scholarly journals Disability-Related Disparities in Access to Health Care Before (2008–2010) and After (2015–2017) the Affordable Care Act

2019 ◽  
Vol 109 (7) ◽  
pp. 1015-1021 ◽  
Author(s):  
H. Stephen Kaye
Keyword(s):  
Health Care ◽  
Affordable Care Act ◽  
Access To Health Care ◽  
Access To Health ◽  
The Affordable Care Act

Insurance Type and Access to Health Care Providers and Appointments Under the Affordable Care Act

Medical Care ◽  
2018 ◽  
Vol 56 (2) ◽  
pp. 186-192 ◽  
Author(s):  
Héctor E. Alcalá ◽  
Dylan H. Roby ◽  
David T. Grande ◽  
Ryan M. McKenna ◽  
Alexander N. Ortega
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Affordable Care Act ◽  
Access To Health Care ◽  
Care Providers ◽  
Insurance Type ◽  
Access To Health ◽  
The Affordable Care Act

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 ACA's Choice Problem

2020 ◽  
Vol 45 (4) ◽  
pp. 501-515
Author(s):  
Allison K. Hoffman
Keyword(s):  
Health Care ◽  
Health Policy ◽  
Affordable Care Act ◽  
Access To Health Care ◽  
Care Delivery ◽  
Health Plans ◽  
Vicious Cycle ◽  
Love Affair ◽  
Policy Theory ◽  
Access To Health

Abstract The Affordable Care Act (ACA) is in many ways a success. Millions more Americans now have access to health care, and the ACA catalyzed advances in health care delivery reform. Simultaneously, it has reinforced and bolstered a problem at the heart of American health policy and regulation: a love affair with choice. The ACA's insurance reforms doubled down on the particularly American obsession with choice. This article describes three ways in which that doubling down is problematic for the future of US health policy. First, pragmatically, health policy theory predicts that choice among health plans will produce tangible benefits that it does not actually produce. Most people do not like choosing among health plan options, and many people—even if well educated and knowledgeable—do not make good choices. Second, creating the regulatory structures to support these choices built and reinforced a massive market bureaucracy. Finally, and most important, philosophically and sociologically the ACA reinforces the idea that the goal of health regulation should be to preserve choice, even when that choice is empty. This vicious cycle seems likely to persist based on the lead up to the 2020 presidential election.

scholarly journals The Role of Limited English Proficiency and Access to Health Insurance and Health Care in the Affordable Care Act Era

Health Equity ◽  
2020 ◽  
Vol 4 (1) ◽  
pp. 509-517
Author(s):  
Andriana M. Foiles Sifuentes ◽  
Monica Robledo Cornejo ◽  
Nien Chen Li ◽  
Maira A. Castaneda-Avila ◽  
Jennifer Tjia ◽  
...  
Keyword(s):  
Health Care ◽  
Health Insurance ◽  
Affordable Care Act ◽  
Limited English Proficiency ◽  
English Proficiency ◽  
Access To Health ◽  
The Affordable Care Act

scholarly journals Compact for care: how the Affordable Care Act marketplaces fell short for a vulnerable population in Hawaii

2021 ◽  
Vol 6 (11) ◽  
pp. e007701
Author(s):  
Joshua S Ng Kamstra ◽  
Teresa Molina ◽  
Timothy Halliday
Keyword(s):  
Health Care ◽  
Affordable Care Act ◽  
Access To Health Care ◽  
Care Delivery ◽  
Free Association ◽  
Marshall Islands ◽  
Health Coverage ◽  
Government Programs ◽  
Access To Health ◽  
The Usa

The Patient Protection and Affordable Care Act (ACA) was passed in 2010 to expand access to health insurance in the USA and promote innovation in health care delivery. While the law significantly reduced the proportion of uninsured, the market-based protection it provides for poor and vulnerable US residents is an imperfect substitute for government programs such as Medicaid. In 2015, residents of Hawaii from three Compact of Free Association nations (the Federated States of Micronesia, Palau and Marshall Islands) lost their eligibility for the state’s Medicaid program and were instructed to enrol in coverage via the ACA marketplace. This transition resulted in worsened access to health care and ultimately increased mortality in this group. We explain these changes via four mechanisms: difficulty communicating the policy change to affected individuals, administrative barriers to coverage under the ACA, increased out of pocket health care costs and short enrolment windows. To achieve universal health coverage in the USA, these challenges must be addressed by policy-makers.

scholarly journals The Limits of Medicaid Reform in Pennsylvania: Thinking Regionally about Access to Insurance and Health Care under the Affordable Care Act

Commonwealth ◽  
2016 ◽  
Vol 18 (2) ◽  
Author(s):  
Michele Moser Deegan ◽  
A. Lanethea Mathews-Schultz
Keyword(s):  
Health Care ◽  
Affordable Care Act ◽  
Low Income ◽  
Health Care Access ◽  
Access To Health Care ◽  
Medicaid Expansion ◽  
Medicaid Reform ◽  
Health Delivery ◽  
Care Access ◽  
The Affordable Care Act

States’ varied decisions with respect to Medicaid expansion under the Affordable Care Act have drawn significant attention to questions about equity across states. Missing from the conversation is consideration of the varied impact that reform will have within states. This article considers how low-­income Pennsylvanians will fare under Medicaid expansion. Although Medicaid reform has already expanded access to insurance to significant numbers of low-­income residents in the state, improvements in access to health care are mediated by pre-­existing regional inequalities in social determinants of health and by Pennsylvania’s system of health governance. Drawing on lessons gleaned from the literature on regionalism, and examples of success in states that have adopted regional approaches to health delivery, we offer a theoretical approach for thinking regionally in Pennsylvania by building opportunities and capacities for cross-­jurisdictional approaches to health and health care access.

Using Technology to Improve Access to Health Care for Culturally and Linguistically Diverse Populations

2012 ◽  
Vol 19 (3) ◽  
pp. 71-76 ◽  
Author(s):  
Pauline A. Mashima
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Access To Health Care ◽  
Underserved Populations ◽  
Linguistically Diverse ◽  
Care Providers ◽  
Department Of Health ◽  
Use Of Technology ◽  
Access To Health ◽  
Improve Access

Important initiatives in health care include (a) improving access to services for disadvantaged populations, (b) providing equal access for individuals with limited or non-English proficiency, and (c) ensuring cultural competence of health-care providers to facilitate effective services for individuals from diverse racial and ethnic backgrounds (U.S. Department of Health and Human Services, Office of Minority Health, 2001). This article provides a brief overview of the use of technology by speech-language pathologists and audiologists to extend their services to underserved populations who live in remote geographic areas, or when cultural and linguistic differences impact service delivery.

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