The Impact of the Affordable Care Act on the Safety Net - read free eBook in online reader or directly download on the web page. Select files or add your book in reader. Download and read online ebook The Impact of the Affordable Care Act on the Safety Net write by Laura Summer. This book was released on 2011. The Impact of the Affordable Care Act on the Safety Net available in PDF, EPUB and Kindle. The passage of the Patient Protection and Affordable Care Act (ACA) presents both opportunities and significant challenges for the safety net, a system of health care providers that primarily serve patients who otherwise cannot afford or gain access to care. In 2014, the ACA will extend health insurance coverage to more than 30 million currently uninsured people. The law also promises some significant investments to build provider capacity and help deliver care in a more coordinated manner. However, safety net providers are concerned that changes in the ACA regarding health care financing may affect the availability of adequate and sustainable funding as they continue to care for the most vulnerable consumers, particularly the millions who will still lack insurance. Safety net providers note that the successes of health reform and of the safety net are bound together as the health of the nation will not improve unless providers are available to deliver care. All providers recognize the need to plan strategically in anticipation of major changes in the health care system, but safety net providers also face the immediate challenge of responding to a significant increase in the demand for services that accompanied the recent recession. At the same time, cuts in Medicaid, the largest single revenue source for safety net providers, have occurred in states that face large budget deficits. Safety net providers must focus on sustaining current services while planning for the major changes to come in 2014 The ACA gives federal agencies the discretion to define critical terms and concepts in the law. The manner in which they are interpreted can have a profound impact on the viability of the safety net.
The Health Care Safety Net in a Post-Reform World
The Health Care Safety Net in a Post-Reform World - read free eBook in online reader or directly download on the web page. Select files or add your book in reader. Download and read online ebook The Health Care Safety Net in a Post-Reform World write by Sara Rosenbaum. This book was released on 2012-08-03. The Health Care Safety Net in a Post-Reform World available in PDF, EPUB and Kindle. The Health Care Safety Net in a Post-Reform World examines how national health care reform will impact safety net programs that serve low-income and uninsured patients. The “safety net” refers to the collection of hospitals, clinics, and doctors who treat disadvantaged people, including those without insurance, regardless of their ability to pay. Despite comprehensive national health care reform, over twenty million people will remain uninsured. And many of those who obtain insurance from reform will continue to face shortages of providers in their communities willing or able to serve them. As the demand for care grows with expanded insurance, so will the pressure on an overstretched safety net. This book, with contributions from leading health care scholars, is the first comprehensive assessment of the safety net in over a decade. Rather than view health insurance and the health care safety net as alternatives to each other, it examines their potential to be complementary aspects of a broader effort to achieve equity and quality in health care access. It also considers whether the safety net can be improved and strengthened to a level that can provide truly universal access, both through expanded insurance and the creation of a well-integrated and reasonably supported network of direct health care access for the uninsured. Seeing safety net institutions as key components of post-health care reform in the United States—as opposed to stop-gap measures or as part of the problem—is a bold idea. And as presented in this volume, it is an idea whose time has come.
America's Health Care Safety Net
America's Health Care Safety Net - read free eBook in online reader or directly download on the web page. Select files or add your book in reader. Download and read online ebook America's Health Care Safety Net write by Institute of Medicine. This book was released on 2000-09-04. America's Health Care Safety Net available in PDF, EPUB and Kindle. America's Health Care Safety Net explains how competition and cost issues in today's health care marketplace are posing major challenges to continued access to care for America's poor and uninsured. At a time when policymakers and providers are urgently seeking guidance, the committee recommends concrete strategies for maintaining the viability of the safety netâ€"with innovative approaches to building public attention, developing better tools for tracking the problem, and designing effective interventions. This book examines the health care safety net from the perspectives of key providers and the populations they serve, including: Components of the safety netâ€"public hospitals, community clinics, local health departments, and federal and state programs. Mounting pressures on the systemâ€"rising numbers of uninsured patients, decline in Medicaid eligibility due to welfare reform, increasing health care access barriers for minority and immigrant populations, and more. Specific consequences for providers and their patients from the competitive, managed care environmentâ€"detailing the evolution and impact of Medicaid managed care. Key issues highlighted in four populationsâ€"children with special needs, people with serious mental illness, people with HIV/AIDS, and the homeless.
The Impacts of the Affordable Care Act on Preparedness Resources and Programs
The Impacts of the Affordable Care Act on Preparedness Resources and Programs - read free eBook in online reader or directly download on the web page. Select files or add your book in reader. Download and read online ebook The Impacts of the Affordable Care Act on Preparedness Resources and Programs write by Institute of Medicine. This book was released on 2014. The Impacts of the Affordable Care Act on Preparedness Resources and Programs available in PDF, EPUB and Kindle. Many of the elements of the Affordable Care Act (ACA) went into effect in 2014, and with the establishment of many new rules and regulations, there will continue to be significant changes to the United States health care system. It is not clear what impact these changes will have on medical and public health preparedness programs around the country. Although there has been tremendous progress since 2005 and Hurricane Katrina, there is still a long way to go to ensure the health security of the Country. There is a commonly held notion that preparedness is separate and distinct from everyday operations, and that it only affects emergency departments. But time and time again, catastrophic events challenge the entire health care system, from acute care and emergency medical services down to the public health and community clinic level, and the lack of preparedness of one part of the system places preventable stress on other components. The implementation of the ACA provides the opportunity to consider how to incorporate preparedness into all aspects of the health care system. The Impacts of the Affordable Care Act on Preparedness Resources and Programs is the summary of a workshop convened by the Institute of Medicine's Forum on Medical and Public Health Preparedness for Catastrophic Events in November 2013 to discuss how changes to the health system as a result of the ACA might impact medical and public health preparedness programs across the nation. This report discusses challenges and benefits of the Affordable Care Act to disaster preparedness and response efforts around the country and considers how changes to payment and reimbursement models will present opportunities and challenges to strengthen disaster preparedness and response capacities.
Care Without Coverage
Care Without Coverage - read free eBook in online reader or directly download on the web page. Select files or add your book in reader. Download and read online ebook Care Without Coverage write by Institute of Medicine. This book was released on 2002-06-20. Care Without Coverage available in PDF, EPUB and Kindle. Many Americans believe that people who lack health insurance somehow get the care they really need. Care Without Coverage examines the real consequences for adults who lack health insurance. The study presents findings in the areas of prevention and screening, cancer, chronic illness, hospital-based care, and general health status. The committee looked at the consequences of being uninsured for people suffering from cancer, diabetes, HIV infection and AIDS, heart and kidney disease, mental illness, traumatic injuries, and heart attacks. It focused on the roughly 30 million-one in seven-working-age Americans without health insurance. This group does not include the population over 65 that is covered by Medicare or the nearly 10 million children who are uninsured in this country. The main findings of the report are that working-age Americans without health insurance are more likely to receive too little medical care and receive it too late; be sicker and die sooner; and receive poorer care when they are in the hospital, even for acute situations like a motor vehicle crash.
