Essay on Health Care Legislation

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Local, State, and Federal Health Care Legislation

Local, state, and federal healthcare legislation within organizations have various effects in healthcare industries. For instance, medical practitioners ensure that they help patients in solving problems related to insurance coverage including the payment in both public and private sectors. Traditionally, the Americans have considered the care of aged people to prevent them from dangerous chronic conditions by treating them using different strategies with an aim of reducing long-term effects of the illness. The actions executed at the federal level dictate trends at nation’s health insurance (Callaghan & Jacobs, 2016).  Besides federal initiatives, several private and public insurers over the years get affected by advances in technology which in turn makes health insurance to relocate fiscal resources by funding genomics. The legislative branch of the federal and local state therefore, have a great impact which influences the work being carried out in healthcare systems.

Over the past five years, there have been several general trends in health care one of them being an achievement of higher values with low costs. Higher value in healthcare in the United Sates means the creation and delivery of quality services while keeping the costs lower. The United States government has been focusing on achieving its goals in healthcare industries through giving Medicare reimbursement.  Medicare is an insurance program that is purposefully meant for disabled or seniors and many people apply it in order to receive better health care services in clinics. In this case, medical professionals treat all patients who seek their help and in return, they get paid by the government. The congress delays payment cuts to doctors which means that if the changes occur, then there are high chances the reimbursement can become more than 20% making the effect on medical organization to increase (Stoltzfus & Pollack, 2016).

Prescription of drug costs is another trend which affects the patient who receives them from the doctor. Prescription drug costs vary from the generic to the name brand and this means that administrators are expected to know both the basic of the cost and how their differences can influence treatment of a patient.  According to the report by Medco’s annual drug trends, the cost of drugs prescribed to the patients by doctors keeps rising. The overall cost of drugs for example increased by 3.7% in 2016 while the gap between generics and brand names became even wider.  For instance, the Brand-name medicines rose by more than 9% while generics increased by 0.3% (Chama Borges Luz, Garcia Serpa Osorio-de-Castro, Magarinos-Torres & Wettermark, 2017). Despite of all the changes, it is essential for the administrator or the manager in charge of watching costs to respond appropriately in order to avoid other limitations.

The patient Protection and Affordable Care Act also known as Affordable Care Act is a current piece of legislation occurring in the United States today. The act was amended by the Health and Education Reconciliation Act and it became a law in 2010. The full effect of implementation and its commencement was in 2014 at the time when many activities such as Medicaid expansions, health insurance exchanges begun to work and the flow of subsidies took effect (Haeder & Weimer, 2015).  The aim of Affordable Care of Act was to ensure people get legal protections that are basic. Such legal protections include; the access of affordable insurance coverage by each person from the day of birth to until one retires. Also, to gain a near-universal coverage, improving of healthcare quality and reduction of wasteful spending among other goals.

The United States has made several progress in solving challenges at different health sectors including insurance coverage due to the Affordable Care Act. The legislation has enabled American health care systems to increase the access, affordability and provide good quality of services or care in clinics. For instance, the rate of uninsured reduced by 43 per cent, 9.1 per cent from 16 per cent in 2010 (El-Jardali & Fadlallah, 2017).  According to the research, there have been much improvement in access of quality care by enabling nonelderly to afford care, Medicaid coverage, and health. However, the efforts of the government to ensure the effectiveness of the legislation has enabled many people to benefit and afford to access quality service and care in healthcare organizations. For instance, health insurance gives people hope and courage to perform their activities productively, it enables students to excel in academics and each person in the state to live a healthy and long life.

Despite the efforts of Affordable Care Act, the work of healthcare organizations to provide high quality of care which is easily accessible and affordable remains as a challenge to the United States. For instance, the United States spent much capital while financing health care yet they still experience several issues which lead to poor outcomes. For example, America spent 13 per cent of the economy to help people in health care and got negative outcomes (Cornyn, 2016). The state focused on treating people rather than preventing or keeping them safe leading to poor quality of services and care.

In conclusion, local, state, and federal healthcare legislation within organizations have various effects in healthcare industries which enable healthcare professionals to provide quality care. The legislation has enabled many people in the United States to access insurance coverage and other health care services which they could not afford before. However, the good management and use of Affordable Care Act and government funds can enable organizations to quality care to each person.  Federal state and healthcare therefore has caused many goods impacts on the lives of people despite the challenges that it faces.

 

References.

Callaghan, T., & Jacobs, L. R. (2016). Interest Group Conflict Over Medicaid Expansion: The Surprising Impact of Public Advocates. American Journal Of Public Health, 106(2), 308-313.

Chama Borges Luz, T., Garcia Serpa Osorio-de-Castro, C., Magarinos-Torres, R., & Wettermark, B. (2017). Trends in medicines procurement by the Brazilian federal government from 2006 to 2013. Plos ONE, 12(4), 1-13.

Cornyn, J. (2016). Should Congress Repeal the Affordable Care Act?. Congressional Digest, 95(3), 14-18.

El-Jardali, F., & Fadlallah, R. (2017). A review of national policies and strategies to improve quality of health care and patient safety: a case study from Lebanon and Jordan. BMC Health Services Research, 171-13.

Haeder, S. F., & Weimer, D. L. (2015). You Can’t Make Me Do It, but I Could Be Persuaded: A Federalism Perspective on the Affordable Care Act. Journal Of Health Politics, Policy & Law, 40(2), 281-323.

Stoltzfus Jost, T., & Pollack, H. A. (2016). Making Health Care Truly Affordable after Health Care Reform. Journal Of Law, Medicine & Ethics, 44(4), 546-554.

 

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