scholarly journals The Implementation and Evaluation of the United States Affordable Care Act

2019 ◽  
Vol 12 (1) ◽  
pp. 17-38
Author(s):  
David Schultz
Keyword(s):  
United States ◽  
Health Care ◽  
Affordable Care Act ◽  
Access To Health Care ◽  
Care Delivery ◽  
The United States ◽  
Health Care Delivery System ◽  
Health Care Outcomes ◽  
The Us ◽  
American Health Care

In 2010 the United States Congress adopted the Patient Protection and Affordable Care Act (“ACA”), more commonly referred to as Obamacare. The ACA was proposed by President Barack Obama while running for president and it was passed with a near straight party-line vote of Democrats in the US House and Senate in 2010. The ACA was meant to address several problems with the American health care delivery system, including cost, access and outcomes. This article describes the major features of the ACA including the context of the US health care system, evaluates the ACA’s implementation history and assesses its fate and future reforms throughout the presidency of Donald Trump. The overall conclusion based on its implementation is that while the ACA made significant reforms in terms of access to health care, it is not clear that it addressed affordability or began to improve health care outcomes in the US.

scholarly journals The Use of Telehealth in School-Based Health Centers

2019 ◽  
Vol 6 ◽  
pp. 2333794X1988419 ◽  
Author(s):  
Hayley Love ◽  
Nirmita Panchal ◽  
John Schlitt ◽  
Caroline Behr ◽  
Samira Soleimanpour
Keyword(s):  
United States ◽  
Health Care ◽  
Public Schools ◽  
Health Care Access ◽  
Access To Health Care ◽  
Care Delivery ◽  
The United States ◽  
Health Centers ◽  
School Based ◽  
School Based Health Centers

Telehealth is a growing model of delivering health care. School-based health centers (SBHCs) provide access to health care for youth in schools and increasingly use telehealth in care delivery. This article examines the recent growth of telehealth use in SBHCs, and characteristics of SBHCs using telehealth, including provider types, operational characteristics, and schools and students served. The percentage of SBHCs using telehealth grew from 7% in 2007-2008 to 19% in 2016-2017. Over 1 million students in over 1800 public schools have access to an SBHC using telehealth, which represents 2% of students and nearly 2% of public schools in the United States. These SBHCs are primarily in rural communities and sponsored by hospitals. This growing model presents an opportunity to expand health care access to youth, particularly in underserved areas in the United States and globally. Further research is needed to fully describe how telehealth programs are implemented in school settings and their potential impacts.

What Is the Affordable Care Act a Case of? Understanding the ACA through the Comparative Method

2020 ◽  
Vol 45 (4) ◽  
pp. 677-691
Author(s):  
Holly Jarman ◽  
Scott L. Greer
Keyword(s):  
United States ◽  
Health Care ◽  
Welfare State ◽  
Affordable Care Act ◽  
Strong Support ◽  
The United States ◽  
The Us ◽  
The Affordable Care Act ◽  
Shed Light ◽  
The Welfare State

Abstract International comparisons of US health care are common but mostly focus on comparing its performance to peers or asking why the United States remains so far from universal coverage. Here the authors ask how other comparative research could shed light on the unusual politics and structure of US health care and how the US experience could bring more to international conversations about health care and the welfare state. After introducing the concept of casing—asking what the Affordable Care Act (ACA) might be a case of—the authors discuss different “casings” of the ACA: complex legislation, path dependency, demos-constraining institutions, deep social cleavages, segmentalism, or the persistence of the welfare state. Each of these pictures of the ACA has strong support in the US-focused literature. Each also cases the ACA as part of a different experience shared with other countries, with different implications for how to analyze it and what we can learn from it. The final section discusses the implications for selecting cases that might shed light on the US experience and that make the United States look less exceptional and more tractable as an object of research.

scholarly journals Health Care System Efficiency Analysis Of G12 Countries

2011 ◽  
Vol 3 (5) ◽  
Author(s):  
Sam Mirmirani ◽  
Matthias Lippmann
Keyword(s):  
Health Care ◽  
Health Care Delivery ◽  
Care Delivery ◽  
Health Care Expenditure ◽  
The United States ◽  
Health Care Delivery System ◽  
Data Envelopment ◽  
Single Payer ◽  
The Us ◽  
Universal Health Care Coverage

Data Envelopment analysis of the health care delivery system of G12 nations is presented here. Japan and Spain scored the highest and the US, the lowest level of relative efficiencies. Health care outputs are life expectancy and infant mortality. Inputs are per capita health care expenditure; population adjusted physicians, hospital beds, and MRI; and a proxy for the level of education. DEA tests are applied for the 1991-1995 period using both CCR and BCC models. The paper argues that the lack of universal health care coverage and a single payer system are among the problems that the United States needs to address in order to improve its health care delivery.

scholarly journals The Natural History of NAFLD, a Community‐Based Study at a Large Health Care Delivery System in the United States

2020 ◽  
Author(s):  
Lisa M. Nyberg ◽  
T. Craig Cheetham ◽  
Heather M. Patton ◽  
Su‐Jau Yang ◽  
Kevin M. Chiang ◽  
...  
Keyword(s):  
United States ◽  
Health Care ◽  
Natural History ◽  
Delivery System ◽  
Health Care Delivery ◽  
Care Delivery ◽  
The United States ◽  
Health Care Delivery System ◽  
Community Based ◽  
History Of

Emerging Organizational Structures in the Ambulance Industry in the United States

2000 ◽  
Vol 15 (1) ◽  
pp. 57-64 ◽  
Author(s):  
Richard A. Narad
Keyword(s):  
United States ◽  
Health Care ◽  
Public Policy ◽  
Healthcare System ◽  
Care Delivery ◽  
Demand Management ◽  
Organizational Structures ◽  
The United States ◽  
Health Care Delivery System ◽  
New Organizational Forms

AbstractThis analysis seeks to identify emerging forms of organizations in emergency medical services (EMS) in the United States, to provide examples of them, to relate them to changes in healthcare generally, and to apply a classification scheme. Public policy issues related to these new forms of organizations and lessons from other areas of the healthcare system are identified.Recent changes in the healthcare system in the United States have been marked by modifications in the structure of organizations that provide and pay for health services. New forms of organizations and alliances among existing organizations have emerged in an effort to improve the efficiency of the services provided and to improve organizations' market positions.Reflecting increased competition within EMS and the demands of the changing health-care delivery system, several types of organizations have begun to emerge in EMS that resemble those occurring in health care generally. These include forms of horizontal integration, such as consolidated ambulance services and various models of ambulance service networks; and forms of vertical integration, such as demand management programs and public-private joint ventures. The ultimate end might be complete integration with a carve-out of all non-scheduled care.Although changes in EMS organizations result largely from marketplace decisions by sellers and purchasers, this does not mean that there is no public policy role. While new organizational forms may increase the ambulance industry's efficiency, public policy makers must be concerned about quality and access as well. Some policy responses will promote marketplace changes, others will accept them generally, but will seek to correct problems, and a third group will attempt to restrain the market.

Sign in / Sign up

Export Citation Format

Share Document