Tuesday, August 13, 2019

Health Insurance Analysis Report Essay Example | Topics and Well Written Essays - 1500 words

Health Insurance Analysis Report - Essay Example Therefore, ACA ensures quality health service is affordable to people regardless of their social class. The Act requires more individuals to get a health insurance coverage that will enable them access health facilities anytime without finance problems. As the ACA health reform seeks to achieve all this it will inject many changes in the health sector. This paper, therefore, addresses the impacts ACA has brought to the Health Sector. Patient to Physician Ratio After launching the new health reform on January 1, 2014, the entire healthcare system will shake from the huge number of individuals who will insure. Congressional Budget Office estimated that 14 million uninsured young people would join the group on January 1, 2014. By the year 2021, 16 million more will enter the brackets. When the newly insured people join the health system, the doctor workload will hike as the number of doctor visits will go up. Limited funding restricts people from visiting hospitals (America’s Hea lth Insurance Plans, 2007). Besides, the health reforms anticipated will increase claim cost and cause delays in return to work. In simple language there will be issues related to scheduling of doctors’ appointments, ensuring quality healthcare, and availability of medical resources (Gruber, 2002). According to American Journal of Medical Quality published a report and projected a shortage of nurses across America between 2009 and 2030, the USA will be hit by a serious shortage of more than 90,000 physicians by 2020 and by 2025, the shortage it will upsurge to more than 130,000 (Gruber, 2002). Lastly, the health reform recommends implementation of other measures of appointments with nurses and physical assistants, which the worker’s compensation system does not recognize. Eventually, this will cause compensation issues and add client consent requirements (America’s Health Insurance Plans, 2007). Besides, ACA aims at reducing those physician`s shortages by provid ing loan-based refund programs to principal doctors and offer incentives to medical schools to increase the number of medical students (Gruber, 2002). However, the healthcare system may not see the light of the day soon until students will be under this program graduate and begin their careers. Effect on Tax-Exempt Hospitals ACA has a goal of increasing transparency concerning the payback that tax-exempt hospitals get. The act requires those hospitals to conduct a Community Health Needs Assessment (CHNA) every three years to portray how they are carrying out their duties to meet needs of their patients (Gruber, 2002). Secondly the tax-exempt hospitals will be required to come up with a written financial assistance policy which would include criteria for eligibility to financial assistance, basis for coming up with figures charged to patients, and measures to be undertaken in case of nonpayment (America’s Health Insurance Plans, 2007). The ACA will keep those tax-exempt hospit als on toes to increase transparency for quality of care to the patients. To crown it all, the health reform recommends penalizing the tax-exempt hospital that does not meet those rules up to $50,000. Health Care Funding Through Affordable Care Act, the Health Centre Program will award new funding which consist of the following. First, Health Center Base Adjustments where the Health Resources and

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