Has the Affordable Care Act improved quality of care?

Asked by: Pietro Bashirian IV  |  Last update: December 28, 2023
Score: 4.6/5 (67 votes)

Conclusions and Relevance In this cross-sectional national study, the ACA was associated with improved patient experience, communication, and access and decreased out-of-pocket expenditures, but little or no change in quality, utilization, and total cost.

Did the ACA improve healthcare?

Since its enactment on March 23, 2010, the Affordable Care Act has led to an historic advancement of health equity in the United States. This landmark law improved the health of all Americans, including women and families, kids, older adults, people with disabilities, LGBTQI+ and communities of color.

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.

How did the Affordable Care Act change health care?

About the Affordable Care Act

Make affordable health insurance available to more people. The law provides consumers with subsidies (“premium tax credits”) that lower costs for households with incomes between 100% and 400% of the federal poverty level (FPL).

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.

5 Things About The Affordable Care Act (ACA)

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Who benefits most from the Affordable Care Act?

People with the lowest incomes tended to benefit the most from the law. That makes sense, given how the Affordable Care Act is designed. In states that expanded Medicaid, low-income people can get insurance without having to pay a premium.

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.

What would make the Affordable Care Act better?

Making Insurance Premiums More Affordable

ensure through 2025 that no one has to spend more than 8.5 percent of household income on premiums; previously, eligibility for premium tax credits was capped at 400 percent of the federal poverty level (i.e., $106,000 for a family of four)

How could the Affordable Care Act improve?

Increase Credits for Moderate- and Middle-Income Families.

Congress should consider either increasing the size and scope of the Advanced Premium Tax Credit program, or adding fixed-dollar, age-adjusted tax credits to the mix to improve access to affordable health insurance for moderate- to middle-income households.

What is the current status of the Affordable Care Act?

Today, the Affordable Care Act (ACA) is at the strongest point in its history, thanks to 12 years of diligent implementation efforts, defense alongside the passage, and implementation of the American Rescue Plan Act of 2021. As a result, health care costs are historically low.

Why is the Affordable Care Act controversial?

One early controversy concerned whether individuals would lose their current health plans when the new law took effect. Initially, some insured people were taken by surprise when their insurers canceled policies that did not qualify as minimum essential coverage (MEC) under the ACA.

What health policy has had the greatest impact on health care in the United States?

The Affordable Care Act is the most important health care legislation enacted in the United States since the creation of Medicare and Medicaid in 1965. The law implemented comprehensive reforms designed to improve the accessibility, affordability, and quality of health care.

What are 3 benefits of the Affordable Care Act?

Affordable Care Act (ACA) basics

Among other things, the ACA made it easier for many people to get coverage, removed annual and lifetime limits on essential health benefits and put in place requirements that individuals have medical coverage or pay a tax penalty.

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.

How did nurses benefit from the Affordable Care Act?

The Affordable Care Act and Its Impact on the Nursing Profession. The ACA places a greater focus on outcomes, with more pressure on nurses to show they can give effective care. This means the demand for advanced practice nurses (APNs) and nurse practitioners (NPs) has also increased.

What has Biden done for the Affordable Care Act?

The Biden-Harris Administration has made expanding access to health insurance and lowering health care costs for America's families a top priority, and under their leadership, the national uninsured rate reached an all-time low earlier this year, and the 2023 Marketplace Open Enrollment Period saw the highest number of ...

What did Biden do to the Affordable Care Act?

For his first two years in office, President Biden prioritized the ACA in his legislative agenda. Early in his term, he signed the American Rescue Plan Act of 2021 (ARPA), which included a significant increase in premium subsidies for Marketplace enrollees, through 2022.

Did the Affordable Care Act reduce the deficit?

In keeping with the President's pledge that reform must fix our health care system without adding to the deficit, the Affordable Care Act reduces the deficit, saving over $200 billion over 10 years and more than $1 trillion in the second decade.

What are the downsides 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 is the biggest issue facing healthcare in the United States today?

The High Cost of Health Care

The problem: Perhaps the most pressing issue in health care currently is the high cost of care. More than 45% of American adults say it's difficult to afford health care, according to a survey by the Kaiser Family Foundation, and more than 40% have medical debt.

How did the ACA fail to provide access to healthcare for all individuals?

Where is the major failure in the ACA? Simply in being affordable. According to the Kaiser Family Foundation, in 2017, 45 percent of uninsured individuals stated that cost was the primary reason they did not enroll in health care insurance.

What is one example of how the ACA will increase access to healthcare?

The ACA uses two primary approaches to increase access to health insurance: It expands access to Medicaid, based solely on income, for those with incomes up to 138% of the federal poverty level (FPL), and creates eligibility for those with incomes from 139% to 400% FPL to apply for subsidies [in the form of advance ...

What do Democrats think about the Affordable Care Act?

Democrats believe that quality, affordable health care is a right – not a privilege – for every American.

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.