lower class patients. This reform also sets up a competitive health insurance marketplace by allowing access to group insurance purchasing, comparisons, and insurance-cost-assistance promoting a stable economic environment. The ACA while good in theory majority of uninsured citizens now may be able to purchase affordable health care. Uninsured citizens run the risk of paying a penalty when no health care coverage is purchased, or no proof of insurance exists. Small business owners are now required to provide health care coverage to all employees, thus affecting health law, regulations, and policy at the federal level. Affordable Care Act and Policy in Health Care Health policy affects health care providers’ care delivery and patient’s access to care in many different ways. Moreover, there is no question that the Affordable Care Act employs means to extend affordable, high-quality medical insurance coverage to millions of people in America. They are no comparisons or substitutes to the Affordable Care Act’s framework that would significantly achieve the goal of lowering the costs of health care. Increasing health care coverage at a lower cost requires subsidies and rules similar to ACA. The implementation of the
HEALTH LAW, REGULATION, AND POLICY 4 Affordable Care Act has changed policy in the industry by expanding Medicaid coverage, promoting a new health insurance marketplace, and offering premium subsidies like never seen before. These new subsidies are paid for, by taxpayers, and the ACA becomes a way of raising taxes to achieve quality health care for Americans. Legislative versus Institutional Policies Legislative laws are statutory rules meaning governmental in nature. A statue in the sense of a law is a requirement and directed action. Such language as “providers must” or “providers are required” leaves no room for a law to be misinterpreted. Altogether, legislative laws are of executive action, and common rules are of the land and its people. The ACA originated at the executive level and had since become common law after being signed in 2010 by the President of the United Sates. National level action regarding health care laws affect the health care industry and impose that health care providers and employers comply and provide care within federal guidelines. The ACA legislative rules form basic requirements for states and industries such as the health organizations to follow in compliance. Institutional policies fall within the realm of accepted practices or an established way of conducting an organized procedural function in a regulatory environment. Institutional policies can be and are typically more restrictive than legislative laws. Statutory regulations identify requirements and institutional policies outline a particular procedural method of performing in requirements of legal laws. Legislative rules inform the health care industry of statue laws and institutional policy, spells out a course of action or best practice. The ACA is now part of institutional policy among organizations and even small business owners impacting the bottom line requiring employers to provide health care coverage to all employees even part-time workers.
HEALTH LAW, REGULATION, AND POLICY 5
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