Benchmark – Population Health Policy Analysis

Translational research in population health management.


Both policymakers and providers of health care are worried about access to affordable quality health care. The United States implemented a variety of policies over the years that aim to increase access to healthcare, especially for low-income populations. The Affordable Care Act (ACA) is one such policy. It was created to increase access to healthcare for all Americans. This paper will analyze and explain the ACA’s effectiveness and equity in health care for all Americans. In addition, it will address the legal, ethical and political issues as well the nursing perspectives involved in implementing the policy. The paper will also discuss advocacy strategies that can be used to make sure vulnerable people have the opportunity to enjoy the policies benefits.

Affordable Care Act (ACA).

In 2010, the Affordable Care Act, also known as Obamacare was passed into law with the goal of improving access to healthcare for Americans. These are the goals of the ACA:

  • Access to quality health insurance should be expanded
  • Increase quality in health care
  • Reduce health care costs
  • Preventive and Wellness are the most important aspects of your life.

These goals are outlined in several provisions of the ACA:

  • Individual mandate: All Americans must have insurance.
  • Medicaid expansion to include more people with low income
  • A creation of insurance exchanges for small and large businesses.
  • Pre-existing conditions are covered by insurance companies
  • Tax credits and subsidy to assist individuals and small-businesses in obtaining insurance

The ACA and Cost-Effectiveness and Health Care Equity

The ACA contains several provisions which are intended to enhance cost-effectiveness as well as health equity. The ACA mandates all Americans have insurance. It also ensures everybody has access to preventive health care. This can reduce healthcare costs. Additionally, the ACA’s provisions to expand Medicaid and provide tax credits and subsidies to help individuals and small businesses afford insurance help to improve access to care for low-income individuals and small businesses. This helps to lower health care costs and ensures that patients receive treatment promptly, which could prevent costly future treatments.

Are the financial implications of this policy?

Some have argued that the ACA is not financially sound. Critics claim that the ACA has resulted in higher healthcare costs and a decrease in quality care. The ACA, according to research has resulted in increased access and lower health care costs. The Commonwealth Fund’s 2019 report found that the ACA has led to a substantial reduction in uninsured Americans, dropping from 16% in 2010, to 9% in 2018. A report by the Commonwealth Fund in 2019 found that the ACA led to better access for lower-income people.

A Nursing Perspective: Ethical and Legal Factors

There are many ethical, legal and political considerations that must be taken into account when implementing the ACA. Some individuals might not be in agreement with the individual mandate because they feel it violates their freedom. There could be legal challenges to some provisions of the ACA. Nursing perspectives are critical to ensure everyone can access quality and affordable healthcare. Working with policymakers may be necessary to address any barriers that prevent people from accessing quality care.

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