Did the Affordable Care Act increase quality of care?

Asked by: Jamal Koepp DVM  |  Last update: October 23, 2023
Score: 4.3/5 (36 votes)

Findings In this nationally representative cross-sectional study of 123 171 individuals, the ACA was associated with more high-value diagnostic and preventive testing, improved patient experience and access, and decreased out-of-pocket expenditures for lower income US individuals.

How has the Affordable Care Act impacted health care in terms of cost and quality?

Trends in cost and quality.

Although the ACA did not specifically target private sector spending, premiums for employer-sponsored insurance increased at a relatively modest annual average rate. Meanwhile, there were improvements on more than half of the measures that track quality of care.

Did the ACA increase access to care?

Gaining insurance coverage also increased the probability of having a usual place of care by between 47.1 percent and 86.5 percent. These findings suggest that not only has the ACA decreased the number of uninsured Americans, but has substantially improved access to care for those who gained coverage.

How effective was the Affordable Care Act?

More than 20 million people have gained coverage as a result of the ACA. It has dramatically reduced the uninsured rate. On the day President Obama signed the ACA, 16 percent of Americans were uninsured; in March 2020, it was nine percent.

What are the positive effects of the Affordable Care Act?

By expanding coverage, the ACA will expand access to needed medical care. Greater access to care as a result of being insured has been shown to reduce mortality, improve mental health, and improve self-reported health status.

Obamacare Explained: Understanding the Affordable Care Act

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Did the Affordable Care Act save lives?

We find a reduction in all-cause mortality in ages 20 to 64 equaling 11.36 deaths per 100,000 individuals, a 3.6 percent decrease. This estimate is largely driven by reductions in causes of death likely to be influenced by access to health care, and equates to one life saved per 310 newly covered individuals.

How did the ACA attempt to improve access was it successful?

The ACA has gained a net increase in the number of individuals with insurance, primarily through Medicaid expansion. The reduction in costs is an arguable achievement, while quality of care has seemingly not improved. Finally, access seems to have diminished.

How did hospitals benefit from ACA?

Expanded health insurance coverage through the Affordable Care Act (ACA) is having a major impact on many of the nation's hospitals through increases in the demand for care, increased patient revenues, and lower uncompensated care costs for the uninsured.

How does Affordable Care Act affect patient care?

Among its reforms, the ACA expanded Medicaid coverage in participating states to all nonelderly adults with incomes below 133 percent of the federal poverty level (FPL), about $16,000 for an individual or $33,500 for a family of four, and provided subsidized insurance through the health care marketplaces for small ...

What are two major benefits of the Affordable Care Act?

The law has 3 primary goals:
  • Make affordable health insurance available to more people. ...
  • Expand the Medicaid program to cover all adults with income below 138% of the FPL. ...
  • Support innovative medical care delivery methods designed to lower the costs of health care generally.

Why is the Affordable Care Act important in healthcare?

The ACA supports public health prevention efforts. It created the Prevention and Public Health Fund, which has paid for public health efforts across the country. The ACA requires insurance policies to cover essential health benefits that can help prevent serious, costly conditions.

Why was the ACA unsuccessful?

Not only did the ACA fail to control the rising cost of insurance, but it also failed to make health care and prescribed medicines affordable. According to a West Health and Gallup, 30 percent of surveyed individuals did not seek needed medical treatment due to the cost from September to October 2021.

Who opposed the Affordable Care Act?

The Patient Protection and Affordable Care Act (ACA) was passed by a Democratic Congress and signed into law by a Democratic president in 2010. Republican congressmen, governors, and Republican candidates have consistently opposed the ACA and have vowed to repeal it.

What was the social impact of the ACA?

Overall, we found that that the ACA significantly reduced income inequality. Inequality decreased both in states that have expanded Medicaid and in those that have not, although the impact was larger among expansion states.

How did ACA impact social determinants of health?

The ACA reduced income inequality within and between social determinant of health categories, especially for states with Medicaid expansion.

What changes did the Affordable Care Act bring?

The ACA significantly changed the healthcare system in the U.S. by reducing the amount individuals and families paid in uncompensated care. The act requires every American to have health insurance and provides assistance to those who cannot afford a plan.

Who did the Affordable Care Act hurt?

The biggest Obamacare losers are people who lost their insurance but are unlikely to qualify for subsidies through one of the new exchanges, which require an income of less than $47,000 for an individual or $95,000 for a family of four.

What are the 10 essential benefits of the Affordable Care Act?

Essential health benefits ensure that health plans cover care that patients need
  • Ambulatory patient services (outpatient services)
  • Emergency services.
  • Hospitalization.
  • Maternity and newborn care.
  • Mental health and substance use disorder services, including behavioral health treatment.
  • Prescription drugs.

What are ethical issues with the Affordable Care Act?

The recently enacted Affordable Care Act (PPACA) of 2010 has fueled ethical debate of several important controversial topics. Ethical issues of health care reform include moral foundations, cost containment, public health, access to care, ED crowding, and end-of-life issues.

What are some negative aspects of the Affordable Care Act?

Cons:
  • The cost has not decreased for everyone. Those who do not qualify for subsidies may find marketplace health insurance plans unaffordable. ...
  • Loss of company-sponsored health plans. ...
  • Tax penalties. ...
  • Shrinking networks. ...
  • Shopping for coverage can be complicated.

What are the 2 biggest ethical issues in health care?

Here are the top five ethical issues that health care managers of today and tomorrow will be facing in the course of delivering responsible and compassionate patient care.
  • Patient Confidentiality. ...
  • Patient Relationships. ...
  • Malpractice And Negligence. ...
  • Informed Consent. ...
  • Issues Related To Physician Assisted Suicide (PAD)

What is the biggest ethical issue in health care today?

Patient Confidentiality

One of the biggest legal and ethical issues in healthcare is patient confidentiality which is why 15% of survey respondents noted that doctor-patient confidentiality is their top ethical issue in practicing medicine.

What is a major feature of the Affordable Care Act?

The ACA prohibits lifetime monetary caps on insurance coverage, limits the use of annual caps, and establishes state rate reviews for insurance premium increases.