Preventive Services. Journal Of Law, Medicine & Ethics, 39(3), 355-365.

Coleman, E.A. (2003). Falling Through the Cracks: Challenges and Opportunities for Improving Transitional Care for Persons with Continuous Complex Care Needs, the American Geriatrics Society, vol. 51. no.4 (549-555)

Doscher, C. (2012). Advance for NPs & PAs. Retrieved July 2013, from nurse-practitioners-and-physician- assistants.advanceweb.com: http://nurse-practitioners-and-physician-assistants.advanceweb.com/Columns/Physician-Assistants-Inside-Out/More-Patients-Under-the-Affordable-Care-Act.aspx

Jacobson, P. D., Jazowski, S. A. (2011). Physicians, the Affordable Care Act, and Primary Care: Disruptive Change or Business as Usual? Journal of General Internal Medicine; Vol. 26 (8),

pp. 934-7.

Knudson, L. (2012). Affordable Care Act Ruling Introduces Sweeping Changes to Health Care System, AORN Journal, 96 (3): Connections: C1, C8-9.

References

Nardin, R., Zallman, L., McCormick, D., Woolhandler, S. & Himmelstein, D. (2013). The unisured after implementation of the affordable care act; A demographic and Geographical analysis. Retrieved July 2013, from HealthAffairs Blog: http://healthaffairs.org/blog/2013/06/06/the-uninsured-after-implementation-of-the-affordable-care-act-a- demographic-and-geographic-analysis/

Phillips, C., Pace, D. (2012-2013). The Alta Project: Expanding Innovation in Care Transitions. Journal of the American Society on Aging, 36 (4): 105-8

Robert Wood Foundation: retrieved from: www.rwjf.org/qualityequality /glossary.jspShaffer, E. (2013). The Affordable Care Act: The Value of Systemic

Disruption. American Journal Of Public Health,103(4), e1-e4.

Shaffer, E. (2013). The Affordable Care Act: The Value of Systemic Disruption. American Journal Of Public Health,103(4), e1-e4.

References