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Public Administration - The Good, The Bad, The Ugly - Health Care Act Essay Example

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Public Administration - The Good, The Bad, The Ugly - Health Care Act

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Public Administration - The Good, The Bad, The Ugly - Health Care Act. ACA was a bill, which was brought forward by the U.S House of Representatives, in 2009 (Orszag,& Emanuel, 2010). Initially as drafted it never turned into a law. In order to support the policy, President Obama’s administration, and the Congress dedicated a lot of its time to putting forward reform of the US healthcare system. However, this policy needs a lot of reform in order to benefit many people, and also to seal the loopholes that exist in the system. This calls for policy modification to fit contemporary lifestyles and world.One of the modifications that is necessary for this is the establishment of irregular standards intended for certified benefits schemes. Presently, the policy holds that there should be the establishment of minimum standards designed for competent health- care benefits programs This implies that the minimum wage standards required for qualified Medicare benefits plan may be high for other citizens (Orszag,& Emanuel, 2010).

Then, the question of how the minimum standard is arrived at is complex. The rich people would quickly pay and gain from the health care benefits scheme.Moreover, some people may also be locked out in the scheme since the policy only concerns with the people who have attained the minimum standards required. This section of the policy should be reviewed to at least try and benefit the majority of the people given that economic disparity is real in the United States The subsidy offered to the low and middle-class earners is not enough. Also on the issue of preventing the health insurers from denying the coverage that is based on the patients’ medical history should be reviewed and modified. This is because not all the patients will have similar medical history, and consequently their coverage will be different. Low-income persons and families whose wages and salaries are up to about 100 % to 400% of the national poverty mark will receive federal subsidies on a descending scale (Orszag & Emanuel, 2010). This is if such individuals buy insurance through an exchange.Reforms to the health care payment schemes are meant to enhance greater effectiveness and productivity in the healthcare distribution plans by restructuring Medicare compensations from fee for service to hurried payments (Patient Protection and Affordable Care Act of 2010) . Moreover, in the new payment scheme, one payment is made. Public Administration - The Good, The Bad, The Ugly - Health Care Act.

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References

Berwick, D. M., & Hackbarth, A. D. (2012). Eliminating waste in US health care. Jama, 307(14), 1513-1516.

Huntington, W. V., Covington, L. A., Center, P. P., Covington, L. A., & Manchikanti, L. (2011). Patient Protection and Affordable Care Act of 2010: reforming the health care reform for the new decade. Pain Physician, 14(1), E35-E67.

Orszag, P. R., & Emanuel, E. J. (2010). Health care reform and cost control. New England Journal of Medicine, 363(7), 601-603.

Steinbrook, R. (2009). Health care and the American recovery and reinvestment act. New England Journal of Medicine, 360(11), 1057-1060.

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