discuss how your state is enacting the Affordable Care Act (ACA).discuss how your state is enacting the Affordable Care Act (ACA).

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Running head: HEALTHCARE POLICY

HEALTHCARE POLICY 1

Healthcare Policy

Rose Sejour

Purdue Global University

6/5/2019

You need to use the services of the writing center and work on sentence structure and grammar. Look at the comments below—my biggest concern is sentence structure.

Comment by Mary Anne Theiss: Use headings to identify new topics. Headings should be in bold face type as specified in the APA Manual, sections 3.03-3.03 pp. 62-63. The first heading on top of paper is NOT bold. It is identical to the Title of the paper. The first few paragraphs are the Introduction. The word “introduction” is assumed because of its placement on the paper. APA Manual 6th ed. 3.33 p.63. You need a heading here.

It is indisputable veracity to ascertain that human life is priceless. As a consequence, it is necessary that all spheres of human living be inclined towards the preservation of life. Provision of affordable and efficient healthcare is among the most gravitas aspects aimed at ensuring that human life is sustained. However, the healthcare sector is spread across a vast scope, and it is the responsibility of every stakeholder in the industry to make a considerable impact in achieving an intelligent healthcare system. Enacting of apposite healthcare policy is hence, a significant move geared towards making healthcare more affordable and universal; therefore, the Medicaid Extenders Act of 2019 is a perfect example of a healthcare policy enacted with a focal point of improving the overall health of patients. Comment by Mary Anne Theiss: This does not make sense—This is clumsy wording—read aloud this may help. Please refer to your APA Manual section 3.06 pp. 65-66 for further explanation. Comment by Mary Anne Theiss:

First and foremost, Smith, English, Naidoo and Whitman (2019) indicated that the Medicaid Extenders Act was sponsored by Frank Pallone, who is the representative of the New Jersey's 6th Congressional District. According to Bogie & Michel (2018), Mr. Frank Pallone is a Democrat, and he introduced the healthcare policy on the 4th of January 2019. President Donald Trump signed the bill on the 24th of January 2019, thus enacting it into law (Bogie & Michel 2018). Comment by Mary Anne Theiss: In scholarly writing do not use colloquiums-these are words or expressions used in ordinary language by common people. It is casual conversation, slang terms and where no attempt is made at being formal. APA p. 68. Comment by Mary Anne Theiss: Use the past tense when using signal phrases when citing in text. Example: Smith (2018) stated that using proper grammar makes it easier for your audience to read your work. Comment by Mary Anne Theiss: Use “and” in text. The ampersand -& is used in parenthetical. Comment by Mary Anne Theiss: Public Law No: 116-3 (01/24/2019)Medicaid Extenders Act of 2019This bill alters several Medicaid programs and funding mechanisms.(Sec. 2) The bill makes appropriations for FY2019 for, and otherwise revises, the Money Follows the Person Rebalancing Demonstration Program. (Under this program, the Centers for Medicare & Medicaid Services must award grants to state Medicaid programs to assist states in increasing the use of home and community care for long-term care and decreasing the use of institutional care.)(Sec. 3) Additionally, the bill temporarily extends the applicability of Medicaid eligibility criteria that protect against spousal impoverishment for recipients of home and community-based services.(Sec. 4) The bill reduces the federal medical assistance percentage (i.e., federal matching rate) for states that have not implemented asset-verification programs for determining Medicaid eligibility.(Sec. 5) The bill also reduces funding available to the Medicaid Improvement Fund beginning in FY2021. Comment by Mary Anne Theiss: What bill? Medicaid Extenders Act 2019? Comment by Mary Anne Theiss: I think it was introduced before this

Summary of the Medicaid Extenders Act 2019

More to the point, the Medicaid Extenders Act of 2019 primarily revolves around the alteration of several Medicaid programs as well as the mechanism responsible for its funding. Daly (2018) confirmeds that the policy provides appropriations for the financial year 2019 and alternatively revises the money following the person rebalancing demonstration program. According to Daly (2018), this program, the institutions for Medicaid and Medicare services are obliged to provide the state’s Medicaid programs with grants. Consequently, the grants will enable the states to increase the use of both community and home care within the long-term care domain, thus decreasing by a large margin the use of institutional care (Smith, English, Naidoo & Whitman 2019). Comment by Mary Anne Theiss: What does that mean? Comment by Mary Anne Theiss: good

In addition, the bill temporarily lengthens the use of Medicaid eligibility criteria that specifically protect spousal impoverishment for the recipients of both community and home-based services. More so, tThe law decreases the amount of the federal government medical assistance overall percentage. In other words, the bill lowers the total level of national matching rate. However, the scenario applies to only states that have failed to implement asset-verification programs that are necessary for the determination of Medicaid eligibility. Nonetheless, Bogie & Michel (2018) pointed out that the Medicaid Extenders Act of 2019 significantly reduced the amount of funding allocation towards the Medicaid Improvement Fund, beginning in the financial year 2021. Comment by Mary Anne Theiss: good Comment by Mary Anne Theiss: Use “and” in text. The ampersand -& is used in parenthetical. Comment by Mary Anne Theiss: Use the past tense when using signal phrases when citing in text. Example: Smith (2018) stated that using proper grammar makes it easier for your audience to read your work.

Strengths of the Medicaid Extenders Act of 2019

The Medicaid Extenders Act of 2019 provides individuals with low income with medical care coverage, and thus, these individuals have to worry less concerning their access to medical services. More so, persons living with disabilities and are under the Medicaid Extenders Act are qualified even to receive payments to aid them in taking care of their needs daily. Medicare Extenders Act might as well cater to long term costs as well as several and different types of requirements. Comment by Mary Anne Theiss: good

Moreover, Young, Abdel-Massih, Herchline, McCurdy, Moyer, Scott & Siddiqui (2019) assert that the cost of expanding the Medicaid Extenders policy into states presently has been reduced. This is attributed to the fact that more states are adopting the policy. The original focal point of the Medicaid Extenders policy of 2019 was to increase the overall number of adults in the US living below 133% of the line of poverty. The American Supreme Court made a neutral ruling in which the policy was open for either adoption or rejection by any state. Thus, states that opted to adopt the policy were able to realize cost efficiency. Comment by Mary Anne Theiss: Look in APA manual. 184 on how to cite when there are 6 or more authors. Use all the authors’ last names the first time in the paper. APA Manual section 6.12, p. 175. The exception to this is if there are 6 or more authors-use the last name of the first author, et al. and date. APA p.177. Ex: Deland et al. (2018). Comment by Mary Anne Theiss: Grammar

Weaknesses of the Medicaid Extenders Act ofOf 2019

Nevertheless, a significant gap in the Medicaid Extenders policy of 2019 is the fact that it is only beneficial to a specific category of individuals. There is a widespread inclination of less wealthy individuals giving their support to the Democratic Party while the wealthy persons support the Republican Party in the US. Surprisingly, the same tenet appears to characters the Medicaid Extenders Act of 2019. The states and districts that have widely embraced the policy are the Democratic Party strongholds whereas the Republican Party strongholds are docile towards embracing the plan. Comment by Mary Anne Theiss: This does not have to do with the Act Comment by Mary Anne Theiss: OK I see your point

Impact of the Medicaid Extenders Act Of 2019

The expansion of the Medicaid Extenders Act increases the local economies. The policy presents beneficial implications on the economies of the states that adopt it. More so, the economies of states that have been built on flexible economic structures. HOW?

Through the policy, the rate of uninsured individuals is significantly reduced. Close to 50% of the entire American workforce is obliged to health insurance from their employers. The low-income persons, as well as the self-employed individual, are the ones who are largely uninsured. Therefore, the enacting of the Medicaid Extenders policy of 2019 has significantly helped to reduce the total number of uninsured Americans. Comment by Mary Anne Theiss: OK good Comment by Mary Anne Theiss: GoodLook at the comments below and work on these areas. The biggest concern is

More expansion of the policy threatens to stop the advantages emanating from the private insurance schemes. Therefore, the providers of insurance covers are exposed to losses by the system. The policy has altered the existing private insurance firm rates and mode of negotiation. The policy intensively changed the previously existing private insurers' style of communication that generally negotiated with the medical providers to come up with special service rates. This is because the laws of the Medicaid policy put the government at the core of coming up with the rules and plans of compensation.

End the paper with a conclusion. The conclusion should be a brief summary but not introduce any new information.

Conclusion

In summing up, therefore, the Medicaid Extenders Act of 2019 is a pivotal policy aimed at making the life of low-income Americans better. Nevertheless, it is critical for the policy to be revised even further to ensure that all Americans realize affordable and efficient healthcare.

References Comment by Mary Anne Theiss: See comments below

Bogie, J., & Michel, A. N. (2018). Congress sShould pPursue a 2019 bBudget for Reconciliation. Heritage Foundation Issue Brief, (4859), 2018-05. Retrieved from https://www.heritage.org/budget-and-spending/report/congress-should-pursue-2019-budget-reconciliation

Daly, R., (2018). Budget dDeal iIncludes bBig wWins for hHospitals. Healthcare Financial Management, 72(3), 7-10. Retrieved from https://go.galegroup.com/ps/anonymous?id=GALE%7CA544403373&sid=googleScholar&v=2.1&it=r&linkaccess=abs&issn=07350732&p=AONE&sw=w

Smith, T. B., English, T. M., Naidoo, J., & Whitman, M. V. (2019). The hHospital rReadmissions rReduction pProgram’s iImpact on rReadmissions rFrom sSkilled nNursing fFacilities. Journal of Healthcare Management, 64(3), 186-196. Retrieved from https://journals.lww.com/jhmonline/Fulltext/2019/06000/The_Hospital_Readmissions_Reduction_Program_s.11.aspx

Young, J. D., Abdel-Massih, R., Herchline, T., McCurdy, L., Moyer, K. J., Scott, J. D., ... & Siddiqui, J. (2019). Infectious Diseases Society of America Position Statement on Telehealth and Telemedicine as Applied to the Practice of Infectious Diseases. Clinical Infectious Diseases. Retrieved from https://academic.oup.com/cid/article/68/9/1437/5372646 Comment by Mary Anne Theiss: Author, (date). Title with first letter capitalized only. Journal Title in Italics. Volume in Italics numeral only (number in block numerals only), pages. Examples can be found in your APA manual pages 198 to 224