March 21, 2010, was not EBP’s date of birth, but it may be the date the approach “grew up” and left home to take on the world
March 21, 2010, was not EBP’s date of birth, but it may be the date the approach
March 21, 2010, was not EBP’s date of birth, but it may be the date the approach “grew up” and left home to take on the world.
When the Affordable Care Act was passed, it came with a requirement of empirical evidence. Research on EBP increased significantly. Application of EBP spread to allied health professions, education, healthcare technology, and more. Health organizations began to adopt and promote EBP.
In this Discussion, you will consider this adoption. You will examine healthcare organization websites and analyze to what extent these organizations use EBP.
To Prepare:
- Review the Resources and reflect on the definition and goal of EBP.
- Choose a professional healthcare organization’s website (e.g., a reimbursing body, an accredited body, or a national initiative).
- Explore the website to determine where and to what extent EBP is evident.
Post a description of the healthcare organization website you reviewed. Describe where, if at all, EBP appears (e.g., the mission, vision, philosophy, and/or goals of the healthcare organization, or in other locations on the website). Then, explain whether this healthcare organization’s work is grounded in EBP and why or why not. Finally, explain whether the information you discovered on the healthcare organization’s website has changed your perception of the healthcare organization. Be specific and provide examples.
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What Are the Major Provisions of the Affordable Care Act (ACA)?
The Affordable Care Act (ACA), also known as Obamacare, is a comprehensive healthcare reform law that was enacted in the United States in 2010. It aimed to increase access to affordable healthcare, improve the quality of healthcare services, and reduce healthcare costs for individuals and the government. The ACA introduced several major provisions that have had a significant impact on the healthcare system. In this article, we will explore the key provisions of the Affordable Care Act and understand how they have transformed the healthcare landscape.
1. Introduction
The introduction will provide a brief overview of the ACA and its objectives. It will explain the significance of the major provisions covered in the article.
2. Overview of the Affordable Care Act (ACA)
This section will provide a comprehensive overview of the ACA. It will discuss the background, goals, and principles behind the legislation. The section will highlight the need for healthcare reform and the key challenges faced before the ACA was implemented.
3. Individual Mandate
3.1 Definition and Purpose
This subsection will define the individual mandate, which was a crucial provision of the ACA. It will explain its purpose, which was to ensure broad participation in the healthcare system to balance the costs and risks associated with providing coverage to individuals with pre-existing conditions.
3.2 Penalties for Non-compliance
Here, we will discuss the penalties imposed on individuals who fail to comply with the individual mandate. We will explain how the penalties were calculated and the impact they had on encouraging individuals to obtain health insurance coverage.
4. Health Insurance Exchanges
4.1 Definition and Purpose
In this section, we will define health insurance exchanges, which were established under the ACA. We will explain their purpose, which was to create marketplaces where individuals and small businesses could compare and purchase health insurance plans.
4.2 Subsidies and Affordability
Here, we will discuss the subsidies provided through the health insurance exchanges to make coverage more affordable for low and middle-income individuals. We will explore how these subsidies were determined based on income and the impact they had on increasing insurance coverage.
5. Medicaid Expansion
5.1 Expansion Criteria and Benefits
This subsection will discuss the Medicaid expansion provision of the ACA. We will explain the criteria for states to expand Medicaid eligibility and the benefits provided to newly eligible individuals. We will also highlight the impact of this expansion on the uninsured rate among low-income individuals.
5.2 Impact on Low-Income Individuals
Here, we will delve into the impact of Medicaid expansion on low-income individuals and families. We will discuss how the expansion improved access to healthcare services and reduced financial burdens for those who previously did not qualify for Medicaid.
6. Essential Health Benefits
6.1 Coverage Requirements
This section will explore the essential health benefits provision of the ACA. We will discuss the ten categories of essential health benefits that health insurance plans must cover, ensuring comprehensive coverage for individuals.
6.2 Preventive Services
Here, we will highlight the inclusion of preventive services as part of the essential health benefits. We will discuss the impact of this provision on promoting preventive care, early detection, and better health outcomes.
7. Pre-existing Conditions
7.1 Protection Against Discrimination
This subsection will explain the ACA’s provisions related to pre-existing conditions. We will discuss how the law prohibits insurance companies from denying coverage or charging higher premiums based on pre-existing conditions, ensuring access to insurance for individuals with prior health issues.
7.2 Guaranteed Issue and Renewability
Here, we will explain the guaranteed issue and renewability provisions, which prevent insurers from denying coverage or dropping policyholders based on their health status. We will emphasize the importance of these provisions in providing stability and security for individuals with pre-existing conditions.
8. Insurance Market Reforms
8.1 Prohibition of Lifetime Limits
In this section, we will discuss the ACA’s prohibition of lifetime limits on essential health benefits. We will explain how this provision protects individuals from facing catastrophic healthcare costs and ensures continued coverage for necessary treatments.
8.2 Dependents Coverage
Here, we will explore the provision that allows young adults to remain on their parents’ health insurance plans until the age of 26. We will discuss the impact of this provision on improving insurance coverage for young adults and reducing the number of uninsured individuals.
9. Employer Responsibilities
9.1 Employer-Sponsored Coverage
This subsection will explain the employer-sponsored coverage provisions of the ACA. We will discuss the requirements for large employers to offer affordable and comprehensive health insurance to their employees.
9.2 Employer Shared Responsibility Payment
Here, we will discuss the employer shared responsibility payment, also known as the employer mandate penalty. We will explain how it applies to employers who fail to offer adequate coverage to their employees and the impact it has on encouraging employers to provide healthcare benefits.
10. Closing the Medicare Part D Donut Hole
10.1 Prescription Drug Coverage
This section will discuss the provision of the ACA that aimed to close the coverage gap, known as the Medicare Part D donut hole, for prescription drugs. We will explain how this provision reduced out-of-pocket costs for seniors and improved access to necessary medications.
10.2 Cost Savings for Seniors
Here, we will highlight the cost-saving benefits experienced by seniors due to the closure of the Medicare Part D donut hole. We will discuss the financial relief provided to Medicare beneficiaries and the positive impact on their overall healthcare expenses.
11. Conclusion
The conclusion will summarize the key provisions discussed in the article and emphasize their significance in improving access to healthcare, protecting individuals with pre-existing conditions, and reducing healthcare costs. It will reinforce the transformative nature of the Affordable Care Act in reshaping the American healthcare system.
12. FAQs
12.1 What is the Affordable Care Act (ACA)?
This FAQ will provide a brief definition of the ACA and its objectives, serving as a quick introduction for readers who may be unfamiliar with the topic.
12.2 What is the individual mandate?
Here, we will address the common question regarding the individual mandate and its purpose in ensuring broad participation in the healthcare system.
12.3 How does the ACA protect individuals with pre-existing conditions?
This FAQ will explain the provisions of the ACA that protect individuals with pre-existing conditions, including the prohibition of discrimination and the guarantee of coverage.
12.4 What are health insurance exchanges?
In this FAQ, we will provide a concise explanation of health insurance exchanges and their role in facilitating the purchase of health insurance plans.
12.5 How does the ACA impact employers?
Here, we will discuss the impact of the ACA on employers, particularly the requirements related to employer-sponsored coverage and the employer shared responsibility payment.
The Affordable Care Act (ACA), also known as Obamacare, implemented several key provisions to reform the healthcare system in the United States. Here are 10 major provisions of the ACA:
- Individual Mandate: The ACA included an individual mandate, which required most Americans to have health insurance or pay a penalty. This provision aimed to ensure broad participation in the healthcare system and balance the costs and risks associated with providing coverage to individuals with pre-existing conditions.
- Health Insurance Exchanges: The ACA established health insurance exchanges, also known as marketplaces, where individuals and small businesses could compare and purchase health insurance plans. These exchanges provide a centralized platform for accessing affordable coverage options.
- Medicaid Expansion: The ACA expanded Medicaid eligibility criteria, allowing more low-income individuals and families to qualify for this government health insurance program. This provision aimed to improve access to healthcare for vulnerable populations and reduce the number of uninsured individuals.
- Essential Health Benefits: Under the ACA, health insurance plans were required to cover essential health benefits, including preventive services, maternity care, prescription drugs, mental health services, and more. This provision ensured that individuals had access to comprehensive and necessary healthcare services.
- Pre-existing Conditions Protection: The ACA introduced protections against discrimination based on pre-existing conditions. Insurance companies were prohibited from denying coverage or charging higher premiums based on an individual’s health status, ensuring that individuals with prior health issues could still obtain insurance.
- Insurance Market Reforms: The ACA implemented various market reforms, such as prohibiting insurance companies from imposing lifetime limits on essential health benefits. It also allowed young adults to remain on their parents’ health insurance plans until the age of 26, providing extended coverage for this age group.
- Employer Responsibilities: The ACA placed certain responsibilities on employers regarding healthcare coverage. Large employers were required to offer affordable and comprehensive health insurance options to their employees, promoting access to employer-sponsored coverage.
- Closing the Medicare Part D Donut Hole: The ACA aimed to close the coverage gap in Medicare Part D prescription drug plans, known as the “donut hole.” This provision gradually reduced out-of-pocket costs for seniors purchasing prescription medications, making medications more affordable.
- Preventive Services Coverage: The ACA emphasized the importance of preventive care by requiring health insurance plans to cover preventive services, such as vaccinations, screenings, and counseling, without cost-sharing. This provision aimed to promote early detection and prevention of illnesses.
- Medical Loss Ratio (MLR) Requirements: The ACA implemented MLR requirements, which mandated that insurance companies spend a certain percentage of premium dollars on healthcare services and quality improvement activities rather than administrative costs or profits. This provision aimed to increase transparency and ensure that a larger portion of premium dollars went toward actual healthcare services.
These provisions of the Affordable Care Act have had a significant impact on improving access to healthcare, protecting individuals with pre-existing conditions, and promoting affordability and quality in the American healthcare system.