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The Impact of the Affordable Care Act on North Carolina’s Uninsured Population

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Although there is often political pressure to create programs that increase access to services, these programs often are unfunded mandates. The expansion of insurance coverage is directly linked to health care costs, and controlling these costs presents a tremendous challenge. This week’s readings present information on cost evaluation; potential trade-offs related to cost, quality, and access; and financial and economic principles that apply to cost evaluation in delivering health care services.

An example of the difficulty of addressing these competing interests can be seen in a case study concerning “The Impact of the Affordable Care Act on North Carolina’s Uninsured Population”. This Assignment focuses on ethical, financial, and quality of care aspects surrounding the issue.

To prepare:
•Read the case study about “The Impact of the Affordable Care Act on North Carolina’s Uninsured Population” on pages 202–203 in Health policy and politics: A nurse’s guide (Laureate Education, Inc., custom ed.).
•Reflect on what you have learned from the readings and media segments about health care financing as you read the case study.

To complete this Assignment, write a 3- to 5-page paper that addresses the following:
•Explain the impact of the Affordable Care act on the population that it affected.
•Explain the impact of the economics of providing care to patients from the organization’s point of view.
•How will patients be affected in relationship to cost of treatment, quality of treatment, and access to treatment?
•What are the ethical implications of this act for both the organization and the patients?

•Kovner, A. R., & Knickman, J. R. (Eds.). (2011). Health care delivery in the United States (Laureate Education, Inc., custom ed.). New York, NY: Springer Publishing. ?Chapter 3, “Health Care Financing” (pp. 47–66)

This chapter attempts to unravel several of the complexities in America’s health care system, and it also provides an analysis of the health care/insurer/patient relationship and how hospitals are actually funded.
?Chapter 12, “Health Care Costs and Value” (pp. 257–276)

Rising costs of health care and potential approaches to constraining growth in health care expenditures are examined in this chapter.
?Chapter 15, “Health Workforce” (pp. 315–329)

This chapter looks at the nature of the supply and demand for health care professionals in the United States.

•Milstead, J. A. (2013). Health policy and politics: A nurse’s guide (Laureate Education, Inc., custom ed.). Sudbury, MA: Jones and Bartlett Publishers. ?Chapter 10, “Overview: The Economics and Finance of Health Care” (pp. 191–206)

This chapter breaks down the basic elements of economics as they relate to health care, explaining how consumer choice combined with limitations on what hospitals can supply affects the type of care given.

•Reinhardt, U. E. (2010, Jan 20). State of the nation (a special report): Voices—A good start. The Wall Street Journal, p. R5.
Retrieved from the Walden Library databases.

This article describes how the U.S. health care reform bill seeks to obtain better value for the U.S. health care dollar by generating more research into cost-effective care.
•Stein, R. (2010, November 8). Review of prostate cancer drugs Provenge renews medical cost-benefit debate. The Washington Post. Retrieved from https://www.washingtonpost.com/wp-dyn/content/article/2010/11/07/AR2010110705205.html

This article describes a federal review conducted to determine whether Medicare expenditures should be allocated to an expensive prostate cancer vaccine. The author details both sides of the debate on the issue.

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