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Book Cover
E-book

Title The Affordable Care Act as a national experiment : health policy innovations and lessons / Harry P. Selker, editor
Edition Second edition
Published Cham : Springer, [2021]
©2021

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Description 1 online resource : illustrations (chiefly color)
Contents Intro -- Preface -- Contents -- Contributors -- Chapter 1: Introduction: An Overview of the ACA as a National Experiment -- References -- Chapter 2: A Decade of ACA: The Successes, Unfinished Work, and Impact of the Affordable Care Act -- The ACA's Successes -- Reforms to Healthcare Delivery Still Stand -- The Expansion of Medicaid in States Across the Country -- Despite the Negative Predictions from Opponents, the Market Embraces and Protects the ACA -- The ACA Is Promoting and Encouraging Innovation in Healthcare Delivery -- The Unfinished Work of the ACA
Medicaid Expansion Needs to Exist in All States and Without Work Requirements -- Subsidies Should Be Adequate in Every State to Ensure That Everyone Has Access to Healthcare -- State Marketplaces Need More Health Plans at Affordable Prices -- A Public Option Is Now Being Reconsidered as a Part of the ACA -- The Legacy of the ACA -- References -- Chapter 3: Patient Protections in the Affordable Care Act -- A History of Patients' Rights Efforts -- Overview of Patient Protections in the ACA -- Evaluating Whether the ACA's Patient Protections Have Been Effective and What Areas Need Improvement
A Path Toward More Comprehensive Protections -- References -- Chapter 4: Beyond Coverage and Controversy: The ACA's Distinctly American Approach to Healthcare Coverage and Reform -- The ACA's Legislative History -- The ACA Approach to Healthcare Reform -- Looking Forward: US Healthcare Coverage Compared to Other Developed Nations -- Can Policymakers Build on ACA's Progress? -- References -- Chapter 5: Medicaid Expansion and Insurance Reform Under the Affordable Care Act: The New Federalism of Health Policy or the Same Old Same Old? -- A Brief History of Federalism in US Health Policy
The ACA and Health Insurance Coverage -- The ACA and Health Insurance Regulation -- Federalism in US Health Policy Post-ACA -- References -- Chapter 6: Policies Designed to Achieve a Data-Driven Learning Healthcare System: A Decade of Progress and Future Directions -- The Triple Aim and the ACA: From Theory to Strategy -- Early Health IT Experiments: Beacon Communities -- Health IT Legislation After the ACA and Future Implications -- References -- Chapter 7: The Healthcare Message Wars -- Healthcare Messaging Pre-ACA -- White House Messaging Falters After Passage of the ACA
Healthcare Prominent in 2016 Presidential Campaign -- Pelosi Moves to Reclaim Healthcare Messaging -- 2020 Presidential Candidates Search for Rhetorical Sweet Spot -- References -- Chapter 8: The Role of the Supreme Court in Shaping the Affordable Care Act -- National Federation of Independent Business (NFIB) v. Sebelius -- Other Challenges to the ACA -- References -- Chapter 9: The Center for Medicare and Medicaid Innovation -- A Decade of Experimentation and Continued Evolution -- A Decade of Models and Results -- Accountable Care Organizations -- Advanced Primary Care -- Bundled Payments
Summary The landmark 2010 Patient Protection and Affordable Care Act (ACA), "Obamacare," was the largest healthcare policy innovation in the United States in 50 years, and it has generated strong opinions and debate across public, political, and policy arenas. Examining the innovation of the ACA as a health policy experiment, The Affordable Care Act as a National Experiment was published by Springer in 2014. Now, six years later, following an election year in which the ACA remained hotly debated, this second edition further examines the history, lessons, and impact of this ground-breaking legislation. Written by national healthcare policy leaders involved in the ACAs creation and implementation, this book addresses questions around patient protection under the ACA, delves into Medicaid expansion and insurance reform, assesses the Supreme Court review of the ACA, and sheds light on the related social determinants of health. It also provides informative stories of the uninsured. It discusses the stabilization of the ACA, and concludes with a summary of potential next steps and the push for universal healthcare. This second edition further underscores that to improve access to medical care and the publics health, we must innovate and to innovate is to experiment. It makes clear that the ACA is a "translational medical research" experiment an experiment aimed at translating best medical knowledge into improvements in health. And it shows that, like any medical experiment, its results will point to needed next steps. We hope this text becomes an essential resource for healthcare providers, policy makers, and academics
Notes Includes index
Online resource; title from PDF title page (SpringerLink, viewed August 4, 2021)
Subject United States. Patient Protection and Affordable Care Act.
SUBJECT Patient Protection and Affordable Care Act (United States) fast
Subject Medical policy -- United States
Health care reform -- United States
Health care reform
Medical policy
United States
Form Electronic book
Author Selker, Harry P., editor.
ISBN 9783030667269
303066726X