scholarly journals Unraveling from Within? The Affordable Care Act and Self-Undermining Policy Feedbacks

The Forum ◽  
2015 ◽  
Vol 13 (1) ◽  
Author(s):  
Jonathan Oberlander ◽  
R. Kent Weaver
Keyword(s):  
Health Care ◽  
Affordable Care Act ◽  
Public Support ◽  
Partisan Polarization ◽  
Patient Protection ◽  
Political Impact ◽  
Mediating Factor ◽  
Political Foundations ◽  
To Receive

AbstractThe 2010 Patient Protection and Affordable Care Act (ACA) passed through Congress on partisan lines and with only lukewarm public support. The Obama administration and Congressional Democrats, though, had reason to expect that the ACA’s political fortunes would substantially improve as the acrimonious debate over its enactment faded and millions of Americans came to receive significant benefits from health care reform. But 5 years after its passage, the ACA’s political foundations remain shaky. We suggest that one reason for the ACA’s unsettled fate is the role of policy feedbacks that undermine public support for and opponents’ acceptance of the program. The ACA experience highlights how policy feedbacks can vary widely in their political impact, and suggests that some policies are in fact self-undermining. We also emphasize the crucial role of partisan polarization as a mediating factor in shaping policy feedbacks.

Rhetorical Federalism: The Role of State Resistance in Health Care Decision-Making

2011 ◽  
Vol 39 (S1) ◽  
pp. 73-76
Author(s):  
Elizabeth Weeks Leonard
Keyword(s):  
Health Care ◽  
Health Insurance ◽  
The United States ◽  
Administrative Capacity ◽  
Limited Government ◽  
Local Diversity ◽  
Patient Protection ◽  
Health Care Regulation ◽  
State Resistance

The Patient Protection and Affordable Care Act (ACA) represents the most significant reform of the United States health care system in decades. ACA also substantially amplifies the federal role in health care regulation. Among other provisions, ACA expands government health care programs, imposes detailed federal standards for commercial health insurance policies, creates national requirements on employers and individuals, and enlists state administrative capacity to implement various federal reforms. In response, a persistent voice in the protracted, contentious debate surrounding ACA was, and continues to be, resistance from states. The rhetoric of federalism — states’ rights, reserved powers, state sovereignty, limited government, and local diversity — resonates deeply even around provisions of ACA that do not specifically implicate state interests. For example, the loudest and most persistent state objections target the new mandate that individuals maintain health insurance, a requirement imposed by ACA and enforced through federal tax penalties.

Achieving a Deeper Understanding of the Implemented Provisions of the Affordable Care Act

2014 ◽  
pp. e472-e477 ◽  
Author(s):  
Shuang Qin Zhang ◽  
Blase N. Polite
Keyword(s):  
Health Care ◽  
Affordable Care Act ◽  
Medicare Part D ◽  
Payment Reform ◽  
Part D ◽  
Patient Protection ◽  
Current Implementation ◽  
Donut Hole ◽  
Insurance Exchanges ◽  
Review Current

The Patient Protection and Affordable Care Act (ACA) was signed into law by President Barack Obama on March 23, 2010. Since that time, numerous regulations have been promulgated, legal battles continue to be fought and the major provisions of the law are being implemented. In the following article, we outline components of the ACA that are relevant to cancer health care, review current implementation of the new health care reform law, and identify challenges that may lie ahead in the post-ACA era. Specifically, among the things we explore are Medicaid expansion, health insurance exchanges, essential health benefits and preventive services, subsidies, access to clinical trials, the Medicare Part D donut hole, and physician quality payment reform.

scholarly journals Impact of the Patient Protection and Affordable Care Act on dermatologic health care utilization

2019 ◽  
Vol 81 (2) ◽  
pp. 631-634 ◽  
Author(s):  
Raghav Tripathi ◽  
Konrad D. Knusel ◽  
Harib H. Ezaldein ◽  
Jeremy S. Bordeaux ◽  
Jeffrey F. Scott
Keyword(s):  
Health Care ◽  
Health Care Utilization ◽  
Affordable Care Act ◽  
Care Utilization ◽  
Patient Protection

scholarly journals What Can We Expect from the “Cadillac Tax” in 2018 and Beyond?

2011 ◽  
Vol 48 (4) ◽  
pp. 322-337 ◽  
Author(s):  
Bradley Herring ◽  
Lisa Korin Lentz
Keyword(s):  
Health Care ◽  
Affordable Care Act ◽  
Price Index ◽  
Consumer Price Index ◽  
Private Health Care ◽  
Kaiser Family Foundation ◽  
Insurance Benefits ◽  
Excise Tax ◽  
Patient Protection ◽  
Controversial Aspect

One controversial aspect of the Patient Protection and Affordable Care Act is the provision to impose a 40% excise tax on insurance benefits above a certain threshold, commonly referred to as the “Cadillac tax.” We use the Employer Health Benefits Survey, sponsored by the Kaiser Family Foundation and Health Research and Educational Trust, to examine the number and characteristics of plans that likely will be affected. We estimate that about 16% of plans will incur the tax upon implementation in 2018, while about 75% of plans will incur the tax a decade later due to the indexing of the tax thresholds with the Consumer Price Index. If the Cadillac tax is ultimately implemented as written, we find that it will likely reduce private health care benefits by .7% in 2018 and 3.1% in 2029, and will likely raise about $931 billion in revenue over the ensuing 10-year budget window from 2020 to 2029.

scholarly journals The Patient Protection and Affordable Care Act and Utilization of Preventive Health Care Services

SAGE Open ◽  
2016 ◽  
Vol 6 (1) ◽  
pp. 215824401663618
Author(s):  
Victor Eno ◽  
Senthilkumar Mehalingam ◽  
Thomas I. Nathaniel
Keyword(s):  
Health Care ◽  
Affordable Care Act ◽  
Health Care Services ◽  
Preventive Health Care ◽  
Preventive Health ◽  
Care Services ◽  
Patient Protection

Public Health Promotion: Autonomy of the Emergency Nurse Practitioner

2015 ◽  
Vol 4 (1) ◽  
pp. 27
Author(s):  
Cheryl Ann Alexander ◽  
Lidong Wang
Keyword(s):  
Health Care ◽  
Health Care Reform ◽  
Affordable Care Act ◽  
Nurse Practitioner ◽  
Nursing Faculty ◽  
Health And Wellness ◽  
Patient Protection ◽  
Global Health Care ◽  
Key Issues ◽  
Public Health Promotion

<p>The purpose of this paper is to examine several key issues in health care reform. From the Patient Protection and Affordable Care Act of 2010 to the cholera epidemic in Haiti, global health care reform is necessary to promote health and wellness among all nations. There is an international shortage of nurses and nursing faculty. Among the providers, it is also necessary to examine autonomy of the most up and coming nurse provider: the emergency nurse practitioner.</p>

Core Elements of the Patient Protection and Affordable Care Act and Their Relevance to the Delivery of High-Quality Cancer Care

2012 ◽  
pp. e4-e8 ◽  
Author(s):  
Beverly Moy ◽  
Amy P. Abernethy ◽  
Jeffrey M. Peppercorn
Keyword(s):  
Health Care ◽  
Health Care Reform ◽  
Affordable Care Act ◽  
Cancer Care ◽  
Ethical Implications ◽  
Quality Cancer Care ◽  
Patient Protection ◽  
Challenges And Opportunities ◽  
Core Elements ◽  
Improve Access

Overview: The Affordable Care Act (ACA) contains many provisions that affect cancer care. The provisions of health care reform aim to improve access to quality cancer care, particularly among the most vulnerable Americans. However, health care reform also offers many challenges and opportunities that affect every stakeholder in oncology. This article summarizes the ACA provisions relevant to oncology, discusses the ethical implications for the oncology caregiver, and describes the effects on specific oncology stakeholders.

Opportunities for Oncology in the Patient Protection and Affordable Care Act

2013 ◽  
pp. 436-440
Author(s):  
Kavita K. Patel ◽  
Lisa Tran
Keyword(s):  
Health Care ◽  
Affordable Care Act ◽  
Access To Health Care ◽  
Improve Quality ◽  
Triple Aim ◽  
Patient Protection ◽  
Access To Health ◽  
Improve Health

The Patient Protection and Affordable Care Act (ACA) contains within it three significant legislative constructs: to enhance access to health care, improve quality, and decrease cost. Also known as the Triple Aim, these three simple, yet monumental, goals have been the object of actions to date as well as future implementation efforts. This article will identify sections of the legislation that would directly provide areas of opportunity to improve health and achieve the triple aim for the oncology profession.

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)

Sign in / Sign up

Export Citation Format

Share Document