Health Care Utilization Paper
July 22, 2013
University of Phoenix
Health Care Utilization Paper
The Patient Protection and Affordable Care Act one of the most controversial pieces legislation of the last 50 years was signed into law by President Obama on March 23, 2010. The Affordable Care Act was designed to put control of health care back into the hands of individuals, families, and small business owners. This paper will discuss the ways health care reform has expanded access to care; how these reforms will influenced the utilization of health care; this paper will explain the difference between these reforms and universal health care: and my personal experience ...view middle of the document...
Now children can stay on their parent’s health care insurance if their married, not living with their parents, attending school, not financially dependent their parents or they are eligible to enroll in their employer’s plan.
Health care access is also increases by expanding Medicaid coverage for the poorest Americans. This law creates minimum Medicaid income eligibility levels. According to "Medicaid.gov" (n.d.),”starting in January 2014, people under the age of 65 with an income 133 % below the federal poverty line will be eligible for Medicaid.” This will be the first time that single adults who live in poverty will be able to get Medicaid in all 50 States without requiring waiver. This is also the first time that Parents of children in every state will have a uniform income level to qualify for Medicaid. Because of these changes Medicaid and Children’s Health Insurance Programs (CHIP) Eligibility and Enrollment will be easier expanding access to care.
How reforms influence access and utilization of health care
The Marketplace will give consumers a chance to find health care coverage that fits their budget; this effect should increase the number of people who visits the doctor. This marketplace is an attempt to create cheaper insurance options and provide coverage for millions of Americans who could not previously afford it ("Healthcare.gov", n.d.). The Market will have insurance plans offered by private companies, but every plan must have essential health benefits. These benefits will increase health care utilization because they offer ambulatory patient services; people have coverage for emergencies, hospitalization, giving birth, mental health, substance abuse, prescription drugs, rehabilitative services, laboratory, preventive, and well services and pediatrics. These benefits are the minimum of what each health care plan will offer in the Market. With more people having access to this type of care, will put pressure on the health care industry like never before.
Another way these reforms increase the use of the health care delivery system is by giving people a greater choice and easier access to health care providers. Giving people more options and lower cost to health care will increase their desire to see providers. The Affordable Health Care also gives consumers the right to choose any health care provider in a plan’s provider network, something that was not always true in the past. Plans can still assign a provider until the consumer selects’ one.
Another way that the new reforms will increase health care utilization is, for the first time part- time employees will be able to have coverage. If a part-time worker’s job does not offer health insurance they may qualify to get lower cost health insurance based on income and household size ("Healthcare.gov", n.d.). Because of this more people may be eligible to receive coverage through Medicaid. The new reforms also make a drastic change to women’s health by allowing them...