NUR 621 Topic 1 DQ 1

Discussion: What health policy do you believe has had the greatest impact on health care in the United States?

NUR 621 Topic 1 DQ 1 Assessment Description

What health policy do you believe has had the greatest impact on health care in the United States? Explain your rationale.

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NUR 621 Topic 1 DQ 1 Sample

Among all the health policies ratified in the US, the Patient Protection and Affordable Care Act (ACA) of 2010 has brought positive-changing reforms to America’s healthcare system. This individual legislation reshaped healthcare broadly, whose far-reaching effects echo and resonate in how the setting works regarding accessibility, quality, and affordability. Even today, its extensive coverage defines how healthcare policy is set and implemented from multiple perspectives.

ACA redefined financing and healthcare delivery and drastically affected the American healthcare system. As indicated by the findings from research studies, this effect has been fueled by provisions in the act that connote an increase in subsidies for privately insured policies and Medicaid coverage (Glied et al., 2020; Walston & Johnson, 2021).  NUR 621 Topic 1 DQ 1 The Office of the Secretary of Health and Human Services supports these provisions, stating that they have reduced the number of people without health insurance (Glied et al., 2020). Other aspects of health reform under the ACA also aim to ensure continuity of care and financial risk protection for those with health issues.

ACA’s value-based care model has shifted the focus of health care from quantity to quality-based delivery. Diana et al. (2019) show that this model promotes improved care coordination and outcomes through the Hospital Readmissions Reduction Program and the introduction of Accountable Care Organizations. In response to all these adaptions, many healthcare professionals have prioritized patients’ outcomes and preventive care.

NUR 621 Topic 1 DQ 1 Along with promoting high-quality healthcare, the ACA’s regulations transform the economic setting of the healthcare system. The act changed Medicare payment methods, fees, and penalties to prompt selected health insurance practices and deal with minimum medical loss ratios for insurance providers (Glied et al., 2020). Stakeholder analysis indicates that providers, insurers, and patients have benefited from the ACA enactment (Leger, 2021). This legislation has thus encouraged ingenuity in healthcare payment and delivery systems by providing more options to patients and providers and a more workable system over time.

NUR 621 Topic 1 DQ 1 References

Diana, M. L., Zhang, Y., Yeager, V. A., Stoecker, C., & Counts, C. R. (2019). The impact of accountable care organization participation on hospital patient experience. Health Care Management Review, 44(2), 148–158. https://doi.org/10.1097/hmr.0000000000000219

Glied, S. A., Collins, S. R., & Lin, S. (2020). Did the ACA lower Americans’ financial barriers to health care? Health Affairs, 39(3), 379–386. https://doi.org/10.1377/hlthaff.2019.01448

Leger, M. (2021). Financial management for nurse managers: Merging the heart of the dollar (5th ed.). Jones and Bartlett. ISBN-13: 9781284230932

Walston, S. L., & Johnson, K. L. (2021). Healthcare in the United States: clinical, financial, and operational dimensions. Health Administration Press; Washington, DC. NUR 621 Topic 1 DQ 1