history of healthcare reform including the Patient Protection Affordable Care Act
Overview:
This module examines the history of healthcare reform including the Patient Protection Affordable Care Act (PPACA or ACA). Changes in healthcare policies can impact healthcare consumers both positively and negatively. For example, under the ACA children can obtain coverage through their parents’ employer-sponsored or privately purchased insurance plan through the age of 26 (Henry J. Kaiser Family Foundation [KFF], 2018). According to KFF, since this provision of the bill came into effect in 2013, the rate of uninsured nonelderly adults dropped from 20.5% to 12.2% in 2016 and even with all the progress, young people remain the least insured age group in the United States. Healthcare reform affects the consumer as well as the provider and healthcare worker. In this module, you will examine populations affected by the ACA, and the transition from traditional healthcare to one with a strong governmental influence. You will have the opportunity to compare and contrast traditional healthcare in the United States with the ACA, as well as explore changes in the current policies that impact health care in the United States.
Reference
Henry J. Kaiser Family Foundation (2018). Retrieved from http://files.kff.org/attachment//fact-sheet-key-facts-about-the-uninsured-population
Goals Alignment
• University Mission Based Outcomes – 3
• Program Learning Goals – 4
• Course Learning Objectives – 4, 6
Professional Standards
• Essential V: Healthcare Policy, Finance, and Regulatory Environments – Healthcare policies, including financial and regulatory, directly and indirectly, influence the nature and functioning of the healthcare system and thereby are important considerations in professional nursing practice.
Resource:
• Nickitas, D. M., Middaugh, D. J., & Feeg, M. D. (2019). Policy and politics for nurses and other health professionals: Advocacy and action. (3rd ed.). Sudbury, MA: Jones and Bartlett Publishers. Read Chapter 7.
Additional Resources (from Aspen library)
• Garfield, R. (2016, October 19). The coverage gap: Uninsured poor adults in states that do not expand Medicaid. Kaiser Family Foundation.
• Why Do We Need the Affordable Care Act? American Public Health Association.
• Seo, V., Baggett, T. P., Thorndike, A. N., Hull, P., Hsu, J., Newhouse, J. P., & Fung, V. (2019). Access to care among Medicaid and uninsured patients in community health centers after the Affordable Care Act. BMC Health Services Research, 19(1), N.PAG.
• Vaughan Prengaman, M., Welle, D. L., Ridenour, N., & Mueller, K. J. (2018). Diverse stakeholder perspectives on rural health care reform in a U.S. state that rejected the Affordable Care Act: A case study. Online Journal of Rural Nursing & Health Care, 18(2), 65–87.
• Wasserman, J., Palmer, R. C., Gomez, M. M., Berzon, R., Ibrahim, S. A., & Ayanian, J. Z. (2019). Advancing health services research to eliminate health care disparities. American Journal of Public Health, 109, S64–S69.
Assignment:
Healthcare Coverage Gap
The ACA was meant to provide quality health care coverage for all yet a coverage gap for some populations especially in states that oppose Medicaid expansion. Based on what you have learned so far in this course, create a PowerPoint presentation that addresses the coverage gap problem, who is impacted by the coverage gap, the role the ACA plays in the coverage gap, why the coverage gap should be closed, and solutions/ recommendations for closing the gap. Address the following in your PowerPoint:
• Select one state opposed to Medicaid expansion and describe why. Then, consider your own state. What are the benefits and drawbacks to Medicaid expansion in your state?
• Define what the coverage gap is (problem/issue)
• Discuss how the coverage gap impact low-income healthcare consumers population.
• What role does the ACA have in widening or closing the coverage gap?
• Why is it important to close the gap (implications for positive social change)?
• What are some solutions to closing the coverage gap and how can healthcare equity help close the gap? Include recommendations and/or solutions.
Your PowerPoint presentation should include/address:
• Title Slide (1 slide)
• Objectives Slide (1 slide)
• Medicaid Expansion (1-2 slides)
• Coverage Gap – define/problem/issue (1-2 slides)
• Coverage Gap impact on low-income healthcare consumers (2-3 slides)
• Role ACA has in widening or closing the coverage gap (1-2 slides)
• Close the gap (1-2 slides)
• Solutions to closing the coverage gap and how can healthcare equity help close the gap? (2-3 slides)
• Reference slide (1-2 slides).
Assignment Expectations:
Length: 9-14 slides (in addition to the title slide and reference slides)
Structure: Include a title slide and reference slide in APA format. These do not count towards the minimum slide count for this assignment. Your presentation must include an objectives slide. Be sure to fully explain all slides in the Speaker Notes.
References: Use the appropriate APA style in-text citations and references for all resources utilized to answer the questions. A minimum of three (3) scholarly sources are required for this assignment.
Format: Save your assignment as a Microsoft PowerPoint document (.pptx) or a PDF document (.pdf).
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