after the bill sailed through both houses of the legislature andmet the required numbers to be passed into law (Rosenbaum, 2011).The main objective of passing ACA was to ensure that all the American citizens have access to quality and affordable healthcare. It also meant that a certain restructuring of the healthcare system to ensure that the costs of providing healthcare services are revised down. It encouraged the
collaboration between various healthcare organizations and other stakeholders in the sector to avoid duplication of efforts and hence increase efficiency in the healthcare sector. The Healthcare Act contained nine subtitles with each of it addressing a certain aspect of the reform that will be implemented for the full realization of its benefits.The first subtitle deals with ensuring that there is affordable health insurance cover for all American citizens. This would require a total transformation of the existing healthcare insurance by encouraging collaboration to increasethe coverage while maintaining the current insurance premium. It would take time, but the systematic restructuring of health insurance system will ensure that pre-existing discriminatory practices which left several of the American citizens uncovered are removed. Realization of thisgoal will mean that all Americans must be part of the insurance system to maintain the premiums while increasing the breadth of the cover. Some of the immediate reforms included the elimination of unreasonable annual restrictions on benefits, offer assistance for those not covered due to pre-existing conditions among several other major initiatives (Huntington, & et al. 2011)The second title of the affordable act provides for the
revisiting the role to be played by the public programs such as the Medicaid in ensuring that all American citizens get access to affordable healthcare. The Act provided for the expansion of MEDICAID program to ensure an expanded cover for people in the lower income levels. The responsibility of meeting such costs is largely shifted to the federal government. The Act also provided for improved cover for CHIP program and even simplified the process of both MEDICAID and CHIP enrollment processes (Kocher, Emanuel &DeParle, 2010). Individuals eligible for the enrollment into the MEDICAID and CHIP programs will havethe chance to do so through the state websites and hospitals will be required to offer the health care services during the presumptive eligibility period. The ACT also provides for the state to offer the health care services which were initiallyavailable in acute care hospitals to intermediate healthcare facilities, nursing homes, and other community-based care organizations. This would ensure more access affordability and efficiency of the care to eligible citizens across all the states.
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