The passing of Affordable Care Act is the highlight of the president Obama’s first term in the White house. Now that president Obama is re-elected, the affordable care act will be implemented in full during the next four years. There is no doubt that a large number of uninsured populations are a serious public health risk. Half of bankruptcies in the United States are triggered by illnesses and its financial consequences. Affordable Care Act provides health insurance provisions to the 32 million uninsured Americans. In the recent edition of New England Journal of Medicine, President Obama wrote “Supporters and detractors alike refer to the law as Obamacare. I don 't mind, because I do care. And because …show more content…
Under the proposed ACOs reimbursement model, the providers continue to receive ‘fee for service’ payments and hospitals will continue to receive their contracted payments based on DRGs. All spending for each patient is then tracked and compared retrospectively at the end of the year to calculate savings or losses. In other words, this is a retrospective global payment system. The current ACOs global payment system rewards primary care physicians at the cost of specialists (Rittenhouse, Shortell et al. 2009). ACOs are also expected to share savings with the hospitals to reduce their increasing …show more content…
The original estimate was that of $940 billion over a period of 10 years. 466 billion dollars will be used as subsidies to help those who are poor and cannot afford health insurance. $434 billion will be spent for the expansion of Medicaid and children’s health insurance plan. Small business will receive a tax credit worth of $40 billion for providing health insurance to their employees.
CBO and the staff of the Joint Committee on Taxation (JCT) estimate that enacting the legislation will produce a net reduction in federal deficits of $143 billion over the 2010-2019 periods. Global budgeting and strict expenditures caps—a strategy to limit the total amount of money that flows into the health care economy—are potentially the strongest cost-control measures. In essence, implementation of bundled payments does not add any extra cost even during the first 10 years.
Primary care physicians and