Assessment 1 The Affordable Care Act and Beyond

Complete a 3–5 page assessment template analyzing the impacts of The Affordable Care Act on the health care ecosystem we inhabit today and the related significance of one other health care ini"a"ve enacted since 2010.

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Introduc"on

The Pa"ent Protec"on and Affordable Care Act (PPACA or ACA) was signed into law by President Barack Obama in 2010. The ACA a#empts to increase access to care, reduce cost, and improve quality. The primary objec"ve was to provide healthcare insurance for Americans who had none. The law also extended coverage for those up to the age of 26 on their parents’ healthcare plans. It expanded Medicaid coverage to include those who had incomes 133% or less of the na"onal poverty level. It also prevented health insurance companies from kicking people out of their plans for preexis"ng condi"ons (Clobes, 2022). The law has been controversial due to the mandate that all people in the United States must purchase health insurance.

The U.S. government plays a significant role in the opera"on of the country's health care system. The U.S. federal government provides health services for approximately 21.2 million Americans within unique popula"ons, or 2.7% of the U.S. popula"on (CMS, 2020), through the Indian Health Service, Military Health Service, and Veterans Affairs Health Services. These services are generally provided through a comprehensive integrated health system administered by the Department of Health and Human Services (Indian Health Services), Department of Defense (Military Health Services), and Department of Veterans Affairs (U.S. military veterans) (Clobes, 2022). The Affordable Care Act (ACA) has further increased the role and involvement of the government in health care. All health care administrators must be knowledgeable on the role of the government. Numerous governmental organiza"ons exist, such as the U.S. Department of Health and Human Services (HHS), the Centers for Disease Control (CDC), the Na"onal Ins"tutes of Health (NIH), the Agency for Healthcare Research and Quality (AHRQ), the U.S. Food and Drug Administra"on (FDA), the Centers for Medicare and Medicaid Services (CMS), the Occupa"onal Safety and Health Administra"on (OSHA), and the Office of the Surgeon General to name a few. Each organiza"on exists for a specific purpose and has a specific mission. Your role as an administrator will be to understand the scope of these agencies and to help your organiza"on meet or exceed the governmental mandates imposed by each.

As leaders in our field, it is our responsibility to stay on top of current issues and laws and to be visionaries for our organiza"ons. Subscribing to email bulle"ns and alerts from the various governmental agencies is one way to stay abreast of changing regula"ons. The Centers for Medicare and Medicaid Services, HHS.gov, and Healthcare.gov are excellent resources that all administrators should check on a regular basis. The new care delivery model will need to op"mize clinical opera"ons and automate consistent workflows between providers, departments, and services (Clobes, 2022).

References Center for Medicare and Medicaid Services. (2020).

Na!onal Healthcare Expenditures.

Clobes, T. A. (2022). Introduc!on to the U.S. Healthcare System. Affordable Learning Solu"ons (AL$) & California Alliance for Open Educa"on (CAOpenEd).

The U.S. health care system was impacted significantly in 2010 by the Affordable Care Act (ACA). Although the ACA improved access to health care, it emphasized the need for policies that increase funding and to streamline enrollment. Since the implementa"on of the ACA, newer reform policies and ini"a"ves such as the Hospital Quality Ini"a"ve (2012), the Medicare Access and CHIP Reauthoriza"on Act (MACRA) (2015), the Merit-Based Incen"ve Payment System (MIPS), and the American Rescue Plan Act (2021) have increased quality ini"a"ves through regulatory laws. In this assessment, you will review the Affordable Care Act and other more recent ini"a"ves to understand the significance of quality evolu"on.

Reference Clobes, T. A. (2022). Introduc!on to the U.S. Healthcare

System. Affordable Learning Solu"ons (AL$) & California Alliance for Open Educa"on (CAOpenEd).

Instruc"ons

Using the Assessment 1 Template [DOCX], analyze the impacts of the ACA on the health care ecosystem we inhabit today. As part of this analysis, discuss the related significance of one other health care ini"a"ve enacted since 2010. Select this ini"a"ve from a list of the following four historical health care quality milestones:

The Hospital Quality Ini"a"ve (2012).

The Medicare Access and CHIP Reauthoriza"on Act (MACRA) (2015).

The Merit-Based Incen"ve Payment System (MIPS) (2015).

Although MIPS is a component of MACRA, you may choose to focus on it separately.

The American Rescue Plan Act (2021).

In your assessment template, include the following:

Title page.

Introduc"on.

Preview the main themes of your paper.

Annotated bibliography.

Demonstrate research ability by iden"fying three quality sources suppor"ng the ACA.

Demonstrate research ability by iden"fying three quality sources suppor"ng your chosen focused topic in health care legisla"on, a regulatory agency, or a quality ini"a"ve.

Summarize each of the six ar"cles separately to show comprehension of both topics.

Include APA cita"ons for each source.

Dra% a summary (1–2 pages) addressing how the ACA and the other topic selected have impacted today’s health care ecosystem.

Conclusion.

References.

Note: Your sources for this assessment must be evidence-based research, peer-reviewed journal ar"cles, or reliable primary sources from government or professional organiza"on publica"ons.

Addi"onal Requirements

Length: Your paper must be a minimum of 3–5 double-spaced pages, not including the "tle page and References sec"on.

Font: Times New Roman, 12 point.

References: Cite and summarize at least six peer- reviewed scholarly journal ar"cles or reliable primary sources from government or professional organiza"on publica"ons.

Style: Format your paper according to APA style. Refer to Evidence and APA for guidance.

Note: Please review the The Affordable Care Act and Beyond Scoring Guide before you begin the assessment.

Competencies Measured

By successfully comple"ng this assessment, you will demonstrate your proficiency in the course competencies through the following assessment scoring guide criteria:

Competency 1: Analyze current health reform, policy, and regula"on in U.S. health care.

Analyze peer-reviewed literature that discusses how the Affordable Care Act has impacted the quality of and access to care.

Analyze peer-reviewed literature that discusses how ini"a"ves since the Affordable Care Act have impacted the quality of and access to care.

Evaluate ways in which quality has improved or not improved since 2010.

Competency 4:& Communicate in a manner that is scholarly, professional, and respec&ul of the diversity, dignity, and integrity of others.

Write with minimal grammar, usage, spelling, and mechanical errors.

Apply proper APA forma'ng and cita"on style as required.

Scoring Guide Use the scoring guide to understand how your assessment will be evaluated.

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Criterion 1

Analyze peer-reviewed literature that discusses how the Affordable Care Act has impacted the quality of and access to care.

Dis"nguished

Analyzes peer-reviewed literature that discusses how the Affordable Care Act has impacted the quality of and access to care, and provides the full APA cita"on for each source.

Proficient

Analyzes peer-reviewed literature that discusses how the Affordable Care Act has impacted the quality of and access to care.

Basic

Describes peer-reviewed literature that discusses how the Affordable Care Act has impacted the quality of and access to care.

Non Performance

Does not describe peer-reviewed literature that discusses how the Affordable Care Act has impacted the quality of and access to care.

Criterion 2

Analyze peer-reviewed literature that discusses how ini"a"ves since the Affordable Care Act have impacted the quality of and access to care.

Dis"nguished

Analyzes peer-reviewed literature that discusses how ini"a"ves since the Affordable Care Act have impacted the quality of and access to care, and provides the full APA cita"on for each source.

Proficient

Analyzes peer-reviewed literature that discusses how ini"a"ves since the Affordable Care Act have impacted the quality of and access to care.

Basic

Describes peer-reviewed literature that discusses how ini"a"ves since the Affordable Care Act have impacted the quality of and access to care.

Non Performance

Does not describe peer-reviewed literature that discusses how ini"a"ves since the Affordable Care Act have impacted the quality of and access to care.

Criterion 3

Evaluate ways in which quality has improved or not improved since 2010.

Dis"nguished

Evaluates ways in which quality has improved or not improved since 2010, and provides relevant examples supported by current scholarly or professional sources.

Proficient

Evaluates ways in which quality has improved or not improved since 2010.

Basic

Describes ways in which quality has improved or not improved since 2010.

Non Performance

Does not describe ways in which quality has improved or not improved since 2010.

Criterion 4

Write with minimal grammar, usage, spelling, and mechanical errors.

Dis"nguished

Writes with superior grammar, usage, spelling, and mechanics.

Proficient

Writes with minimal grammar, usage, spelling, and mechanical errors.

Basic

Writes with some grammar, usage, spelling, and mechanical errors.

Non Performance

Writes with many grammar, usage, spelling, and mechanical errors.

Criterion 5

Apply proper APA forma#ng and cita"on style as required.

Dis"nguished

Applies flawless APA forma'ng and cita"on style.

Proficient

Applies proper APA forma'ng and cita"on style as required.

Basic

Applies inconsistent APA forma'ng and cita"on style.

Non Performance

Does not apply APA forma'ng and cita"on style.

Instruc"ons Resources Ac"vity 1

BHA-FPX4003 – Fall 2024 – Sec"on 02 Assessment 1

Assessment 1 Instruc"ons  

WalkMe Chat

11/10/24, 12:09 PM Page 1 of 1

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The Affordable Care Act and Beyond

Your Name School of Business, Technology, and Health Care

Administration, Capella University BHA-FPX4003: Present and Future State Developments within

the United States Health Care System Faculty

Date, Year �Template Instructions (delete this page after reading)

• Review the assessment scoring guide before you complete this template so that you understand the difference between “Distinguished,” “Proficient,” “Basic,” and “Non- Performance” grading levels.

• The headings in the template below are designed to correspond to the scoring criteria. Please maintain these headings.

• For this assessment, you will analyze the impacts of the Affordable Care Act on the healthcare ecosystem we inhabit today. As part of this analysis, you will also discuss the related significance of one other health care initiative enacted since 2010 selected from the following:

o The Hospital Quality Initiative (2012) o The Medicare Access and CHIP Reauthorization Act

(MACRA) (2015) o The Merit-Based Incentive Payment System (MIPS)

(2015) o The American Rescue Plan Act (2021)

• Please delete these instructions and all other instructions [contained in brackets] throughout the template prior to submitting this document for grading.

Introduction [Provide a brief introduction to the main themes of your

paper here.] Sources Addressing the Affordable Care Act

American Psychological Association. (2020). Publication manual of the American Psychological Association (7th ed.). https://doi.org/10.1037/0000165-000 Follow your citation [on a new line] with your information about the source. Tab to move the first line over so the annotation falls in line with the hanging indent. This could be a summary or a critical analysis for why this would be useful in addressing the topic of your paper. The entire page is double-spaced with no extra space after the paragraph. Your references will be in APA7 format with the hanging indent and in alphabetical order.

Author’s last name, First name initial. Middle initial. (Year of publication). Title of the book in italics. Publishing company. DOI or URL if available Follow your citation [on a new line] with your information about the source. Tab to move the first line over so the annotation falls in line with the hanging indent. This could be a summary or a critical analysis for why this would be useful in addressing the topic of your paper. The entire page is double-spaced with no extra space after the paragraph. Your references will be in APA7 format with the hanging indent and in alphabetical order.

Author’s last name, First name initial. Middle initial. (Year of publication). Title of the article. Title of the Journal in Italics, volume number(Issue number), pages used. DOI number Follow your citation [on a new line] with your information about the source. Tab to move the first line over so the annotation falls in line with the hanging indent. This could be a summary or a critical analysis for why this would be useful in addressing the topic of your paper. The entire page is double-spaced with no extra space after the paragraph. Your references will be in APA7 format with the hanging indent and in alphabetical order.

Sources Addressing [enter here the health care initiative after the ACA that you selected]

American Psychological Association. (2020). Publication manual of the American Psychological Association (7th ed.). https://doi.org/10.1037/0000165-000 Follow your citation [on a new line] with your information about the source. Tab to move the first line over so the annotation falls in line with the hanging indent. This could be a summary or a critical analysis for why this would be useful in addressing the topic of your paper. The entire page is double-spaced with no extra space after the paragraph. Your references will be in APA7 format with the hanging indent and in alphabetical order.

Author’s last name, First name initial. Middle initial. (Year of publication). Title of the book in italics. Publishing company. DOI or URL if available Follow your citation [on a new line] with your information about the source. Tab to move the first line over so the annotation falls in line with the hanging indent. This could be a summary or a critical analysis for why this would be useful in addressing the topic of your paper. The entire page is double-spaced with no extra space after the paragraph. Your references will be in APA7 format with the hanging indent and in alphabetical order.

Author’s last name, First name initial. Middle initial. (Year of publication). Title of the article. Title of the Journal in Italics, volume number(Issue number), pages used. DOI number Follow your citation [on a new line] with your information about the source. Tab to move the first line over so the annotation falls in line with the hanging indent. This could be a summary or a critical analysis for why this would be useful in addressing the topic of your paper. The entire page is double-spaced with no extra space after the paragraph. Your references will be in APA7 format with the hanging indent and in alphabetical order.

Impacts of the ACA and [enter here initiative you chose] on the U.S. Health Care Ecosystem

Affordable Care Act Overview [Explain the history, structure, and purpose of the

Affordable Care Act.] [Enter here the initiative you chose] Overview

[Explain the history, structure, and purpose of the (enter your selected initiative here).] Impact on the U.S. Health Care Ecosystem

• [Explain the relationship between the ACA and your chosen initiative.]

o [What groundwork did the ACA create to make your chosen initiative possible?]

• [Explain the present and future impacts of the ACA and your chosen initiative on the U.S. health care system.]

o [What groundwork does your chosen initiative create that could be expanded or extrapolated in future initiatives?]

o [Cite at least one scholarly/professional source to support your prediction(s).]

Conclusion [Based the sources and analysis you included in this paper,

answer the following question in one paragraph: “Does the future of U.S. health care appear to improve or decline?”]

References [Lastname, C. (2018). Title of the source without caps except

Proper Nouns or: First word after colon. The Journal or Publication Italicized and Capped, Vol#(Issue#), Page numbers.]

[Lastname, O. (2019). Online journal using DOI or digital object identifier. Main Online Journal Name, Vol#(Issue#), 159–192. doi: 10.1000/182]

[Lastname, W. (2021). If there is no DOI use the URL of the main website referenced. Article Without DOI Reference, Vol#(Issue#), 166–212. http://www.mainwebsite.org]

[NOTE: The above references are SAMPLES ONLY. For more information and example related to references, visit Capella’s Writing Center. You are responsible for submitting appropriate in-text and reference page citations.]

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