Verified Document

Accountable Care Health Organizations White Paper

Medicaid and the ACA Discuss the issues central to the expansion of Medicaid created by the Affordable Care Act. From state policy perspective is this a good way to increase access to healthcare at a reasonable cost? Be sure to discuss the success stories you uncover as you complete your research for this question. Review the following and consider the questions below as part of your initial post.

From the State's perspective, expanding Medicaid under the ACA is a sound financial investment. However, the Supreme Court ruled that each state could decide to enter the program individually and as a consequence many states have not. These states claim that they cannot afford the program. However, a report by the Congressional Budget Office clearly shows that the Federal Government will actually be responsible for the bulk of the costs in the first decade of the program -- about 93% of the total costs.

The Congressional Budget Office (CBO) estimates that the Medicaid expansion will add very little to what states would have spent on Medicaid without health reform, while providing health coverage...

In addition, the Medicaid expansion will reduce state and local government costs for uncompensated care and other services they provide to the uninsured, which will offset at least some -- and in a number of states, possibly all or more than all -- of the modest increase in state Medicaid costs. Expanding Medicaid is thus a very favorable financial deal for states (Angeles, 2012).
The states that have expanded Medicaid have offered millions of Americans an option for affordable insurance. Even those states that have not offered expanded Medicaid programs, have still had its citizens sign up for affordable healthcare that is tax subsidized by the Federal Government in the Federal Marketplace. According to a recent Gallup survey, the number of uninsured Americans dropped from high of 18% in 2013 to a low of 14.5% at the end of March; for states that have set up their own insurance marketplaces and expanded Medicaid, the number of uninsured has dropped even lower -- to 13.6%. Those numbers will continue to decrease later in the year, with the next open-enrollment period and with more people signing up for Medicaid under the ACA's expansion provisions (Semro, 2014).

Case Study -- Health Share of Oregon: A Community Oriented Approach to Accountable Care for Medicaid Beneficiaries

What is an accountable care organization…

Sources used in this document:
References

Angeles, J. (2012, July 25). How Health Reform's Medicaid Expansion Will Impact State Budgets. Retrieved from Center on Budget and Policy Priorities: http://www.cbpp.org/research/how-health-reforms-medicaid-expansion-will-impact-state-budgets

Klein, S., McCarthy, D., & Cohen, A. (2014). Health Share of Oregon: A Community Oriented Approach to Accountable Care for Medicaid Beneficiaries. The Commonwealth Fund, 1-12.

Semro, B. (2014, April 29). Numbers Tell the Story of ACA's Success, But They Also Show Millions are Missing Out. Retrieved from The Huffington Post: http://www.huffingtonpost.com/bob-semro/numbers-tell-the-story-of-obamacare_b_5228695.html
Cite this Document:
Copy Bibliography Citation

Related Documents

Accountable Care Organizations Are Networks
Words: 1629 Length: 5 Document Type: Term Paper

By not taking advantage of these kinds of organizations, doctors and hospitals that do not wish to participate are missing out on cost savings, ease of patient treatment, efficiency, and much more. For patients, looking for doctors and hospitals that participate in accountable care organizations can be a good move, both financially and for ease of treatment. When records are shared and hospitals and doctors agree to be accountable

Health Organizations Prepare for the Future
Words: 580 Length: 2 Document Type: Essay

Healthcare Organizational Readiness & Strategy Healthcare Organization Network Company Profile Vanguard operates 25 acute care and three specialty hospitals in urban and suburban areas of Arizona, Illinois, Massachusetts, Michigan, and Texas. Across the Vanguard hospital system, there are roughly 7,100 licensed beds ("Hoover," 2014). The Vanguard regional health care system provides a continuum of care that spans outpatient centers, medical office buildings, clinics, and hospitals ("Hoover," 2014). Vanguard operates four managed health care

Accountable Care Organizations Acos Are
Words: 579 Length: 2 Document Type: Essay

Even worse, because the negotiated rates for services is so much lower than the non-insured rates for those services, many providers may actually provide services more liberally than necessary to make up for the lower revenue of each service rendered. Eventually, I believe the only way to really address the problem of healthcare costs is to adopt the results-based compensation structure already successfully in use in Britain. Unfortunately, such profound

Transforming Healthcare: Impact of AdventHealth's Accountable Care...
Words: 653 Length: 2 Document Type: Essay

The healthcare landscape is undergoing a paradigm shift, transitioning from a volume-based system to one focused on value and accountability. Accountable Care Organizations (ACOs) play a crucial role in this transformation, aiming to improve healthcare quality, reduce costs, and enhance patient experience for designated populations. This essay delves into the impact of AdventHealth, a prominent ACO, on healthcare quality and metrics, analyzing its successes, challenges, and overall contribution to a

Health Systems Issues and Strategic Planning
Words: 3151 Length: 10 Document Type: Research Paper

Health Systems Issues and Strategic Planning The delivery of high quality healthcare services requires a sophisticated health system infrastructure that provides a multidisciplinary team approach. This health system infrastructure varies from country to country, but there are some common features that characterize health systems that can be used to identify best practices and current trends in healthcare delivery and administration in general and for an elderly American patient in particular. As

Health Information Management: Healthcare
Words: 1720 Length: 5 Document Type: Research Paper

Healthcare: Heath Information Management Population health management (PHM) has gained prominence in mainstream healthcare organizations in recent years for the simple reason that healthcare is changing, and physician groups and healthcare systems are being forced to adapt to the new system, where they are rewarded based on how well they are able to meet the quality objectives of the entire patient group and not just individual patients. The 21st century healthcare

Sign Up for Unlimited Study Help

Our semester plans gives you unlimited, unrestricted access to our entire library of resources —writing tools, guides, example essays, tutorials, class notes, and more.

Get Started Now