Impact Of The ACA On Employee Stakeholders

In 2010, the United States created The Affordable Care Act (ACA). The objective was to share the responsibility of costs between the government, individuals, and employers to provide affordable access to quality health insurance. “However, health coverage remains fragmented, with numerous private and public sources, as well as wide gaps in insured rates across the U.S. population.” (“United States: International Health Care System Profiles,” n.d.). Each individual state within the US, generally has control over private insurance.

The Affordable Care Act (ACA) has been a topic of dispute since its introduction and continues to be discussed by politicians in the U.S. and throughout the world even after its passage. The Act has many opponents and is the cause of much controversy nationwide, primarily because it introduces higher healthcare costs for the richest citizens. Nevertheless, the ACA is an important stage in the American healthcare development process as it not only allows more people to receive healthcare services, but will also reduce the deficit. However, not everyone agrees. The policy is controversial in terms of cost vs. benefits, but the benefits ultimately outweigh the costs.

Nurse leaders play a vital role in establishing standards and leading organizational change. The effects of the Affordable care Act (ACA) on the healthcare industry is characterized by change (Delmatoff & Lazarus, 2014). Given this ACA paradigm transformation, I believe today’s nursing leaders must adapt quickly and assist new leaders to develop the skills necessary to envision and evaluate new healthcare delivery systems. According to Chism (2009), the roles of the doctor of nursing practice (DNP) prepared nurse graduates may be incorporated to meet the transformation of today’s contemporary healthcare. After reading the assigned material, I gained confidence that the DNP program will prepare me for eligible leadership roles within the healthcare industry.

Stakeholders are a big part of a healthcare organization. They play a major role in the Healthcare Delivery System that plays a part in the performance and the health of the organization. Five of the major stakeholders consist of government, providers (which includes doctors, nurses, pharmacists, and other healthcare providers), patients, insurance companies, and pharmaceutical companies. Based off of the healthcare delivery system where it stands now, there are some recommendations that the stakeholder can do to have a positive effect on the healthcare delivery system.

At last, the law gave new alternatives and motivating forces to help states rebalance their Medicaid long haul mind programs for group based administrations and backings as opposed to institutional care. All in all, these arrangements have quickened Medicaid advancement effectively in progress in numerous states. Also improved with the ACA besides Medicaid, is Medicare. The Affordable Care Act incorporates a progression of Medicare changes that will create billions of dollars in reserve funds for Medicare and fortify the care Medicare recipients get. The new law secures ensured benefits for all Medicare recipients, and gives new advantages and administrations to seniors on Medicare that will help keep seniors solid. The law likewise incorporates arrangements that will enhance the nature of care, create and advance new models of care conveyance, suitably value administrations, modernize our wellbeing framework, and battle waste, extortion, and mishandle. A big topic that is affected from ACA is businesses. The Patient Protection and Affordable Care Act -- otherwise known as Obamacare -- is putting such a small dent in the profits of U.S. companies that many refer to its impact as 'not material' or 'not significant. Even after a provision went into effect this year requiring companies with 50 or more full-time workers to provide coverage, and after more workers are choosing to enroll in existing company coverage because of another requirement that all Americans get

Despite the fact that the ACA is intended to be great ideology, it has affected three components of the current health care system operation, policy, procedure, and implementation. The first key factor the ACA has affected is the relationships of the health care system at large, as such individuals are mandated to have health insurance and insurers are forced to accept individuals who would

” If we continue spending at current projected levels, the U.S. economy will be exposed to the risk of a sovereign debt crisis that would force economically crippling tax increases or sudden and severe cuts in government spending that would have long lasting negative consequences for U.S. economic growth and employment.” (Howard, 2011) Many small businesses have had to close their doors due to lack of company profit to off-set the cost of insurance to their employees. In addition, many businesses lay off workers to balance the new financial burden. This left numerous amounts of people left unemployed and now insured under government insurance (Medicaid and Medicare) as a result. Howard (2011) describes the pay or play that is mandated for these business owners, for

This paper works to review the Affordable Care Act (ACA) and its impact over the past 6 years. Through this paper, the Act enacted by President Obama in 2010 will be closely examined. The areas of focus in this paper are the conditions that led to reform, the key points of the ACA, and the impact the ACA has had on the country, and more specifically, the nursing profession. The first part will briefly explain the state of the country when the ACA was enacted. Later, within the key points of the ACA portion, this paper will identify important changes made to the health care delivery system, such as incentives, and the Pay-for-Performance (P4P) program. Finally, the paper will conclude by outlining the impact the ACA has had on the country, as well as on the nursing profession

There are benefits to the industry when considering stabilizing the gains made by the ACA provisions. From a societal perspective, the ACA has been successful in making health insurance more widely available and attainable. The success of the ACA in reducing the uninsured population, one of the primary goals of the legislation, has been well documented. Blumberg, Garrett, & Holahan (2016) found a 46% reduction in the number of nonelderly adults without insurance as of March 2015. Without the ACA, there would have been 39.3 million uninsured nonelderly adults (Blumberg, 2016).

The purpose of this report is to clarify how to account for a more than 2% shareholder S Corporation Owners’ Health insurance from a payroll perspective, in light of the Affordable Care Act (ACA) marketplace reforms. Additionally, for the small business S corporation; is it possible to assist employee’s with health insurance premiums without running afoul of marketplace reforms? The internet is rampant with conflicting advice on these seemingly simple questions. The most recent guidance from the IRS (notice 2015-17) is more of a reprieve on penalties, rather than guidance. Additionally, the June 30, 2015 deadline for reprieves has passed; which has accountants and taxpayers waiting for additional “guidance” while sorting out

It was stated earlier in this paper that big businesses would benefit from this law; however, the exact opposite is true for small businesses. Businesses will be forced to provide healthcare for their employees or pay a fine, something they may not be able to afford. This may result in employees’ hours being cut or even the termination of the employee (“ObamaCare”).

The implementation of the Affordable Care Act (ACA), popularly known as “Obamacare”, has drastically altered healthcare in America. The goal of this act was to give Americans access to affordable, high quality insurance while simultaneously decreasing overall healthcare spending. The ACA had intended to maximize health care coverage throughout the United States, but this lofty ambition resulted in staggeringly huge financial and human costs.

Employee health benefits are undergoing a radical change due the passage of the Patient Protection Affordable Care Act in March 2010, employers are having to re-evaluating how and if they will be provide health benefits to their employees (Grant Thornton LLP, 2013). According to Dunn, Kirsschner, & Livingston (2014) the PPACA has created new complications into collective bargaining negotiations over health insurance benefits. Especially in firms like GMFC which employs a large numbers of workers (50,000) who must now comply with federal statutes delegated by the PPACA (Dunn, Kirsschner, & Livingston, 2014). According to Grant Thornton LLP (2013), “Employer-sponsored health care plans have been one of the major sources of health insurance in the United States and cover an estimated 149 million people” (p. 3). Additionally, the use of health care plans in benefit packages has been a critical factor for employers in recruiting and retaining quality employees (Grant Thornton LLP, 2013).

The advent of the Affordable Care Act was an ambitious achievement. However, it results in insurance companies remaining in a significantly dominant role, counts on economic forces to control rising healthcare costs, and maintains large employers in charge of most people’s health care.

         The majority of healthcare organizations have not made any significant response changes in response to the increased number of individuals covered as a result of the affordable healthcare act (ACA).  Many organizations are taking a wait-and-see attitude. This is largely because they're not sure as to what this increase coverage means to the usage of healthcare in the future. Some are prediction that there will be a shortage of physicians as a result of these changes, this currently does not seem to be the trend. Many individuals who were not covered in the past