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The healthcare reform debate Essay

Table of Contents HR 3962: The Affordable Health Care for Americans

List of recommendations by interest groups

President Obama’s new health care reform and the recommendations

Works Cited

The health care reform debate has continually heated up in the recent years among various interest groups, government officials, the House and the Senate and the media. This debate is of different interests to different interest groups as some look into the long term benefits where as others are profit-driven at the expense of the public.

HR 3962: The Affordable Health Care for Americans This bill was crafted by the House of Representatives in November 2009 but later on December, 2009 the Senate passed a substitute bill, Patient Protection and Affordable Care Act which was later abandoned for the Healthcare Reconciliation Act of 2010.

List of recommendations by interest groups A group of health policy experts, health insurance executives, business leaders, economists, hospital administrators among other experts held several workshops to discuss health care reforms in a forum known as the Fresh-thinking Project and came up with the following recommendations;

Change the existing fee-for-service payment to a system that promotes and rewards improvement in the well-organized provision of quality care and put in the expansion of outcome, procedures to direct payment. Payments ought to be allied to improving patient products, reducing racial and further inequalities in outcomes, mounting effectiveness, and restraining the growth in the cost of care. Consequently connecting payment to outcomes will necessitate constant investment in the regular growth of outcomes measures (Terry, 1).

There is a need to pool a risk and therefore exchanges both regional and state to guarantee the Americans without access employer based insurance or any other type of insurance is enabled to obtain an average benefits package. Employers are also supposed to also be permitted to play a part in these exchanges designed for their employees’ coverage. Typically, underwriting individual and small group insurance firms do not perform well due to risk selection. Therefore in order to reduce poor selection there should be compulsory coverage for standard benefits and risk accustomed payments on the part of the exchanges. These mandates ought to be matched with mechanisms that ensure adequate participation of those qualified to avoid the buildup of just the high-risk people in the exchange. These mechanisms should include considerable subsidies, probably joint with enforceable directives. It is also important to recognize the efforts of the employers in their employees’ coverage.

According to the experts revenue source which includes a cap on the tax exemption which touches on employer-based insurance to support health care should be implemented to insure all Americans. There are tens of millions and budding numbers of Americans who are not insured and approximately 70% of these Americans cannot afford to pay for their insurance (Jost, 1). Consequently, more savings should be mobilized to insure all Americans like passing on accessible health income or levying tax on tobacco.

President Obama’s new health care reform and the recommendations The health care reforms recommended by Obama is meant to radically reform the insurance market by barring pre-existing stipulation, eradicating underwriting which is founded on gender, education, occupation or health status. It will also provide a guideline on the crucial benefits that the insurance plans must cover, to improve transparency and insurance disclosure.

Therefore his reforms to some extend will concur with their recommendations because it is going to create a national health insurance exchange where every new non-group policies will be put up for sale and make insurance accessible for employees of small and possibly even the large employers. The exchanges should raise competition and reduce the rising administrative costs so as to reduce overall costs and enhance accountability.

As a way of insuring all the Americans the Obama reforms if legislated would oblige employers with payrolls above $500,000 annually to grant health insurance to their insurers or forfeit a penalty (Jost, 1 and alternatively majority will be insured through House leadership.

It will as well recognize small businesses who have covered their staff by granting them tax credits. However, this idea has not been welcomed by many business owners. Similarly, many people look at it as a means of making those who are well off to pay taxes for the poor.

Get your 100% original paper on any topic done in as little as 3 hours Learn More To raise money to cover such people, reforms are proposing taxation of medical device manufactures because this is likely to offer the government about $20 billion. The senate bill intents to reach or raise $40 billion from the device makers.

However, this may be difficult because national lobbyists for the industry on the other hand are favoring reconciliation to the lower amount and therefore this could increase lobbying.

The health care reforms proposed by president Obama’s administration have both losers and gainers and therefore everyone is pulling their side so that they will not be affected negatively (Terry,1).

The insurers feel that the reforms do not favour them whereas other stakeholders and interest groups feel that this will affect delivery system as well as ensure almost all Americans have access to healthcare.

Children’s hospitals on the other hand feel that they will have more to lose as a result of the reforms than full-service hospitals. I think in the long run all these reforms will work out to the advantage of all Americans if the end result actually moves America closer to sustainable healthcare system.

Works Cited Jost, Timothy. HR 3962: The Affordable Health Care for Americans; health affairs blog Act. 2009. Web.

Terry, Ken. “Interest Groups Redouble Fight on Healthcare Reform” 2009. Web.

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Healthcare reform initiatives that have been implemented in the past 2-3 years Essay

Nursing Assignment Help Table of Contents Introduction

The provisions of health care reforms

Implemented Reforms


Works Cited

Introduction For a long time now, the polarizing debate concerning the healthcare systems of the United States of America has never ceased. Some people have argued that the Americans receive the best health care in the world with reference to the freely available medical technology as well as the system’s highly emblematic state-of-the-art facilities.

On the contrast, others have pointed out that it is the most inefficient in the world with the government spending very much on healthcare yet the citizens are prone to inequality, uninsurance and administrative waste. As a result, the government of USA initiated reforms to be made in the health care systems in a bid to perfect it to becoming one of the best in the world.

If implemented, the reforms will lead to the biggest expansion of the Medicare to have existed in the last 45 years (Reid 21). This paper is therefore a discussion and identification of the health care reforms that have been implemented in the past 2-3 years.

The provisions of health care reforms It is during his tenure that President Obama became the signatory of the health care reform legislation into law in March 2010 (Bunce 4). He did this by signing two federal statutes that were enacted in the same year.

These are Patient Protection and Affordable Care Act (PPACA) and the Health Care and Education Reconciliation Act of 2010. According to the new law, the health care system is bound to improve such that more people become insured and ensure that quality services are offered among other stipulated reforms.

The reform was planned to take part in two phases with the first phase taking place between 2010 and 2013. This has provisions for expanding the insurance option such that more people obtain medical covers. In the second phase Organizations will be forced to make sure that they obtain insurance for their employees.

Implemented Reforms Since the enactment of the provisions into law, most of the reforms have already taken place some of which include the following;

Get your 100% original paper on any topic done in as little as 3 hours Learn More There has been an extension on the coverage for young adults such that they can continue being on the plans of their parents until they are 26 years of age. This has ensured that the young adults continue to receive proper healthcare until the time when they get jobs and are now able to pay for their own insurance (Reid 34).

The lifetime limit that was before imposed is no longer in place as insurance companies have been banned from enforcing the lifetime dollar limits they initially placed o services such as the stay in hospitals.

At the present, there are about 4 million businesses that have been authorized to get credit to cater for the employer’s contribution with regard to the health insurance plans for employees. This therefore ensures that the small businesses afford the expected contribution to the health insurance firms.

The new plans have free preventive procedures on health care. For instance mammograms and colonoscopies are provided free on charge without being deducted on the employees pay slips.

The consumers are protected such that they can make appeals on issue concerning their insurance.

The reforms have seen that the primary care medical doctors are encouraged through incentives such as having their number increased, being allocated assistants to help them among others (Network 1). On the same matter, those healthcare providers working in the rural areas are offered increased support to ensure that they increase their efficiency in those areas. As a result the whole population has access to proper health care.

The reforms have also seen the implementation of funding for projects that are aimed at preventing disease through the health fund. This is done through the Public Health Fund that was begun in the year 2010 (Network 1).

Other of the reforms that have been implemented and are already in action up to no include; Increased home options for the disabled people, aid for the seniors once they leave the hospital on stays, discounted costs on Medicare, improved accountability and creation for a center of Medicare and Medicare innovation just to mention but a few.

Conclusion From the above discussion it can be clearly seen that the signing of the bills by President Obama was a big step towards the beginning of attainment of proper health care for the American citizens.

Despite the many challenges such as political influences and legal challenges, some of the reforms have been already implanted. The fact that these reforms are many number means that they cannot be all implanted at once hence the reason for the phases put in place to ensure the implementations occur sequentially.

However, at the time when all the documented reforms are implemented, then Americans will be enjoying the best health care system in the whole world. This is because the better part of the population will be insured and all having access to proper health care.

Works Cited Bunce, V. and Matthews, M. The 2008 presidential candidates on health care reform. Web.

Network. What is changing already as the healthcare reform law is implemented? Web.

Reid, T. The Healing of America: A Global Quest for Better, Cheaper and Fairer Health Care. 2009. Penquin Books.