What are some of the issues with implementing the ACA?

What is the challenge to the Affordable Care Act?

In California, after determining the individual plaintiffs had standing to bring the case, the district court considered the merits of their challenge and ruled that the individual mandate was unconstitutional and the rest of the Act's provisions were not severable.

What are the barriers to healthcare policy development?

This chapter highlights six barriers to successful policy implementation and use: (1) affordability, (2) availability, (3) lack of awareness, (4) lack of attention to intersectionality, (5) lack of institutionalization, and (6) cultural beliefs and biases.

What is the moral hazard of the Affordable Care Act?

In the context of health insurance, the term “moral hazard” is used to capture the idea that insurance coverage, by lowering the marginal cost of care to the individual (commonly referred to as the out-of-pocket cost), may increase healthcare use.

What is the #1 ethical challenge issue in healthcare?

The major 10 ethical issues, as perceived by the participants in order of their importance, were: (1) Patients' Rights, (2) Equity of resources, (3) Confidentiality of the patients, (4) Patient Safety, (5) Conflict of Interests, (6) Ethics of privatization, (7) Informed Consent, (8) Dealing with the opposite sex, (9) ...

Which of the following was the most controversial element of the Affordable Care Act?

The most controversial element of the Affordable Care Act (ACA) is widely considered to be the individual mandate, which required all individuals who do not receive health insurance through their employer or a government program to have health insurance or face a penalty.

How can the Affordable Care Act be improved?

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.

What are the unintended consequences of the ACA?

Consolidation in the private health insurance market causes premiums to go up, with larger insurers often paying negotiated, lower prices to health care providers while charging more to employers and individual members.

Why is affordable healthcare a problem?

Affordability is a widespread problem even as fewer Americans go without health insurance. The amount people spend directly on health care (not including insurance premiums), known as “out-of-pocket” costs, has been growing faster than inflation and this has several important implications.

What is a controversial provision of the Affordable Care Act?

The heart of the ACA — and its most controversial provision — is the individual mandate. This provision requires individuals to obtain health insurance or pay the aforementioned penalty. The government advanced two primary theories supporting the individual mandate's constitutionality.

Why is the Affordable Care Act not affordable?

In some cases companies intentionally underpriced plans to attract enrollees, and that strategy didn't work out as well as they wanted. Such actuarial errors put some companies in the position where they needed to either leave the market, or raise premiums. "They made a mistake,” said Gaynor.

What were the three main ethical issues?

There are three main types of ethical issues: Utilitarian, Deontological, and Virtue. Utilitarian ethics focus on the consequences of an action, while deontological ethics focus on the act itself. Virtue ethics focuses on the character of the person acting.

What is an example of legal but unethical in healthcare?

Something can be unethical but perfectly legal. For example: if the emergency room is constantly backlogged, it's not legally required for the healthcare facility or hospital administrators to speed up their work.

What other risk factor facing health care organizations is the most concerning?

Cybersecurity remains a paramount concern for healthcare leaders and their boards. Ransomware incidents are particularly perilous, as they can disrupt critical healthcare systems, putting patient safety and organizational revenue, compliance and reputation at risk.

What is the downside of ACA?

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 is adverse selection in the ACA?

One of the main issues that contribute to adverse selection is the lack of healthy enrollees buying insurance. ACA encourages a healthy individual to buy coverage by imposing a tax penalty on anyone who was eligible for insurance. This persuades more low-risk people to counterbalance the high-risk consumers.

What are the 3 tenets of the Affordable Care Act?

What are the challenges in implementing policies?

Challenges to implementation are referred to as “implementation barriers.” They can be rooted in a variety of causes, including opposition from key stakeholders, inadequate human or financial resources, lack of clarity on operational guidelines or roles and responsibilities for implementation, conflicts with other ...

What are the barriers to implementation in healthcare?

The most commonly identified barriers were: lack of support (both financial and political) to primary care, lack of specific logistical facilitators (e.g. authorizations to be away from their consultation for program-related activities and providing substitute personnel when leave is needed) and a general lack of ...

What are the health care policy issues in the United States?

The issues on the list include the public health workforce and legal authority, immunization, reproductive health, overdose prevention, mental health, data privacy and modernization, health equity, environmental health, tobacco and nicotine products, and HIV.