Working With Older Adults: Impact of the Affordable Care Act and Other Trends in Health Care

2011 ◽  
Vol 16 (1) ◽  
pp. 10-17
Author(s):  
Amy Hasselkus
Keyword(s):  
Older Adults ◽  
Health Care ◽  
Affordable Care Act ◽  
Care Delivery ◽  
Speech Language Pathology ◽  
Policy Changes ◽  
Patient Protection ◽  
Language Pathology ◽  
The Impact ◽  
Over Time

Rapidly increasing numbers in our aging population coupled with anticipated changes in reimbursement and health-care delivery have led to policy changes that will be implemented over time. This article will review the Patient Protection and Affordable Care Act of 2010 (ACA) and the Health Care and Education Reconciliation Act and will discuss the impact of health care changes on speech-language pathology practice with older adults.

The Industrial Organization of Health-Care Markets

2015 ◽  
Vol 53 (2) ◽  
pp. 235-284 ◽  
Author(s):  
Martin Gaynor ◽  
Kate Ho ◽  
Robert J. Town
Keyword(s):  
Health Care ◽  
Industrial Organization ◽  
Health Care Providers ◽  
Affordable Care Act ◽  
Health Care Spending ◽  
Health Care Markets ◽  
Care Providers ◽  
Patient Protection ◽  
The Impact ◽  
The U.S

The U.S. health-care sector is large and growing—health-care spending in 2011 amounted to $2.7 trillion and 18 percent of GDP. Approximately half of health-care output is allocated via markets. In this paper, we analyze the industrial organization literature on health-care markets, focusing on the impact of competition on price, quality, and treatment decisions for health-care providers and health insurers. We conclude with a discussion of research opportunities for industrial organization economists, including opportunities created by the U.S. Patient Protection and Affordable Care Act. (JEL J15, J24, J71, J81, K31)

scholarly journals The Impact Of A Whole Health Model Of Care On Patient Outcomes

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 838-838
Author(s):  
Anna Faul ◽  
Pamela Yankeelov ◽  
Joseph D'Ambrosio ◽  
Sam Cotton ◽  
Barbara Gordon ◽  
...  
Keyword(s):  
Older Adults ◽  
Health Care ◽  
Social Determinants ◽  
Health Care Access ◽  
Determinants Of Health ◽  
Education Attainment ◽  
Psychological Determinants ◽  
Care Access ◽  
The Impact ◽  
Over Time

Abstract The FlourishCare Model (FCM) transforms primary care sites by addressing all determinants of health and focusing on helping patients to flourish. The FlourishCare Index (FCI) is a clinical measure to assess the effectiveness of the FCM to address all determinants of health. We will present data on the effectiveness of the FCM serving 159 older adults with MCCs. The sample was mostly female (77%), White (64%), retired (54%), married (30%) or widowed (20%) and living in urban areas (64%). The mean age was 69 (SD=15), with 13 years education (SD=3). Patients changed significantly over time on total FCI scores (57%-72%;□=3.80,SE=0.63). Results show significant growth over time for individual health behaviors (58%-67%;□=2.14,SE=0.84), health care access (71%-89%;□=4.43,SE=1.00) and social determinants (62%-85%;□=5.54,SE=1.02) with psychological determinants (54%-61%;□=1.74,SE=0.95) and environmental determinants (70%-81%;□=2.81,SE=1.62) showing a trend to significance. Interaction effects with time show that the FCM supported patients with lower education attainment to improve at a higher rate than those with higher education attainment, for the total FCI score (□=-0.59,SE=0.24) and health care access (□=-0.94,SE=0.38). Receiving mental health counseling resulted in more improvement in psychological determinants than those who did not receive counseling (□=3.43,SE=2.04). The FCM was able to support rural patients at a higher rate than urban patients to gain access to health care (□=4.13,SE=2.02). The FCM supported Hispanic patients the most in improving social determinants of health (□=8.40,SE=3.93). This study showed the importance of a systems approach to care using measures that focus on what matters most to older adults who value quality-of-life outcomes.

The Future is Now: The IMPACT of Regulatory and Health Care Reform on Speech-Language Pathology Practice - Part One

2016 ◽  
Vol 1 (15) ◽  
pp. 84-92
Author(s):  
Erin Knoepfel ◽  
Joanne Wisely
Keyword(s):  
Health Care ◽  
Care Delivery ◽  
Care Service ◽  
Health Care Service ◽  
Health Care Team ◽  
Motor Speech ◽  
The Future ◽  
Language Pathology ◽  
Key Events ◽  
The Impact

Throughout Parts 1 and 2 of this article, we will provide the knowledge and insight we have gained over the years, specific to this ever-changing health care arena. We will highlight key events that have shaped the American care delivery system and discuss current actions that lay the foundation for the future of the health care service environment. As professional members of the health care team, our goal is to ensure that we continue to provide high-quality services to those with communication, cognitive-communication, motor speech, voice, and swallowing impairments.

The effect of Affordable Care Act on the competition in the post-patent ethical drug market

2014 ◽  
Vol 8 (3) ◽  
pp. 314-347 ◽  
Author(s):  
Yu Yu ◽  
Yi Zhao
Keyword(s):  
Health Care ◽  
Affordable Care Act ◽  
Structural Model ◽  
Drug Market ◽  
Model Parameters ◽  
Care Providers ◽  
Policy Changes ◽  
Content Type ◽  
Donut Hole ◽  
The Impact

Purpose – This paper aims to study the post-patent ethical drug market and simulate the impact of Patient Protection and Affordable Care Act (ACA) on individuals, health-care providers and pharmaceutical firms. US policymakers have been looking at various ways to curb rising health-care costs in USA, including ways to promote the use of generic drugs in lieu of brand drugs. In this broader context, the implementation of ACA in December 2013 will introduce major changes in the pharmaceutical market. Design/methodology/approach – To fully understand the impact of such policy changes, we develop a structural model to study consumers’ buying behavior and firm competition in the post-patent ethical drug markets. We use the estimated model parameters to conduct four policy simulations to illustrate the effect of Obamacare on increasing the relative size of price-insensitive segment, reducing price sensitivity in the price-sensitive segment, providing brand price discount to Medicare patients previously in the “donut hole” and the effect of change in people’s attitude toward generics. Findings – Our model estimation reveals two classes of consumers with different price sensitivities. This heterogeneity explains the increase in the brand price after generic entry. We identify consumers’ switching costs between generic and brand drugs, as well as among different generics. From the policy simulation, we find that except the closure of Medicare donut hole, all other policy changes lead to increased usage of the focal molecule, and the efforts to increase insurance coverage and reduce the out of pocket payment for prescription drugs lead to increase in firm profit. Originality/value – This paper is the first to illustrate the potential policy effect of Obamacare through a structural model on post-patent ethical drug market.

scholarly journals Potentially Ineffective Care: Time for Earnest Reexamination

2014 ◽  
Vol 2014 ◽  
pp. 1-6 ◽  
Author(s):  
William L. Jackson ◽  
Joseph F. Sales
Keyword(s):  
Health Care ◽  
Critical Care ◽  
Affordable Care Act ◽  
Outcome Measure ◽  
Care Delivery ◽  
Health Care Administrators ◽  
American Health Care System ◽  
Patient Protection ◽  
Significant Interest ◽  
American Health Care

The rising costs and suboptimal quality throughout the American health care system continue to invite critical inquiry, and practice in the intensive care unit setting is no exception. Due to their relatively large impact, outcomes and costs in critical care are of significant interest to policymakers and health care administrators. Measurement of potentially ineffective care has been proposed as an outcome measure to evaluate critical care delivery, and the Patient Protection and Affordable Care Act affords the opportunity to reshape the care of the critically ill. Given the impetus of the PPACA, systematic formal measurement of potentially ineffective care and its clinical, economic, and societal impact merits timely reconsideration.

scholarly journals The Patient Satisfaction Survey: What does it mean to your bottom line?

2012 ◽  
Vol 2 (2) ◽  
pp. 1 ◽  
Author(s):  
Kristin A. Petrullo ◽  
Stacey Lamar ◽  
Oby Nwankwo-Otti ◽  
Kinta Alexander-Mills ◽  
Deborah Viola
Keyword(s):  
Health Care ◽  
Patient Satisfaction ◽  
Health System ◽  
Affordable Care Act ◽  
Care Delivery ◽  
Fiscal Year ◽  
Satisfaction Survey ◽  
Bottom Line ◽  
Patient Satisfaction Survey ◽  
The Impact

The primary objective of the Affordable Care Act (ACA) is to improve the health care delivery system for all Americans. In April 2011, a reward system initiative for hospitals was announced that focused enhanced reimbursement incentives to hospitals that improved overall care and maintained patient satisfaction. This initiative begins in fiscal year 2013 for Medicare insured patients and is anticipated that private insurers will soon follow this standard.Patient satisfaction has become one of the determinants of health care. Its measures include access, outcome, effectiveness of service provided, and other variables intended to improve population health. Important economic decisions are being influenced with this data. This study explores the impact of the patient satisfaction survey instrument with reimbursement and how this process has influenced care decisions of one large health system in the northeast. It identifies strengths and weaknesses within this health system that have affected the bottom line.Key Words: Patient satisfaction, quality of care, financing, Medicare reimbursement, Hospital Consumer Assessment of Healthcare Providers and Systems, Affordable Care Act, Partnership for Patients

scholarly journals The implications of the 2010 patient protection and affordable care act and the health care and education reconciliation act on cancer care delivery

Cancer ◽  
2010 ◽  
Vol 117 (8) ◽  
pp. 1564-1574 ◽  
Author(s):  
Heidi W. Albright ◽  
Mark Moreno ◽  
Thomas W. Feeley ◽  
Ronald Walters ◽  
Marc Samuels ◽  
...  
Keyword(s):  
Health Care ◽  
Affordable Care Act ◽  
Cancer Care ◽  
Care Delivery ◽  
Patient Protection

scholarly journals Hospital costs and profitability related to the Patient Protection and Affordable Care Act

2014 ◽  
Vol 3 (3) ◽  
pp. 100
Author(s):  
William Robert Pratt ◽  
Jerry D. Belloit
Keyword(s):  
Health Care ◽  
Health Care Delivery ◽  
Affordable Care Act ◽  
Care Delivery ◽  
Hospital Costs ◽  
Supreme Court Decision ◽  
The United States ◽  
Cost Shifting ◽  
Patient Protection ◽  
The Individual

On March 23, 2010, President Barack Obama signed into law the Patient Protection and Affordable Care Act (PPACA). This law was one of the most controversial and transforming pieces of legislation impacting health care delivery in recent history. The legislation was created in response to rising health care costs and the belief that, in part, cost shifting of indigent uninsured care to paying patients would reduce the overall costs of health care. The recent Supreme Court decision upholding the individual mandate portion of the law is expected to significantly reduce the number of uninsured. Using operational data from 212 hospitals in California, this study examines the anticipated impact on hospital costs, profitability, and some patient outcome benchmarks from the restructuring of health care delivery in the United States by the PPACA.

The Patient Protection and Affordable Care Act, Public Health, and the Elusive Target of Human Rights

2011 ◽  
Vol 39 (3) ◽  
pp. 340-354 ◽  
Author(s):  
Lance Gable
Keyword(s):  
Public Health ◽  
United States ◽  
Health Care ◽  
Affordable Care Act ◽  
Insurance Coverage ◽  
Health Insurance Coverage ◽  
The United States ◽  
Patient Protection ◽  
The Law ◽  
The Impact

The passage of the Patient Protection and Affordable Care Act (ACA) in March 2010 represents a significant turning point in the evolution of health care law and policy in the United States. By establishing a legal infrastructure that seeks to achieve universal health insurance coverage in the United States, the ACA targets some of the major impediments to accessing needed health care for millions of Americans and by extension attempts to strengthen the health system to support key determinants of health. Yet, like many newly passed legislative provisions, the ultimate effects and significance of the ACA remain uncertain. Those charged with implementing the ACA face formidable obstacles — indeed, some of the same obstacles that have been erected to impede other major pieces of social legislation in the past — including entrenched political opposition, constitutional challenges, and what will likely be a prolonged struggle over the content and direction of how the law is implemented. As these debates continue, it is nevertheless important to begin to assess the impact that the ACA has already had on health law in the United States and to consider the likely effects that the law will have on public health going forward.

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