The Affordable Care Act and Beyond
Raykiller26
57plagirism.docxIntroduction
Healthcare organizations have a significant responsibility to ensure they provide quality health care services to consumers.
The ability of the healthcare organization to provide quality healthcare contributes significantly to improved outcomes in terms of performance.
One of the metrics that are used in determining the quality of care is the timeliness of care.
Timeliness of care, as used in this context, refers to the ability of the organization to provide the appropriate healthcare services based on the established diagnosis or prevailing health condition.
Timeliness of care determines the rank the healthcare facility attains in being considered adequate or not.
In promoting quality of care, the government has developed policies and laws such as the Affordable Care Act and initiatives such as the Hospital Quality Initiative (2012).
In this paper, a detailed analysis of the two elements is provided to determine how they contribute to the quality of healthcare through promoting timeliness of care as part of medical decisions made in the healthcare sector.
Annotated Bibliography
Loehrer, A.
2
P., Chang, D. C., Scott, J. W., Hutter, M. M., Patel, V. I., Lee, J. E., & Sommers, B.
D.
(2018).
2
Association of the Affordable Care Act Medicaid expansion with access to and quality of care for surgical conditions. JAMA surgery, 153(3), e175568-e175568.
3
https://jamanetwork.com/journals/jamasurgery/article-abstract/2670459
Delays in seeking treatment, more severe diseases at the point of diagnosis, and a worse likelihood of receiving appropriate surgical care are all linked to people not having health insurance.
4
The Medicaid expansion under the Affordable Treatment Act (ACA) has benefited millions of low-income Americans, but its impact on surgical care remains unclear.
To determine if the ACA's Medicaid expansion improves access to timely and indicates respect for both frequent and severe surgical disorders, an evaluation is conducted to determine how the ACA contributes to timely care as individuals can afford the health care services.
Duggan, M., Gupta, A., & Jackson, E.
(2022).
5
The impact of the Affordable care act: evidence from California's hospital sector. American Economic Journal:
Economic Policy, 14(1), 111-51.
6
https://www.aeaweb.org/articles?id=10.1257/pol.20190279
The researchers take advantage of the Affordable Care Act's adoption of a 65-year-old health insurance coverage discontinuity to analyze the consequences on coverage, hospital use, and patient health.
Next, the researchers describe how these alterations may affect hospital budgets.
As demonstrated in the article, some of the federal Medicaid expansion money was diverted from local safety net programs.
The expansion resulted in a significant rise in hospital revenue and operating surplus.
Patients'
death rates did not improve, despite a substantial increase in visits to the hospital and ER as a result of the expansion.
This indicates the increased performance of healthcare facilities as they experienced a significant increase in sales and volume.
7
Seo, V., Baggett, T. P., Thorndike, A. N., Hull, P., Hsu, J., Newhouse, J. P., & Fung, V.
(2019).
8
Access to care among Medicaid and uninsured patients in community health centers after the Affordable Care Act.
7
BMC Health Services Research, 19(1), 1-6.
9
https://bmchealthservres.biomedcentral.com/articles/10.1186/s12913-019-4124-z
Expanding Medicaid and increasing government financing for Community Health Centers were two key provisions of the Affordable Care Act (CHCs).
10
CHC patients with regular Medicaid coverage were compared to those with gaps in coverage in the prior year to examine the impact of Medicaid programs on therapeutic patterns for those who have access to safety-net care.
Medical care, prescription medicines, and dental treatment were significantly more challenging for patients with insurance gaps than for those with consistent Medicaid coverage, even though both groups required similar levels of care the year before.
Still, patients with insurance gaps were more likely to report difficulties.
Hughes, R.
E., Zheng, H., Igrisan, R.
M., Cowen, M.
E., Markel, D.
C., & Hallstrom, B.
R.
(2018).
11
The Michigan arthroplasty registry collaborative quality initiative experience:
12
improving the quality of care in Michigan.
3
JBJS, 100(22), e143. https://journals.lww.com/jbjsjournal/Abstract/2018/11210/The_Michigan_Arthroplasty_Registry_Collaborative.14.aspx
The Michigan Arthroplasty Registry Collaborative Quality Initiative (MARCQI)is part of the Hospital Quality Initiative incorporated in healthcare in 2012 following the creation of the policy.
To date, MARCQI has collected data from sixty-six healthcare institutions and surgery centers across the United States and has approximately 200,000 cases.
MARCQI uses high-quality risk outcomes data that has already been standardized to foster improvement activities through a nonpunitive and collaborative approach.
There have been efforts to reduce transfusions, avoid infections, reduce the number of patients being discharged to nursing homes, and reduce the number of patients being readmitted.
13
Cook, K., Foster, B., Perry, I.
14
S., Hoke, C., Smith, D., Peterson, L.,...
& Gunn, L.
H.
(2021, July).
15
Associations between Hospital Quality Outcomes and Medicare Spending per Beneficiary in the USA.
16
In Healthcare (Vol.
9, No.
7, p.
831).
MDPI.
https://www.mdpi.com/2227-9032/9/7/831
There has been a steady increase in healthcare costs in the United States during the past few decades.
While spending has increased, patient health results have not kept pace.
The link between healthcare prices and hospital quality outcomes in the United States must be clarified.
They evaluate the relationship between Medicare spending per beneficiary (MSPB) and quality of care using a standardized metric across providers, MSPB.
The rising healthcare expenses in the United States necessitate new policies to improve the quality of care.
Shettian, K.
M., & Wan, T.
T.
H.
(2018).
Structural Factors Influencing the Standardization Process in Acute Care Hospitals.
Journal of Hospital and Healthcare Administration.
JHHA-115 (3rd issue).
Doi, 10.
https://pdfs.semanticscholar.org/1bf2/15b89da8d5a714bef89b1a64e4c96d2b5cc8.pdf
The article focuses on the impact of the Hospital Quality Initiative (HQI) in enhancing operational efficiency and performance in an organization.
While standardization in acute care hospitals can be complicated, this study demonstrates how these factors are intertwined.
Data on IT competency, hospital-physician integration, and innovativeness were studied in acute care hospitals across the United States using covariance structural equation modeling.
They call for more excellent research into the influence of standardization on structural characteristics and hospital performance factors in light of the rising prevalence of institutional isomorphism through normative methods.
Summary
The Affordable Care Act and the Hospital Quality Initiative have affected the modern healthcare ecosystem positively in a variety of ways.
One of the ways is that they have improved the quality of health care provided in the US healthcare system.
This is because, in both cases, there have been reduced costs for healthcare services.
The majority of the individuals who would not have afforded hospitals and healthcare facilities that are expensive but which provide high-quality care are now able to afford the maintenance with the use of Medicaid and Medicare programs that the Affordable Care Act promoted.
The Hospital Quality Initiative ensures that healthcare organizations provide the most affordable yet high-quality care.
This is attained through the medical decisions made by the healthcare facilities about the health care provided by the facility.
Conclusion
The US government has been at the forefront of improving the quality of the healthcare system.
This has been evident through adopting the Affordable Care Act and the Health Quality Outcome.
In both cases, healthcare facilities are supposed to ensure the timely provision of health care services.
Reference
13
Cook, K., Foster, B., Perry, I.
14
S., Hoke, C., Smith, D., Peterson, L.,...
& Gunn, L.
H.
(2021, July).
15
Associations between Hospital Quality Outcomes and Medicare Spending per Beneficiary in the USA.
16
In Healthcare (Vol.
9, No.
7, p.
831).
MDPI.
Duggan, M., Gupta, A., & Jackson, E.
(2022).
5
The impact of the Affordable care act: evidence from California's hospital sector. American Economic Journal:
Economic Policy, 14(1), 111-51.
Hughes, R.
E., Zheng, H., Igrisan, R.
M., Cowen, M.
E., Markel, D.
C., & Hallstrom, B.
R.
(2018).
11
The Michigan arthroplasty registry collaborative quality initiative experience:
12
improving the quality of care in Michigan.
3
JBJS, 100(22), e143.
Loehrer, A.
2
P., Chang, D. C., Scott, J. W., Hutter, M. M., Patel, V. I., Lee, J. E., & Sommers, B.
D.
(2018).
2
Association of the Affordable Care Act Medicaid expansion with access to and quality of care for surgical conditions. JAMA surgery, 153(3), e175568-e175568.
7
Seo, V., Baggett, T. P., Thorndike, A. N., Hull, P., Hsu, J., Newhouse, J. P., & Fung, V.
(2019).
8
Access to care among Medicaid and uninsured patients in community health centers after the Affordable Care Act.
7
BMC Health Services Research, 19(1), 1-6.
Shettian, K.
M., & Wan, T.
T.
H.
(2018).
Structural Factors Influencing the Standardization Process in Acute Care Hospitals.
Journal of Hospital and Healthcare Administration.
JHHA-115 (3rd issue).
Doi, 10.
Attachment 1BHA-FPX4003_Assessment1-1.docx57%
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