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. Resources :Henry J. Kaiser Family Foundation (2018). Retrieved from http://files.kff.org/attachment//fact-sheet-key-facts-about-the-uninsured-population Nickitas, D. M., Middaugh, D. J., & Feeg, V. D. (2019). Policy and politics for nurses and other health professions: Advocacy and action. (3rd ed.). Sudbury, MA: Jones and Bartlett Publishers. Read Chapter 7. Additional resources: Rowland, D., & Lyons, B. (2016). Medicaid’s Role in Health Reform and Closing the Coverage Gap. Journal of Law, Medicine & Ethics, 44(4), 580–584. 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. 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. Discussion Question: Use the learning materials and additional resource readings from this week and reflect on whether you oppose or support the Affordable Care Act (ACA). Consider the nursing professional’s position as a caregiver and/or the healthcare leader as an administrator. Explore two significant components of the ACA that could potentially impact specific populations unjustly. Appraise the current political climate as it relates to repealing and replacing the ACA. For this weeks’ discussion, identify at least two reasons for keeping the ACA and at least two reasons that it should be repealed, replaced, or revised. “I am for ACA Health insurance” because its affordable for many people who cannot afford private insurance and people with preexisting health conditions can no longer be denied coverage
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