Assignment: The PPACA Act
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Assignment: The PPACA Act
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The Patient Protection and Affordable Care Act (PPACA) of 2010 (section titled “Subtitle D”) identifies requirements relating to provider compliance with fraud, waste, and abuse laws. Identify three measures that your health care organization ((or health care organizations in general) has initiated, or could initiate, to comply with these measures. Support your analysis with a minimum of two peer-reviewed articles.
The Patient Protection and Affordable Care Act of 2010 is a law that significantly changed health care in the United States. It made insurance available to between 32 million and 50 million more Americans or 95% of the legal population.
When It Was Signed Into Law
The Act, also known as Obamacare, was signed into law on March 3, 2010. It was phased in over four years. Every citizen was required to have health insurance by March 31, 2014, or face an income tax surcharge. That penalty was eliminated by the Tax Cuts and Jobs Act effective in 2019.
Everyone can choose how to get coverage. If they already have a plan, whether through their employers, Medicaid, Medicare, or privately, they can keep it. Those who couldn’t get health insurance have additional options. They can purchase it from a health insurance exchange and possibly get a subsidy. They may be eligible under expanded Medicare guidelines. Exemptions were available for a wide variety of situations. How much Obamacare costs an individual depends on one’s age, type of plan, family size, income, and location.
Purpose
The ACA’s overriding purpose is to lower federal government spending on health care. In 2009, Medicare and Medicaid cost $676 billion or 10.4% of the budget. These costs would double by 2020 to 20% of the budget. Both programs are part of mandatory spending which cannot be cut without a literal Act of Congress.
The only way to cut federal health care spending was to lower the cost of health care for the nation. The best way to do that was to reduce the number of hospital visits. In 2011, one out of every five adults used the emergency room. That’s the most expensive treatment. It’s one-third of all health care costs in America. If that could be reduced, then health care costs and federal health care spending would also drop. In 2015, the Kaiser Health Foundation reported that health care costs were the No. 1 cause of bankruptcy for at least 1 million people.
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