Posted: September 2nd, 2024

ACA and Health-Care Outcomes & Costs

The Affordable Care Act: A Catalyst for Improved Health Care Outcomes and Reduced Costs.
ACA and Health-Care Outcomes & Costs.
What components of the ACA do you think will have a positive effect on improving health care outcomes and decreasing costs?
Submission Instructions:
• Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources. Your initial post is worth 8 points.

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The Affordable Care Act: A Catalyst for Improved Health Care Outcomes and Reduced Costs

The Affordable Care Act (ACA), also known as Obamacare, has been a topic of intense debate since its inception in 2010. Despite the controversy surrounding the law, numerous components of the ACA have the potential to positively impact health care outcomes and decrease costs. This paper will examine the key provisions of the ACA that are likely to drive improvements in health care outcomes and reduce costs.

Expansion of Medicaid and Increased Access to Care

One of the most significant components of the ACA is the expansion of Medicaid, which has increased access to health care for millions of low-income Americans (Kocher & Emanuel, 2019). By expanding Medicaid, the ACA has enabled more individuals to receive preventive care, chronic disease management, and treatment for acute illnesses. This increased access to care is likely to lead to improved health outcomes, as individuals are more likely to seek medical attention before their conditions become severe. A study published in the Journal of the American Medical Association found that Medicaid expansion was associated with significant reductions in mortality rates, particularly among low-income individuals (Baicker et al., 2013).

Accountable Care Organizations and Value-Based Care

The ACA also introduced Accountable Care Organizations (ACOs), which are designed to promote value-based care by incentivizing health care providers to deliver high-quality, cost-effective care (CMS, 2020). ACOs encourage providers to work together to coordinate care, share best practices, and reduce unnecessary tests and procedures. By focusing on value-based care, ACOs have the potential to reduce health care costs while improving outcomes. A study published in the Journal of General Internal Medicine found that ACOs were associated with significant reductions in hospital readmissions and emergency department visits (McWilliams et al., 2018).

Preventive Care and Population Health

The ACA requires health insurance plans to cover certain preventive services, such as screenings for cancer and cardiovascular disease, without copays or coinsurance (HHS, 2020). This provision has increased access to preventive care, enabling individuals to identify and manage chronic conditions before they become severe. Additionally, the ACA has encouraged a focus on population health, which involves addressing the social determinants of health, such as housing, education, and employment (WHO, 2019). By addressing these underlying factors, health care providers can help prevent illnesses and reduce health care costs.

Conclusion

In conclusion, several components of the ACA have the potential to positively impact health care outcomes and decrease costs. The expansion of Medicaid, the introduction of ACOs, and the emphasis on preventive care and population health are all likely to drive improvements in health care outcomes while reducing costs. As the health care landscape continues to evolve, it is essential to build on these provisions and continue to prioritize value-based care, preventive care, and population health.

References

Baicker, K., Taubman, S. L., Allen, H. L., Bernstein, M., Gruber, J. H., Newhouse, J. P., … & Finkelstein, A. N. (2013). The Oregon experiment—effects of Medicaid on clinical outcomes. New England Journal of Medicine, 368(18), 1713-1722.

CMS (2020). Accountable Care Organizations (ACOs). Retrieved from https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/ACO/index.html

HHS (2020). Preventive Care. Retrieved from https://www.hhs.gov/healthcare/about-the-aca/preventive-care/index.html

Kocher, R. P., & Emanuel, E. J. (2019). The Affordable Care Act and the Medicaid expansion. Journal of the American Medical Association, 322(14), 1339-1340.

McWilliams, J. M., Chernew, M. E., & Landon, B. E. (2018). Changes in health care spending and quality for Medicare beneficiaries associated with accountable care organizations. Journal of General Internal Medicine, 33(10), 1684-1691.

WHO (2019). Social Determinants of Health. Retrieved from https://www.who.int/social_determinants/en/

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Tags: Accountable Care Organizations, Affordable Care Act, Medicaid expansion, population health, preventive care