Mary Kennedy
Grand Canyon University
HCA 530
Healthcare Policies and Economics
Professor Steve Klense
Contemporary Health Care Issue: The Affordable Care Act
Introduction
More than 45 million Americans are uninsured. Even those that do have health insurance often face financial and other barriers when getting healthcare. The Affordable Care Act (ACA) removes most of these financial barriers (Kocher, Emanuel, & DeParle, 2010). The ACA guarantees access to healthcare and creates new incentives to change clinical practice, but some might be surprised to learn that the financial price tag attached goes beyond healthcare costs and taxes which all Americans will pay for costs associated with the ACA are passed (Unknown, 2012).
Differences in How Organizations are Impacted
No matter if a corporation is for profit or not for profit the new Affordable Care Act (ACA) will have a significant impact. From the employers’ perspective, the ACA has provisions that mandated the expansion of dependent coverage and removed the lifetime dollar limits on overall benefits in 2010. All employers, either profit or not for profit, are subject to this play or pay requirement in the ACA that begins in 2014 and business’ that have 50 or more employees will no longer be able to develop health benefits coverage for their employees that keep their costs down (Wojcik, 2013).
Employers have to start looking at the health insurance plans they offer to see if the plans stand the test in order to avoid penalties. Under the ACA, the plans offered by employers have to be comprehensive and affordable. Additionally, the plan defines full time employee for the purpose of this provision and the determinations based on how often, how long and how consistently the employee works 30 hours or more. The method includes a look back measurement period of three months to one year and average the hours to determine if the employer has to
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