It
was almost five decades back when there were certain actions taken to
help the poor and the elderly population of America, received some
relief in health care costs. With the federal government of USA
introducing Medicaid and Medicare, citizen of the U.S. received
certain relaxation in medical aids. In 2010, after almost half a
century, President Barack Obama again took the initiative of coming
out to help the needy and the constrained population of America.
Patient Protection Affordable Care Act (PPACA), or Affordable Care
Act (ACA), or Obamacare (more of a colloquial term) has come up with
some sort of relief for every needy soul of America. Today, after 6
years of its successful implementation, President Obama has come up
with an additional benefit ‘public option to Obamacare’ for the
people of America.
Health
care expenditure can be a major cause bringing severe damages to
health in the United States of America. Expensive treatments,
prescriptions, drugs, hospital stays, laboratory tests, all can even
make a person go bankrupt. However, the long-standing hindrances in
providing adequate health care to the people of USA seem to be
finding solutions with Obamacare ultimately. Ever since ACA was
enacted into law, the following changes have been observed over a few
years time, like:
-
The rate of uninsured people in the US have reduced to 43%
-
2010- 16.1% US citizen were uninsured
-
2015- 9.1% people remain uninsured
-
estimated reduction in middle aged unable to afford health insurance coverage to 5.5%
-
Federal goverment could reduce its debt towards collecting $600-$1000 for each enrolee to health insurance plans
-
Reduction to about 3.4% in middle aged people reporting poor health conditions
-
The health care payment process too has transformed. Around 30% of the traditional payments of Medicare are flowing through the alternative models of payment.
All
these and more such reforms have made serious contributions to
sustained time period of spending on health sector for every insuree.
Yet, there’s lot more that has to be achieved to achieve the
target.
Changing
how the health care system delivered
Earlier,
when ACA wasn’t introduced, the health industry depended mostly on
free service payment system by individual donors. The system would
levy penalty on those organizations that who did efficient delivery
while they were incapable of rewarding better quality care providers.
With
modifications in health coverage law and further adding health
option, those organizations can now provide those advantages that
health insurance plans like Medicare and Medicaid were given better
payments. The goal is to align them better with the actual costs that
come in providing care. With changes in Medicare payment plans, the
private sector too received decreased price in the health
expenditure.
ACA
helps detect health frauds
Many
policies were included in Obamacare to identify and prevent frauds
that happen in the health insurance sector. Higher scrutinization
before someone gets enrolled into Medicare or Medicaid to prevent
high rates of fraud prevalant in the domain. If any organization was
found incurring more than $1 million loss, were charged stronger
penalties to prevent such crimes. Implementing the “value based
payment,” where Medicare related systems tie up with different
health care enterprises and professionals for fee-for-service paying.
There are efforts to foster a health insurance market
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