((The ACA directed CMS to test and implement new approaches for Medicare to pay doctors, hospitals, and other providers to bring about changes in how providers organize and deliver care






First point

(please take this point and rewrite the first paragraph same as what they discussed; it does not have to be focused in nursing)

((I copied this from the first article article please paraphrased and cite it))

((The ACA directed CMS to test and implement new approaches for Medicare to pay doctors, hospitals, and other providers to bring about changes in how providers organize and deliver care. The ACA authorized the Secretary of Health and Human Services to expand CMMI models into Medicare if evaluation results showed that they either reduced spending without harming the quality of care or improved the quality of care without increasing spending. CMMI received an initial appropriation of $10 billion in 2010 for payment and delivery system reform model development and evaluation, and the ACA called for additional appropriations of $10 billion in each decade beginning in 2020, The ACA also created incentives for hospitals to reduce preventable readmissions and hospital-acquired conditions, and established new accountable care organizations (ACO) programs. Research has shown declines in Medicare patient readmissions since the Hospital Readmission Penalty Program provisions were introduced))

The act will hold several advantages:

(Please talk about cost effective, care quality, time saving and preventing unnecessary test for patients)

One of the benefits is that it will enhance the wellness and health of the Medicare population. It will also improve the quality of care offered by the health care team. The insurance will also amend the lower cost of medical care accompanied by shared savings.

Negative impact: (please talk about that the HCP may overlook necessary diagnostic measurements because they are focusing in cost reduction).

Every person has to be insured

((I copied this from the second article page 4 please paraphrased and cite it))

((With certain statutory or administrative exceptions all Americans are legally required to provide or enroll in federally approved insurance coverage or pay a tax penalty for refusing to provide such coverage as an employer or to enroll in such coverage as an individual. Federal officials enforce rules governing insurance rating, co-payments and deductible levels, and allowable profit and administrative expenses. Private health insurance is “private” in name only))

ACA law will require nurses to offer education to their clients. The clients will need to be notified on the deadlines of acquiring coverage for individuals and families to avoid being penalized. This will be a crucial strategy to prevent clients from being overwhelmed by substantial season taxes compiled over many unpaid seasons. The possible penalties on the tax preparers which are not compliant together with ACA procedures must be made known.

Positive impact: Educating clients on insurance coverage and the taxpaying system of the ACA act will be very crucial. The law will also boost the nurse’s careers. Additionally, the nurse-to-patient ratios may drastically change due to more people seeking health attention. It will force more American citizens to insure themselves and their families. Besides, the clients will be made aware of the paying systems and the potential repercussions of not being covered by coverage. The demand for new providers will increase, meaning that APRN will be prone to a lot of job opportunities as well as other health care providers.

negative impact on nurses. (talk about the hospital will be busy due to increase patients demand for health care since they become insured. Also, HCPs may need to work overtime to cover patients need)

Third point:

((I copied this from the second article page 21 please paraphrased and cite it))

((Effective in 2010, the ACA prohibited insurers from offering limited-benefit “mini-med” plans. Because these plans did not meet the 2010 federal standards for coverage caps, the plans’ officials either had to raise their rates to comply, making them less affordable for low- income persons who enrolled in them, or go out of business and thus deny those persons access to that coverage.

The problem was that thousands of retail and service industry companies, various organizations, and even unions offered these plans, and an estimated 4 million Americans were enrolled in them.))

Positive: slandered high people will insure having good converge

Negative: many people cannot offer those insurance plans. Thus, low income people will be uninsured













Lindrooth, R. C., Yakusheva, O., Fairman, J. A., Naylor, M. D., & Pauly, M. V. (2015). Increasing the value of health care: The role of nurses.

Tillett, J. (2011). Practicing to the full extent of our ability: The role of nurses in healthcare reform. The Journal of perinatal & neonatal nursing25(2), 94-98.

Dunlap, C., Green, A., Cropley, S., & Estes, L. J. (2017). Making Sense of ACOs: A Guide for Nurse Leaders. Nurse Leader15(3), 193-198.

Health care.gov. (2017). Read the Affordable Care Act, health care law. Retrieved from https://www.healthcare.gov/where-can-i-read-the-affordable-care-act/



Kaiser Family Foundation’s. (2019). Retrieved from https://files.kff.org/attachment/fact-sheet-summary-of-the-affordable-care-act

Kaiser Foundation. (2019, September 10). The YouToons get ready for ObamaCare: Health insurance changes coming your way under the Affordable Care Act. Retrieved from https://www.kff.org/health-reform/video/youtoons-obamacare-video/

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