Three goals of the ACA - answer -Decrease the number of uninsured.
-Increase the quality and efficiency of health care.
-Slow the rising costs of health care.
Affordable Care Act - answer •Passed in response to
-Rising healthcare costs
-Large numbers of uninsured Americans
ACA In 2010 - answer -The average cost of health care was $8,402 per person.
-Total costs were $2.6 trillion or 17.9% of gross domestic product (GDP), increased
from 7.2% in 1970.
Timeline for Implementing the ACA - answer •Parts of the ACA started in 2010.
•Additional parts of the ACA were implemented each successive year.
•All parts of the ACA completed by 2018.
Programs Established to Control Costs and Improve the Quality of Health Care - answer
•Incentives for healthcare providers to improve outcomes
•Goal—lower hospital readmissions and lower costs
•The Hospital Readmission Reduction Program (HRRP)
•New payment reforms, such as bundling payments for episodes of care
Unpopular Parts of the ACA - answer •The ACA of 2010 required all states to expand
Medicaid to nonpregnant adults less than 65 years of age with incomes 138% of the
federal poverty level (FPL).
•all American citizens and permanent residents were required to have minimum
essential coverage or pay a fine.
Contraceptive CoverageIncreased by ACA - answer •The ACA requires all health
insurance policies to cover women's preventive health services including Food and Drug
Administration (FDA) approved prescription contraceptives and counseling on birth
control methods.
Medicaid Expansion - answer •The uninsured rate fell from 28% to 17% for adults
with incomes less than 100% of the FPL in Medicaid-expanding states
•The rate remained unchanged—36% in non-expanding states.
the cost of the premium varied by plan. - answer Plans offered a choice at the
bronze, silver, gold, and platinum levels
, Uncompensated care: - answer Estimates are that uncompensated care costs were
lowered by $5.7 billion in 2014.
HRRP includes - answer incentives for healthcare providers to improve the quality
and efficiency of health care.
Medicare Shared Savings Program - answer rewards ACOs that reduce the rate of
growth in healthcare spending while providing quality care.
Medical Technology - answer •Medical technology includes a multitude of products
used to diagnose and monitor human conditions and diseases.
• available to treat diseases that were once considered high risk or even fatal and
includes instruments used to perform less invasive operations.
Examples of Medical Technology - answer •New medical and surgical procedures
•Drugs
•Medical devices
Factors Influencing Development of New Medical Technology - answer •Healthcare
practitioners
•Consumers
•Health insurance systems
Biomedical Engineers - answer persons who use their knowledge of biology,
medicine, technology, and mechanical engineering to research and develop new
equipment.
Health IT - answer Healthcare practitioners need the right information at the right
time in order to make the right decisions.
•Leveraging the many forms of health IT influences the probability of this happening.
Clinical decision support system (CDSS) - answer -The variety of technologies that
provide healthcare practitioners with diagnostic and treatment recommendations
electronic health record (EHR) - answer refers to an individual patient health record
stored in a computer database for easy access by physicians and other healthcare
workers.
Implementation of EHRs - answer Physicians and hospitals are eligible to receive
incentive payments if they prove their use of EHR systems meets certain criteria.
Meaningful Use Criterion - answer •Patient portal
•Computerized physician order entry system
•Significant benefit of EHRs is that information can be shared with other providers
across different healthcare organizations.
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