NURS 6050 Politics and the Patient Protection and Affordable Care Act
Regardless of political affiliation, individuals often grow concerned when considering perceived competing interests of government and their impact on topics of interest to them. The realm of healthcare is no different. Some people feel that local, state, and federal policies and legislation can be either helped or hindered by interests other than the benefit to society.
Consider for example that the number one job of a legislator is to be reelected. Cost can be measured in votes as well as dollars. Thus, it is important to consider the legislator’s perspective on either promoting or not promoting a certain initiative in the political landscape.
• Review the Resources and reflect on efforts to repeal/replace the Affordable Care Act (ACA).
• Consider who benefits the most when policy is developed and in the context of policy implementation.
By Day 3 of Week 3
Post an explanation for how you think the cost-benefit analysis in terms of legislators being reelected affected efforts to repeal/replace the ACA. Then, explain how analyses of the votes views may affect decisions by legislative leaders in recommending or positioning national policies (e.g., Congress’ decisions impacting Medicare or Medicaid). Remember, the number one job of a legislator is to be re-elected. Please check your discussion grading rubric to ensure your responses meet the criteria.
NURS 6050 Politics and the Patient Protection and Affordable Care ActBy Day 6 of Week 3
Respond to at least two of your colleagues* on two different days by expanding on their explanation and providing an example that supports their explanation or respectfully challenging their explanation and providing an example.
Click on the Reply button below to reveal the textbox for entering your message. Then click on the Submit button to post your message.
*Note: Throughout this program, your fellow students are referred to as colleagues.
RE: Discussion – Week 3
The five social determinants of health include: economic stability, education access and quality, healthcare access and quality, neighborhood and built environment, and social and community context (U.S. Department of Health and Human Services, 2021).
Out of the 5 social determinants of health, healthcare quality and access to health care appears to be one of the domains the nation struggles with the most. The social determinates of health have such a major impact on individuals’ lives that Healthy People 2030 created one of their goals specifically based on these concepts. Their goal related to SDOH is as follows: “Create social, physical, and economic environments that promote attaining the full potential for health and well-being for all (U.S. Department of Health and Human Services, 2021).”
In regard to repealing and replacing the ACA with the AHCA, this would be counterproductive in overcoming the social determinants of health. These determinates are linked to a lack of resources and a lack of opportunity (CDC, 2019). If the AHCA was passed, millions of people would have lost their insurance and lost access to quality healthcare. This is a prime example of a lack of resources and a lack of opportunity. These determinates are all linked to each other. For example, if someone with no insurance has a medical emergency and must pay for medical services out of pocket, that now affects the determinate of economic stability (U.S. Department of Health and Human Services, 2021).”
U.S. Department of Health and Human Services. (2021). Social determinants of health. Social Determinants of Health – Healthy People 2030. Retrieved September 16, 2021, from https://health.gov/healthypeople/objectives-and-data/social-determinants-health.
Center for Disease Control and Prevention. (2019). NCHHSTP Social Determinants of Health. Center for Disease Control and Prevention. Retrieved September 16, 2021, from Social Determinants of Health | NCHHSTP | CDC.
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RE: Discussion – Week 3 Response 2
I couldn’t agree with you more, and I appreciate Dr. A.E.’s intentions in prompting this question and mentioning social determinants of health. Healthcare quality and access to health care is a major obstacle in healthcare reform. The ACA and AHCA not only strategize to increase access to health care by providing Americans affordable insurance options, but also include interventions to force the improvement of healthcare quality, which becomes a major source of contentions for economic healthcare stakeholders.
NURS 6050 Politics and the Patient Protection and Affordable Care ActAn example of this can be explored by discussing the AHCA element of transitioning care from a fee-for-service reimbursement model to a value based reimbursement model. This AHCA enforced change resulted in a major shift for many health care organizations. Fee-for-service reimbursement rewarded providers for the volume of services they provide, while the value-based approach payments are rendered based off of meeting agreed-upon quality and performance measures directly tied to patient outcomes. According to McHugh, M. D., et al, (2013), the AHCA’s Hospital Readmissions Reduction Program (HRRP) highly invests and highlights the value of quality measures and services offered by health care professionals outside of the provider, specifically nurses. HHRP penalizes hospitals with excessive readmission rates of Medicare beneficiaries; the primary objective of the HRRP is to reduce the rate of readmissions in accordance with the hospitals’ financial incentives with payers’ and patients’ quality goals (McHugh, M. D., et al, 2013). According to McHugh, M.D., et al, (2013), hospitals with higher nursing staff had 25 percent lower odds of being penalized compared to other similar hospitals with lower staffing. One can see why penalties like these would create resistance and motivation for repeal of the AHCA in primary healthcare economic stakeholders and highly influence their political affiliation despite social determinants of health.
McHugh, M. D., Berez, J., & Small, D. S. (2013). Hospitals With Higher Nurse Staffing Had Lower Odds Of
Readmissions Penalties Than Hospitals With Lower Staffing. Health Affairs, 32(10), 1740–1747.
Murphy, L. S., & Warshawsky, N. E. (2015). Nursing Education A Solution to Healthcare’s Gordian Knot?
JONA: The Journal of Nursing Administration, 45(6), 302–304. https://doi-
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RE: Discussion – Week 3
This is insightful. Affordable Care Act has provided opportunities for millions of Americans to get access to affordable healthcare services. The policy has greatly improved healthcare delivery processes in different healthcare institutions. Affordable Care policy was one of the focuses in the previous elections (Glied & Jackson, 2017). The creation and implementation of different policies in the healthcare system often impact a number of individuals. Particularly, nurses and general healthcare professionals, as well as patients, are mostly affected. The legislation on the Affordable Care Act involved consideration of different factors, including insurance policies from different health insurance companies (Laureate Education, 2018). Also, there was voting based on the party line. However, some of the legislators went beyond the party requirements to consider the impacts of the policy on the citizens. The repealing of the Affordable Care Act by the Trump administration was meant to influence the voting patterns in the subsequent election (Milstead & Short, 2019). The president knew that individuals who cast their votes based on the issues around the affordable care act would remain on his side in the upcoming election.
Glied, S., & Jackson, A. (2017). The future of the Affordable Care Act and insurance coverage. American journal of public health, 107(4), 538-540. Retrieved from: https://ajph.aphapublications.org/doi/full/10.2105/AJPH.2017.303665
Laureate Education (Producer). (2018). Introduction to Health Policy and Law with Joel Teitelbaum [Video file]. Baltimore, MD: Author.
Milstead, J. A., & Short, N. M. (2019). Health policy and politics: A nurse’s guide (6th ed.). Burlington, MA: Jones & Bartlett Learning.