If the individual mandate is declared unconstitutional because the Supreme Court decides the Commerce Clause is insufficient to give Congress such authority, then the primary 'funding' source for many of the other provisions in the ACA will disappear and the Act will fail. From Congresses' point-of-view the Commerce Clause gives them the authority to impose a penalty for not purchasing qualified health insurance because any activities that have an impact on interstate commerce fall under their jurisdiction (Ittleman par
For this reason, the ACA has been a lightning rod for lawsuits since the day it was signed. It therefore should come as no surprise that close to 30 lawsuits have been filed in federal courts challenging the constitutionality of the ACA since its inception 19 months ago (Stolzfus and Hall 1)
Exemptions are provided for low-income individuals and families, Native Americans, undocumented immigrants, or anyone between jobs for less than three months. The contention that the individual mandate wouldn't stir up considerable controversy, especially in a country that treasures individual freedoms, is simply dishonest (Tennant par
However, the legal status of those people needs to be clarified, the borders need to be secured and any person that is a financial or criminal scofflaw in the United States and is not a citizen should be deported for contributing to the mess that is the current healthcare system. Using civil/criminal actions against those folks does little good so simply expelling them and keeping the borders locked tight should suffice (Somashekhar, 2015)
More competition through multiple (and well-regulated) exchanges should make healthcare more accessible, more convenient and the prices should probably drop if overall coverage of people rises. However, depending on how it happens, it could hurt employees (Tracer, 2015)
There are citizens who live with conditions that are life threatening like HIV and other infections which would prove to be either ineligible for insurance or extremely expensive to cover with the insurance. The ACA has proven to be of great help to such individuals since even those who thought they were uninsurable are now insured and the high prices of obtaining health insurance has tremendously gone down (Michelangelo S., 2014)
Another 14.1 million Americans benefited from the new Medicaid expansion with a consequent increase in insurance from the employers (The Atlantic Monthly Group, 2015)
Examples of these types of information and programs include care coordination, chronic disease management, improvement of patient safety, prevention of hospital readmissions, and promotion of wellness and health. Reducing the Cost of Health Care Coverage Under the ACA, the Secretary can enforce provisions that require health insurance companies to publicly report the ratio of incurred loss or incurred claims, plus the loss adjustment expense and quality to earned premiums (Furman, 2014)
Cynthia Cox (and colleagues) use the Kaiser Family Foundation website to point out that as of 2014, there were 23 states where exchanges offer competitive rates for plans. Connecticut was ranked #2 in the nation in terms of signing up "potential exchange enrollees"; using competitive intelligence strategies, Connecticut offered "market exclusivity" to those companies that first agreed in 2014 to participate in exchanges (Cox, 2014)
Texas is divided up into 26 regional geographic areas, and within each of those 26 areas numerous different plans are being offered. In the larger Texas cities, with more health insurance options, consumers "…actually pay slightly higher premiums than consumers in smaller-population areas with fewer plans" (Falk, et al
What Rovner emphasizes in this podcast is not a lot of information about competition between insurers, but rather the problems that people are having with too few plans. Mark Shepard from Harvard University points out that by January, 2015, more than 75 million people were covered by insurance from exchanges, including Medicare, Medicaid and the Affordable Care Act (Shepard, 2015)
The data analytics involves collecting the consumer information in an intelligent way to assist the Maryland to align customer behaviors with action, which assist in improving healthcare. (Abrams, Nuzum, Mika, et al
A "patient-centered medical home" is a typical example of the non-physician personnel. (Chin, Hamermesh, Huckman, et al
The process improvement is the highest ranking item. However, the authors identify data analytics, disease management, "non-physician delivery alternatives," and "alternative to fee-for service" (McLaughlin, & McLaughlin, 2014 p 335) as other innovation items that can enhance quality and reduce costs
Given a documented relationship between lifestyle, healthcare costs and high burden of disease, it makes medical and economic "sense to hold individuals morally responsible for their health related choices." (Resnik, 2007 p 444)
The authors of the study that came up with these findings stated that almost 95-000 nuns worldwide pay a heavy price for chastity. These women face a greater risk of developing cancer of the ovary, breast and uterus (Jaslow, 2011)
The Supreme Court upheld the ACA and its expansion in a fragmented and complicated opinion that saw it also limit the ability of the federal government to hold back federal Medicaid funds unless states accept and comply with the ACA Medicaid requirements for expansion. The expansion requirements include non-pregnant women below the age of 65 with income that falls below 133% of the poverty levels determined by The Federal Government (FPL) for eligibility for Medicaid benefits (Swendiman and Baumrucker 2012)
This will make it easier to convince others of the change because there will be people throughout the company that know what the change is, know why it is necessary and they can then translate this to the other people in the firm. If this is not done, some might go so far as to undermine the change management process and thus make the implementation of the change hard (if not impossible) to pull off (Al-Abri, 2007)
For example, if the network is rather slow or there are data integration and compatibility issues, this would obviously be a major reason to start making plans and thus starting the project, implementation and upgrade process. Further, there is obviously a huge push in the healthcare information technology realm to keep things modern and make everything as electronic yet secure as possible so that information flows freely but safely (McLaughlin & McLaughlin, 2014)
Further, when a healthcare firm is clearly behind the curve, they need to get with modern times or, even better, start to future-proof their operations. It is much easier to do that and then make incremental updates rather than doing changes that are literally five to ten years (or more) worth of technology at a time (Swayne, 2008)