NRS-428 Topic 4 DQ 2: The Affordable Care Act was signed into law by President Barack Obama in March 2010

nrs-428 topic 4 dq 2: the affordable care act was signed into law by president barack obama in march 2010

NRS-428 Topic 4 DQ 2: The Affordable Care Act was signed into law by President Barack Obama in March 2010

The Affordable Care Act was signed into law by President Barack Obama in March 2010. Many of the provisions of the law directly affect health care providers. Review the following online resources:

1.         Key Features of the Affordable Care Act: http://www.hhs.gov/healthcare/facts/timeline/index.html

2.         Health Care Transformation: the Affordable Care Act and More:http://www.nursingworld.org/MainMenuCategories/Policy-Advocacy/HealthSystemReform/AffordableCareAct.pdf

What are the most important elements of the Affordable Care Act in relation to community and public health? What is the role of the nurse in implementing this law?

The Patient Protection and Affordable Care Act (ACA), colloquially called ‘Obama Care’ was signed into law in 2010 by the sitting president, President Obama. The primary goals are: increasing the number of the insured, improving the quality of care, and reducing the costs of health care.NRS-428 Topic 4 DQ 2

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It represents the most significant transformation of the American health care system since Medicare and Medicaid (Laxmaiah, et.al., 2011).NRS-428 Topic 4 DQ 2

Before then “large disparities in health insurance coverage and access to health services have long persisted in the US Health system” (Buchmueller, et.al., 2019). This disparity is mostly because of socio-economic conditions. The low-income Americans are not eligible for Medicaid and Medicare, and cannot afford the cost of private health insurance which is mostly through employee-employer based.

With Accordin the Buchmueller, a general pattern after the ACA was that insurance coverage increased most among groups whose members were most likely to be uninsured before the reforms.NRS-428 Topic 4 DQ 2

One of the important elements of the ACA in relation to community and public health is that Medicare and new private insurance policies are required to cover proven clinical preventive services at no cost to all and more attention is directed to primary and preventative care. Screening mammograms, preventive vaccines are given at no charge to the individual. Nurses are the largest group of health professional that serve in the communities.

Through give health education, treat, and rehabilitate and give vaccines and other preventive care. According to the American Nurses Association (ANA), registered nurses are fundamental to the critical shift needed in health services delivery” (ANA, 2014).NRS-428 Topic 4 DQ 2

Through the ACA, scholarships and loan repayments have been awarded to health care professionals, the Nurse Education Loan Repayment Program (NELRP) is a selective program of the U.S. Government that help alleviate the critical shortage of nurses; the Nurse Faculty Loan Program (NFLP) to facilitate education of nurses (American Nurses Association, 2014).

The role of the nurse is implementing the ACA law is to continue delivering quality care and patient education. Take measures to prevent hospital acquires infection to patients.  Nurse should take advance to Advance Practice Registered Nurse (APRN) positions so they can prescribe, educate, and treat patients in the rural communities.NRS-428 Topic 4 DQ 2

Nurses should advance and expand their education and take leadership roles and positions so they can be part of health care policy makers.

ReferenceNRS-428 Topic 4 DQ 2

AMA (2014). Health Care Reform. Health Care Transformation: The Affordable Care Act and More. Retrieved from https://www.nursingworld.org/~4afc9b/globalassets/practiceandpolicy/health-policy/healthcare-reform-document.pdf

Buchmueller, T.C., & Levy, H.G., (2019). The ACA’s Impact On Racial And Ethnic Disparities In Health Insurance Coverage And Access To Care. Retrieved from https://www.proquest.com/docview/2375461521/fulltextPDF/C4F1A0E3AB344E37PQ/1?accountidNRS-428 Topic 4 DQ 2

Laxmaiah, M. et.al., (2011). Medicare Physicians Payment Systems: Impact of 2011 Schedule on Interventional Pain Management. Retrieved from www.ajnr.org

One of the roles of a Community Health Nurse is to empower people in developing and implementing methods to actively manage their own health This can be one strategy that can impact vulnerable population with ACA, especially with patients on long term care. Continuing Individualized Management Towards Patient-Centered Targets (IMPaCT).nrs-428 topic 4 dq 2NRS-428 Topic 4 DQ 2

A study conducted in Philadelphia is an RCT in which CHWs meet high-risk patients in the hospital on the day of admission and follow up with patients at discharge to identify barriers to care. During discharge, they follow up with patients and accompany them to their first outpatient visit to assist in addressing clinical barriers with their primary care providers.

This novel study of a CHW intervention could be a generalizable, potentially cost-effective strategy to reduce hospital readmissions among high-risk patients specifically assist with readmission reduction and transitions from inpatient to outpatient care.

The legislation focuses on hospital readmissions as an important area of reform and cost control, with the ACA decreasing Medicare reimbursements for readmissions by 1% in 2012 and incrementally decreasing reimbursements yearly through October 2015.

A national priority is the development of innovative models that can lead to lower rates of hospital readmissions and improved care transitions from inpatient to outpatient settings. There have been successful CHW interventions that reduced hospital readmissions in pediatric asthma patients and adult chronic illness interventions that reduced hospital admissions.

Reference NRS-428 Topic 4 DQ 2

Martinez J, Ro M, William Villa N, Powell W, Knickman JR. Transforming the Delivery of Care in the Post–Health Reform Era: What Role Will Community Health Workers Play? American Journal of Public Health. 2011;101:e1–e5. [PMC free article] [PubMed] [Google Scholar].

The following are things that a nursing professional can do to respond to a population with health disparities susceptible to the Affordable Care Act:

  1. 1. Increase awareness and engagement in the community about the Affordable Care Act (ACA): The community health nurse can provide education and outreach on the ACA, including what the law covers, how people can enroll, and the benefits of having health insurance.
  2. Increasing awareness and engagement in the community about the ACA is a key step in helping vulnerable populations access affordable health insurance.

NRS-428 Topic 4 DQ 2

  1. Education and outreach can be done through in-person presentations, community events, public health campaigns, and informational materials. Through these initiatives, the community health nurse can help spread the word about the ACA and the benefits that it provides. The nurse can also answer questions and provide resources to those who are interested in learning more about the ACA and how to enroll.
  1. 2. Connect vulnerable populations with community resources and support services: The community health nurse can provide referrals to community resources and support services, such as free or low-cost clinics, health insurance navigators, and social service agencies.
  2. These resources can be invaluable for vulnerable populations who may not have the resources to access health insurance on their own. By connecting these populations with the appropriate resources, the community health nurse can help improve access to health care services and insurance plans.
  1. 3. Advocate for increased access to affordable health insurance: The community health nurse can advocate for increased access to affordable health insurance, such as expanding Medicaid and creating subsidies for those at or below certain income levels. This can help ensure that all individuals have access to the health care coverage they need.
  2. The nurse can work with government officials, health care providers, and community leaders to help enact policies that will make health insurance more affordable and accessible.
  1. 4. Develop collaborative partnerships with local agencies: The community health nurse can develop collaborative partnerships with local agencies, such as health care providers, hospitals, and community-based organizations, to raise awareness and support enrollment in health insurance plans.
  2. Through these partnerships, the nurse can work together with local agencies to develop action plans to increase enrollment in health insurance plans. This may include creating public awareness campaigns and offering assistance with the enrollment process.nrs-428 topic 4 dq 2
  1. 5. Provide direct assistance with enrollment and understanding of coverage: The community health nurse can provide direct assistance with enrollment and understanding of coverage, including helping people complete the application process and explaining the different health plan options available to them.

NRS-428 Topic 4 DQ 2

  1. This direct assistance can be invaluable for those who may be unfamiliar with the enrollment process or may have difficulty understanding their coverage options. The nurse can also provide resources and support to individuals as they navigate the enrollment process, helping to ensure that they are able to obtain the coverage they need.

 References:

NurseJournal Staff. (2021, October 26). The Affordable Care Act And Nursing | NurseJournal.org. NurseJournal. Retrieved January 13, 2023, from https://nursejournal.org/resources/affordable-care-act-nursing-guide/

Wakefield. (2020, November 16). Nurses and the Affordable Care Act: A call to lead. Nurses and the Affordable Care Act: A Call to Lead. Retrieved January 14, 2023, from https://nursingcentered.sigmanursing.org/features/more-features/Vol39_3_nurses-and-the-affordable-care-act-a-call-to-lead

The Affordable Care Act that was signed by President Barack Obama in March of 2010 had important goals in relation to community and public health. The goal was to make health insurance available to more people who were previously unable to afford insurance coverage. The legislation’s focus was on insurance reform and health system reform.NRS-428 Topic 4 DQ 2

The ACA prevented insurance companies from denying coverage to people with pre-existing conditions and it changed that a child could stay on their parent’s health insurance until they turned 26. It also removed benefit limits on insurance and made preventative care services at zero cost for the patient.

The Affordable Care Act has been able to help provide coverage for all citizens. It allows patients to have quality health care without having to pay high premiums. The law also promotes primary prevention through preventative care. There are specific provisions also promoting secondary prevention that expanded access to immunization and regular disease screenings.

The ACA focuses on patient outcomes which puts more pressure on nurses to prove they can give effective care. It is a nurse’s responsibility to make sure patients are being properly educated on the services that are available to them. Nurses can promote primary prevention through education and advocating for their patient’s health and safety.

The demand for advanced practice nurses and nurse practitioners has increased. Nurse practitioners need advanced degrees to practice as a result, they generally help their patients to obtain better outcomes than regular nurses. Higher education levels also help nurses perform better in the workplace.

RNs can practice with associate or bachelor’s degree. The Institute of Medicine recommended that at least 80% of nurses should obtain a bachelor’s degree rather than only having an associate degree. Experts are aiming to meet this goal by 2025 (Nurse Journal, 2021).

Jordan & Duckett. (2014). The Affordable Care Act and Public Health. Northwestern Student Affairs. The Affordable Care Act and Public Health – Northwestern Public Health Review

Nurse Journal. (2021). The Nurse’s Guide to the Affordable Care Act. The Affordable Care Act and Nursing | NurseJournal.org

Topic 4 DQ 2

The Affordable Care Act was signed into law by President Barack Obama in March 2010. Many of the provisions of the law directly affect health care providers. Review the following topic Resources:

  1. “About the Affordable Care Act”
  2. “Health Care Transformation: The Affordable Care Act and More”

What are the most important elements of the Affordable Care Act in relation to community and public health? What is the role of the nurse in implementing this law?

President Barack Obama enacted a sweeping healthcare reform known as the Affordable Care Act (ACA) in March 2010. The Patient Protection and Affordable Treatment Act, sometimes known as Obamacare or just the legislation, is a set of healthcare regulations designed to provide millions of Americans without health insurance with access to medical care, raise the standard of care, and lower the cost of healthcare.

Since Medicare and Medicaid, it constitutes the most important change to the American healthcare system. the act made it mandatory for Americans to purchase or else obtain health insurance, enlarged the eligibility for Medicaid, established health insurance exchanges, and forbade insurance providers from refusing coverage (or raising premiums) on the basis of pre-existing conditions.

Children can continue to be covered by their parents’ insurance up until the age of 26. In order to implement the Affordable Care Act, nurses must assist patients with their medical requirements and make sure that all providers, most notably physicians, are given accurate patient information.

Compliance with laws and rules pertaining to security and privacy rights is the responsibility of nurses.

Jordan & Duckett. (2014). The Affordable Care Act and Public Health. Northwestern Student Affairs. The Affordable Care Act and Public Health – Northwestern Public Health Review

Great post! Many people were denied coverage of no fault of their own, other than having a pre-existing condition. The ACA was crucial in changing some of the pathology of the current healthcare system, enabling patients with pre-existing conditions to obtain insurance, treatment and care.

Since the introduction of the ACA, more than 20 million Americans have gained insurance, which has improved socioeconomic and racial gaps in coverage (Rapfogel et al. 2020). When considering the impact of social determinants of health, it is hard not to recognize the ACA as an amazing example of progress.

Rapfogel, N., Gee, E. and Calsyn, M. (2020). 10 Ways the ACA has improved Healthcare in the Past 10 Years. Center for American Progress. https://www.americanprogress.org/issues/healthcare/news/2020/03/23/482012/10-ways-aca-improved-health-care-past-decade/

The Patient Protection and Affordable Care Act (ACA), colloquially called ‘Obama Care’ was signed into law in 2010 by the sitting president, President Obama. The primary goals are: increasing the number of the insured, improving the quality of care, and reducing the costs of health care.

It represents the most significant transformation of the American health care system since Medicare and Medicaid (Laxmaiah, et.al., 2011). Before then “large disparities in health insurance coverage and access to health services have long persisted in the US Health system” (Buchmueller, et.al., 2019). This disparity is mostly because of socio-economic conditions.

The low-income Americans are not eligible for Medicaid and Medicare, and cannot afford the cost of private health insurance which is mostly through employee-employer based. With Accordin the Buchmueller, a general pattern after the ACA was that insurance coverage increased most among groups whose members were most likely to be uninsured before the reforms.

One of the important elements of the ACA in relation to community and public health is that Medicare and new private insurance policies are required to cover proven clinical preventive services at no cost to all and more attention is directed to primary and preventative care. Screening mammograms, preventive vaccines are given at no charge to the individual.

Nurses are the largest group of health professional that serve in the communities. Through give health education, treat, and rehabilitate and give vaccines and other preventive care. According to the American Nurses Association (ANA), registered nurses are fundamental to the critical shift needed in health services delivery” (ANA, 2014).

Through the ACA, scholarships and loan repayments have been awarded to health care professionals, the Nurse Education Loan Repayment Program (NELRP) is a selective program of the U.S. Government that help alleviate the critical shortage of nurses; the Nurse Faculty Loan Program (NFLP) to facilitate education of nurses (American Nurses Association, 2014).

The role of the nurse is implementing the ACA law is to continue delivering quality care and patient education. Take measures to prevent hospital acquires infection to patients.  Nurse should take advance to Advance Practice Registered Nurse (APRN) positions so they can prescribe, educate, and treat patients in the rural communities.

Nurses should advance and expand their education and take leadership roles and positions so they can be part of health care policy makers.

Reference

AMA (2014). Health Care Reform. Health Care Transformation: The Affordable Care Act and More. Retrieved from https://www.nursingworld.org/~4afc9b/globalassets/practiceandpolicy/health-policy/healthcare-reform-document.pdf

Buchmueller, T.C., & Levy, H.G., (2019). The ACA’s Impact On Racial And Ethnic Disparities In Health Insurance Coverage And Access To Care. Retrieved from https://www.proquest.com/docview/2375461521/fulltextPDF/C4F1A0E3AB344E37PQ/1?accountid

Laxmaiah, M. et.al., (2011). Medicare Physicians Payment Systems: Impact of 2011 Schedule on Interventional Pain Management. Retrieved from www.ajnr.org

The most important provisions in the ACA are numerous and far reaching in scope. This Act intended to expand coverage to those who were previously ineligible to participate in insurance schemes due to a legacy of inequity or socioeconomic issues. Among many other pointers ACA intended to cover, only a few will be discussed here as the most impactful (important) elements found in the Act. For instance, ACA expanded Medicaid eligibility in many states and created health insurance marketplaces, making it easier for individuals and families to access affordable health insurance coverage. The role of the nurse is to play a role in educating patients about these options, assisting with enrollment, and connecting patients with resources to access coverage. To address the needs of a significant part of the population not under the protection of insurance, the ACA allocated funding to expand community health centers, which provide primary care services to underserved populations (Steinmetz, 2016). Nurses often work in these centers, delivering care to vulnerable and low-income communities. This ensures that the gap between those who have and don’t have narrows as much as possible, ensuring a better society for all.

The ACA includes funding for public health initiatives and workforce development in areas such as nursing and primary care. This measure serves to educate the population on what could be referred to as the “low hanging fruit” of health care, like educating people on hand-washing, smoking cessation, vaccine shots, et cetera. This, on the aggregate, may sound like very simple tasks but this level of proactivity serves to save the American taxpayer billions of dollars each year, versus the billions lost due to mitigating the tertiary effects of tobacco smoking, or having a massive epidemic on the laps of healthcare professionals to solve because of vaccine hesitancy or improper hygiene (APHA, 2017). In these cases, nurses can be involved in public health efforts, such as disease surveillance, health promotion, and addressing health disparities. The nurse would be the vanguard in either outcome, and is the deciding factor on the level of health our society gets to have.

With that being said, what would be an element from the ACA that you may feel has the most importance?

APHA. (2017). Why do we need the affordable care act? – american public health … APHA. https://www.apha.org/~/media/files/pdf/topics/aca/why_need_aca_2017.ashx

Ku L, Steinmetz E. (2016). The impact of the Affordable Care Act on insurance coverage in Medicaid expansion and non-expansion states. Public Health Reports. 2016;131(1):170-176.

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