1. ACA will not improve healthcare cost, quality and access By Brandy Rotarius, Kelly Morgan and Fiona Gumbo

2. The intentions of the ACA are to improve healthcare cost, quality and access, but we believe that the ACA will not improve healthcare cost, quality or access. Introduction

3.  Federal Estimated cost $828 billion  Out of pocket  Individuals $6645  Families $13290 Estimated Cost

4.  Tax Increases  Medicare.9%  Added Taxes  Unearned income 3.8%  Health insurance premiums 40%  Individuals $10,200  Families $27,500  Employers Cost

5.  Annual fees  Healthcare providers  Manufactures & Importers of certain medical device  Penalties  No insurance  $695 or 2.5% of a person’s income whichever is higher. Cost

6.  Increased Patient Population -due to mandatory health care insurance requirement  Affects on Quality of Care: -more patients to take care of -negative impact on quality of care Quality of Care and the Patient Population

7.  Not enough physicians -due to high patient population -physicians/consumers long standing opposition to non-physician practitioners  Affects on Quality of Care: -Increased pressures on the provider Quality of Care and the Health Care Provider

8.  Readmissions penalties incurred for what are seen as “preventable readmissions”  High risk patient transitional care focus on community-based transitions of care  Effects on Quality of Care: - overtreatment of patients - higher risk of spread of communicable diseases -lack of space within health care facilities Quality of Care and the Health Care Facility

9.  Detroit Medical Center Primary care physician physicians current thoughts/feelings of; - the new ACA law -quality of care to the patient - The increased role the NP (Nurse practitioner) or PA (Physician assistant) could play within the office - how the ACA will affect her as a medical doctor - the new law and how it will affect her specific patient population and in what ways - additional comments/questions Health Care Provider Interview

10.  Putting into place the ACA will cause many complications. All aspects including the health care facilities and providers, along with the patient population are interrelated. Thus, problems that occur within one of these components that negatively impact quality of care will also cause problems within another area as well. Quality of Care within the Heath Care System as a Whole

11.  30 million newly insured individuals increase the patient population.  No clear ways of the current healthcare system to adopt to new patient population.  Problems with accessing healthcare. Access of HealthCare

12.  Healthcare provider shortages worsened by increase in patients from newly insured group.  Provisions to increase providers will take time.  Trends to be seen include longer wait times for appointments, crowded ER, pressure to train new physicians. Access of Healthcare

13.  Goal of affordable care act to bridge the gap between healthcare and public health through preventative care.  Few preventative care initiatives currently in place.  Problems with accessing preventative care services until they are established. Access of HealthCare

14.  Affordable care act goal to have everyone insured.  Prediction that an estimated 26 million will still be uninsured by 2016.  Challenges for the uninsured group to access healthcare. Access of Healthcare

15.  The ACA will not improve healthcare cost, quality or access due to;  The estimated cost, the increase in taxes, added fees  The increase in patients, the shortage of healthcare staff Conclusion

16. Questions

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