Sample Health Care Paper on Administrative Tasks

Administrative Tasks

            The Patient Protection and Affordable Care Act 2010 (PPACA) has caused changes in the healthcare sector that have prompted some administrative tasks to achieve its objectives. One of the intentions of the Act is to have all Americans covered by Medicare insurance with no exception (Kulshrestha, 2013). Given the large number of Americans that were not covered by medical insurance earlier on, systems and administrative structures have had to be put in place to facilitate that. PPACA proposed the removal of the pre-existing conditions rules by the insurance companies, a provision that had been put in place to ensure that the insurance firms remained profitable (Kulshrestha, 2013). The removal of this aspect prompted the creation of an administrative task by the government and the insurance industry to figure out how the medical insurance firms would continue operating and remain profitable.

 The third significant change in the healthcare structure caused by PPACA is the reviewing of the standards of healthcare that determine how the physicians are reimbursed for their services. The Act has caused a shift from fee for services to value-based payments. The physicians are now required to report the outcomes of their patients to the Centre for Medical Services whose task is to analyze data on the outcomes and recommend the amount of reimbursement based on the data results (Anderson, 2014). The new model of reimbursement is likely to make the physicians avoid the risky patients, and the administration has the task of ensuring that these patients are attended to regardless (Kulshrestha, 2013). Lastly, the model of defensive medicine practiced in America has been replaced by the Accountable Care Organization that brings together many medical specialists to care for a  single patient having varying needs (Anderson, 2014). The reimbursement given on account of this patient is then distributed among the specialists. This presents an administrative task to the government, as the laws that cause defensive medicine are still in place and no physician wants to risk negligence that might result from the ACOs.

References

Kulshrestha, S. (2013). From Physician to Patient: the Effects of the Patient Protection and Affordable Care Act (PPACA)Inquiries Journal. Retrieved 20 March 2018, from http://www.inquiriesjournal.com/articles/741/from-physician-to-patient-the-effects-of-the-patient-protection-and-affordable-care-act-ppaca

Anderson, A. (2014). The Impact of the Affordable Care Act on the Health Care WorkforceThe Heritage Foundation. Retrieved 20 March 2018, from https://www.heritage.org/health-care-reform/report/the-impact-the-affordable-care-act-the-health-care-workforce