How does the Affordable Care Act affect my quality of care?

Asked by: Joelle Parker II  |  Last update: May 10, 2025
Score: 4.4/5 (33 votes)

The ACA addresses concerns about quality of care in both direct and indirect ways, including the following: Accountability from insurance companies – The ACA requires insurance companies to spend 80%–85% of your health insurance premium dollars on healthcare and quality improvement or give you a rebate.

How does the Affordable Care Act affect me?

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 ...

In which three ways did the Affordable Care Act affect individuals?

How does health care reform affect me?
  • If you get sick, an insurance company cannot cancel your policy.
  • Health insurance companies cannot turn down your application because of your health status.
  • Women can no longer be charged more for insurance than men.

How has the ACA affected health care providers?

For physicians and patients, the expansion of coverage presents an opportunity to improve patients' access to care and nurture the doctor-patient relationship. The ACA has also posed new challenges, like narrow “provider” networks, tight prescription drug formularies, and high cost-sharing responsibilities.

How does the Affordable Care Act impact health and health care disparities?

The ACA has reduced racial/ethnic disparities in coverage, although substantial disparities remain. Further increases in coverage will require Medicaid expansion by more states and improved program take-up in states that have already done so.

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25 related questions found

How did the Affordable Care Act changed healthcare?

Its main vehicle to increase access was by expanding both private and public health insurance coverage. It sought to improve quality by linking hospital and physician payments to the quality of care they provide. It looked to reduce costs by investing in new patient care models, such as bundled payments.

How do health disparities impact healthcare?

Health disparities can also lead to increased healthcare costs, reduced economic growth, and greater social inequality. By studying health disparities, public health experts can identify the factors that contribute to them, the populations that are most affected, and the best potential solutions to address them.

How does the Affordable Care Act affect quality of care?

Improvements in community health centers – The ACA also provides for improving the quality of our care by strengthening the nation's network of community health centers and testing new methods for delivering services, for example, coordinating care among physicians and community resources.

What is the biggest problem with the Affordable Care Act?

Impact on Individual Insurance

It was also known that consumers would face a very different health insurance world under the ACA, with some people seeing their premiums go down and some seeing them go up, and the majority of Americans seeing higher deductibles, higher copays, and a smaller pool of providers.

What are the pros and cons of the Affordable Care Act?

The pros of the ACA include prohibiting insurance companies from denying coverage based on health history and providing subsidies to reduce premiums and out-of-pocket costs. The cons of the ACA include small business challenges and limited provider options in some regions.

How does the Affordable Care Act affect public health?

The law will result in health insurance coverage for about 94% of the American population, reducing the uninsured by 31 million people, and increasing Medicaid enrollment by 15 million beneficiaries. Approximately 24 million people are expected to remain without coverage.

What are three main points of the Affordable Care Act?

The law has 3 primary goals:
  • Make affordable health insurance available to more people. ...
  • Expand Medicaid 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.

How did the Affordable Care Act benefit people?

It did so by expanding Medicaid to people with incomes up to 138% of the federal poverty level (the poverty level in the continental U.S. is $15,060 for a single individual in 2024); creating new health insurance exchange markets through which individuals can purchase coverage and receive financial help to afford ...

How does the Affordable Care Act affect patient healthcare access?

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.

Who does not benefit from the Affordable Care Act?

Individuals with incomes exceeding 400 percent of the federal poverty level (FPL; $46,680 for an individual, $95,400 for a family of four) are ineligible for either Medicaid or Marketplace tax credits. This group represents 16 percent of the ineligible, uninsured population. 2.

How does the Affordable Care Act affect care coordination?

This program can potentially reduce costs by giving providers incentives to improve care quality and reduce rehospitalizations by better coordinating transitions to outpatient primary care provider networks and to home and community-based care.

Who is not eligible for Obamacare?

Must live in the United States. Must be a U.S. citizen or national (or be lawfully present). Learn about eligible immigration statuses. Cannot be incarcerated in prison or jail.

What are the three biggest issues in healthcare today?

Content Overview
  • Rising Costs of Healthcare Services. ...
  • Financial Challenges for Providers. ...
  • Shortage of Healthcare Professionals. ...
  • The Need for Improved Mental Health Systems. ...
  • Increased Demand for Personalized Care. ...
  • Big Data and Cybersecurity Issues. ...
  • Regulatory Changes Impacting Healthcare Providers.

How to make the Affordable Care Act better?

Building on the Affordable Care Act: Strategies to Address Marketplace Enrollees' Cost Challenges
  1. Ensure Affordable Premiums.
  2. Reduce Cost-Sharing.
  3. Strengthen Coverage Requirements.
  4. Create Federal Backstops for Coverage.
  5. Simplify Plan Options and Enrollment Pathways.

What are the major problems with the Affordable Care Act?

Press Releases
  • Obamacare has increased the cost of health care and health insurance. ...
  • Obamacare increases Americans' reliance on the federal government. … ...
  • On a per person basis, Obamacare is far more expensive than anticipated for taxpayers. ...
  • Obamacare's “expansion” is due in large part to improper Medicaid enrollments.

How has the Affordable Healthcare Act affected nursing?

Part of the Affordable Care Act's impact on nurses is that they can serve as trusted, unbiased advisors to patients, allowing them to feel at ease regarding their healthcare options.

Why is affordable healthcare important?

Surveys consistently show that people delay or forgo care due to cost, worry about their ability to pay for health care bills, and incur medical debt. Health care affordability—or a lack thereof—can harm individual health.

What are health disparities in quality of care?

Health disparities are differences and/or gaps in the quality of health and healthcare across racial, ethnic, and socio-economic groups. It can also be understood as population-specific differences in the presence of disease, health outcomes, or access to healthcare.

How does access to healthcare affect quality of life?

People who don't have a primary healthcare provider may find it difficult to create an emergency supply of prescription medicines. People who don't have health insurance may find it difficult to stay up to date on vaccines or essential health services that may be cost-prohibitive, such as mental health services.

What are the three factors that affect our health and health disparities?

Factors that contribute to health disparities and affect health equity: Social determinants of health. Social and community context. Health care access and use.