Week 5 Discussion 1
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Week 5 Discussion 1
The Affordable Care Act of 2010 was enacted to radically alter the way individuals are insured, with the objective of cutting healthcare expenses and making insurance available to those who were formerly uninsured. As challenges with its execution arise, the legislation is undergoing significant modifications (Davis et al., 2010). As interpretations of its criteria are created and adopted, final decisions should be anticipated in the future years. Several modifications to the way care is offered including ownership of PHI, may occur when the reforms are implemented.
Among the changes brought about by the Affordable Care Act for clinics and other healthcare organizations is a shift in quantification and reimbursement from distinct fee-for-service payments (payment for each task or service performed at any given time) to grouped payments (payment for medically and economically appropriate occurrences for patients and professionals (Peter, 2015). Accountability for healthcare may be dispersed among different kinds of providers and throughout time, incentivizing them to collaborate and integrate services while also transferring risk.
Furthermore, there is a shift in care management capability that favors practitioners over insurers when it comes to making health-care choices. Having access to facts and information technology, as well as personnel who can understand that data and technology teams of providers, including accountable care organizations or ACOs, can effectively offer and coordinate treatment, as well as control costs, provided the risk and responsibility (Davis et al., 2010). Ebeler cited Commonwealth Fund research that demonstrates that if service is more cooperative and integrative, it is simpler to adopt combinations of payment, transparency, and risk.
The Act is based on the Health Information Technology for Economic and Clinical Health Act, which was signed into law in 2009 as component of the American Recovery and Reinvestment Act (Davis et al., 2010). It also provides a framework for system-wide productivity disclosures so that clients can more easily access details about their own medical care and how their health care is being delivered. Presently, technology has improved the supply of services, and there is no longer any doubt about it.
References
Davis K, Schoenbaum S. Toward high-performance accountable care: Promise and pitfalls. The
Commonwealth Fund Blog; 2010. http://www.
commonwealthfund.org/Blog/2010/Sep/Toward-High-Performance-AccountableCare.aspx.
Peter Cunningham, R. (2015). How Are Hospitals Faring Under the Affordable Care Act? Early
Experiences from Ascension Health. Retrieved from https://www.kff.org/healthreform/issue-brief/how-are-hospitals-faring-under-the-affordable-care-act-earlyexperiences-from-ascension-health