Download or read book Examining the Implications of the Affordable Care Act on Va Health Care written by United States. Congress and published by Createspace Independent Publishing Platform. This book was released on 2017-09-23 with total page 64 pages. Available in PDF, EPUB and Kindle. Book excerpt: Examining the implications of the Affordable Care Act on VA health care : hearing before the Committee on Veterans' Affairs, U.S. House of Representatives, One Hundred Thirteenth Congress, first session, Wednesday, April 24, 2013.
Download or read book Examining the Implications of the Affordable Care Act on VA Health Care written by United States. Congress. House. Committee on Veterans' Affairs and published by . This book was released on 2014 with total page 64 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Examining the Implications of the Affordable Care Act on VA Health Care written by United States. Congress. House. Committee on Veterans' Affairs and published by . This book was released on 2014 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Veterans Health Insurance Coverage Under the Affordable Care Act and Implications of Repeal for the Department of Veterans Affairs written by Michael Dworsky and published by . This book was released on 2017-10-12 with total page 66 pages. Available in PDF, EPUB and Kindle. Book excerpt: This report describes the Affordable Care Act's (ACA's) effects on nonelderly veterans' insurance coverage and demand for Department of Veterans Affairs (VA) health care and assesses the coverage and VA utilization changes that could result from repealing the ACA.
Download or read book The Affordable Care Act written by Purva H. Rawal and published by Bloomsbury Publishing USA. This book was released on 2016-01-18 with total page 236 pages. Available in PDF, EPUB and Kindle. Book excerpt: This is the first reference book to provide a detailed assessment of the Affordable Care Act, explaining the realities and myths surrounding one of the most divisive political struggles in recent U.S. history. The Affordable Care Act—also known as Obamacare—is one of the most controversial and politicized topics in the United States today. This timely book examines prominent claims about the legislation's drafting, debate, passage, and implementation, and discerns what is true and false about the law. Each of the text's eight chapters delves into the common beliefs, misinterpretations, and myths surrounding the act, tracing the history of the assertion and supporting or challenging its veracity through nonpartisan research and analyses. Chapters begin with an objective look at the claim's origins—with a brief focus on the person or group that conceived it and why—then set about clarifying or debunking it using evidence from research studies and reports from authoritative sources. Entries feature primary documents, a further reading section, and tables and graphs. Topics include the impact on health care costs for families, states, and the federal government; the effect of the Affordable Care Act on employer-sponsored insurance; and the role of health status on coverage under the Affordable Care Act.
Download or read book VA health care overview written by United States. Department of Veterans Affairs and published by . This book was released on 2004 with total page 22 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Veterans Health Insurance Coverage Under the Affordable Care Act and Implications of Repeal for the Department of Veterans Affairs written by Michael Dworsky and published by . This book was released on 2017 with total page 66 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Evaluation of the Department of Veterans Affairs Mental Health Services written by National Academies of Sciences, Engineering, and Medicine and published by National Academies Press. This book was released on 2018-03-29 with total page 467 pages. Available in PDF, EPUB and Kindle. Book excerpt: Approximately 4 million U.S. service members took part in the wars in Afghanistan and Iraq. Shortly after troops started returning from their deployments, some active-duty service members and veterans began experiencing mental health problems. Given the stressors associated with war, it is not surprising that some service members developed such mental health conditions as posttraumatic stress disorder, depression, and substance use disorder. Subsequent epidemiologic studies conducted on military and veteran populations that served in the operations in Afghanistan and Iraq provided scientific evidence that those who fought were in fact being diagnosed with mental illnesses and experiencing mental healthâ€"related outcomesâ€"in particular, suicideâ€"at a higher rate than the general population. This report provides a comprehensive assessment of the quality, capacity, and access to mental health care services for veterans who served in the Armed Forces in Operation Enduring Freedom/Operation Iraqi Freedom/Operation New Dawn. It includes an analysis of not only the quality and capacity of mental health care services within the Department of Veterans Affairs, but also barriers faced by patients in utilizing those services.
Download or read book Health Care Utilization as a Proxy in Disability Determination written by National Academies of Sciences, Engineering, and Medicine and published by National Academies Press. This book was released on 2018-04-02 with total page 161 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Social Security Administration (SSA) administers two programs that provide benefits based on disability: the Social Security Disability Insurance (SSDI) program and the Supplemental Security Income (SSI) program. This report analyzes health care utilizations as they relate to impairment severity and SSA's definition of disability. Health Care Utilization as a Proxy in Disability Determination identifies types of utilizations that might be good proxies for "listing-level" severity; that is, what represents an impairment, or combination of impairments, that are severe enough to prevent a person from doing any gainful activity, regardless of age, education, or work experience.
Download or read book The Influence of Affordability and Affordable Care Act on Patients and Veterans Healthcare seeking Behaviors and Access to Healthcare written by T. G. Hager and published by . This book was released on 2022 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: As legislative actions, such as the Affordable Care Act, and technological innovations have increasingly looked to provide improved healthcare delivery in the United States (US), the desire for quality of life, overall health, and, notably, patient access to healthcare has become extremely important in people’s lives. Building on path dependency theory, agency theory, and prior healthcare access research, this dissertation provides a research model of patient access by postulating and empirically validating the factors associated with patients seeking healthcare. Essay 1 focuses on understanding patient behaviors when seeking healthcare in distinct periods before and after the Patient Protection and Affordable Care Act (PPACA). I conduct four separate analyses of secondary data using binary logistic regression of the National Health Interview Survey (NHIS) to understand whether there are differences in healthcare-seeking choices before and after legislation shifts. The research model is tested using secondary data from the NHIS for 2016–2019. The findings reveal the differences in patients’ choices regarding patient access across the periods. In Essay 2, I draw upon agency theory, the strength of ties, and technology acceptance theories to test a research model of healthcare-seeking differences between veteran and nonveteran groups. Binary logistic regression is used, with patient access as the dependent variable and critical variables related to economic costs, social embeddedness, and technology access as independent variables. I theorize that veteran groups have stronger socially embedded ties and are more apt to use technology when seeking healthcare than nonveterans. Furthermore, I posit that age and gender impact health-seeking, such that younger persons have a demonstrably more significant impact on social embeddedness and the use of technology. The findings confirm the role of social embeddedness and technology use in seeking healthcare. Findings from this dissertation have important academic and practical implications for patient access to healthcare and veteran access to healthcare and help explain whether there are deficiencies in veterans accessing healthcare compared with nonveterans. Notably, the findings from this dissertation have practical significance to Department of Veteran Affairs healthcare decision-makers to help understand veteran preferences, areas for further exploration, and healthcare provision. Conclusions from this dissertation outline the need for further study into patient access to healthcare aspects that will increase access to healthcare and the use of healthcare by patients. One key recommendation is to understand better and encourage the use of technology and social embeddedness of patients to activate themselves in seeking solutions to their healthcare from healthcare providers.
Download or read book Examining the Quality and Cost of Va Healthcare written by United States Congress and published by Createspace Independent Publishing Platform. This book was released on 2017-11-26 with total page 72 pages. Available in PDF, EPUB and Kindle. Book excerpt: Examining the quality and cost of VA healthcare : hearing before the Subcommittee on Health of the Committee on Veterans' Affairs, U.S. House of Representatives, One Hundred Fourteenth Congress, first session, Wednesday, January 28, 2015.
Download or read book Population Health Implications of the Affordable Care Act written by Roundtable on Population Health Improvement and published by National Academies Press. This book was released on 2014-04-21 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Population Health Implications of the Affordable Care Act is the summary of a workshop convened in June 2013 by the Institute of Medicine Roundtable on Population Health Improvement to explore the likely impact on population health improvement of various provisions within the Affordable Care Act (ACA). This public workshop featured presentations and discussion of the impact of various provisions in the ACA on population health improvement. Several provisions of the ACA offer an unprecedented opportunity to shift the focus of health experts, policy makers, and the public beyond health care delivery to the broader array of factors that play a role in shaping health outcomes. The shift includes a growing recognition that the health care delivery system is responsible for only a modest proportion of what makes and keeps Americans healthy and that health care providers and organizations could accept and embrace a richer role in communities, working in partnership with public health agencies, community-based organizations, schools, businesses, and many others to identify and solve the thorny problems that contribute to poor health. Population Health Implications of the Affordable Care Act looks beyond narrow interpretations of population as the group of patients covered by a health plan to consider a more expansive understanding of population, one focused on the distribution of health outcomes across all individuals living within a certain set of geopolitical boundaries. In establishing the National Prevention, Health Promotion, and Public Health Council, creating a fund for prevention and public health, and requiring nonprofit hospitals to transform their concept of community benefit, the ACA has expanded the arena for interventions to improve health beyond the "doctor's" office. Improving the health of the population - whether in a community or in the nation as a whole - requires acting to transform the places where people live, work, study, and play. This report examines the population health-oriented efforts of and interactions among public health agencies (state and local), communities, and health care delivery organizations that are beginning to facilitate such action.
Download or read book Health Care Delivery System Reform and the Patient Protection Affordable Care ACT written by United States Senate and published by CreateSpace. This book was released on 2014-09-23 with total page 50 pages. Available in PDF, EPUB and Kindle. Book excerpt: We begin by examining the growth in spending in the United States health care system. Next, we define five priority areas of delivery system reform, and identify cost saving opportunities in these areas. Third, we highlight models of delivery system reform that are currently in practice across the country, with particular attention to their effect on health care cost and quality. The fourth section details the ACA's delivery system reform provisions and the status of their implementation. The report concludes with an analysis of the Administration's progress and offers recommendations for steps moving forward. The salient fact underlying this report is that the drivers of unnecessary and excess cost in the U.S. health care system result from systemic causes. Public insurance programs, private insurance coverage, military and veterans' care, even corporate self-insurance, all are seeing dramatic and continuing cost increases. The problem is system-wide, and the solution must be too. If these issues are not addressed, policymakers will face increasingly unpleasant and difficult threats to the insurance coverage, both private and public, of millions of Americans. Gail Wilensky, who oversaw Medicare and Medicaid under President George H.W. Bush, said, "If we don't redesign what we are doing, we can't just cut unit reimbursement and think we are somehow going to get a better system." The ACA offers solutions that do not cut benefits or increase premiums, but instead reform systems of health care delivery to improve health outcomes and cost efficiency. The key challenge facing the United States is how quickly, thoroughly, and efficiently the reform of our health care delivery system can be implemented.
Download or read book Three Essays on Veteran Health Policy written by Dongjin Oh and published by . This book was released on 2020 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: It is a solemn obligation to provide high quality healthcare to veterans who sacrificed themselves to protect their country and democratic values. Although the Veterans Health Administration (VHA) has conducted numerous highly regarded research on veteran health policy, there is still a great amount of work to be done to provide high quality care to veterans at affordable cost. This dissertation strives to better understand veteran health policy and to provide constructive suggestions for the Veterans Health Administration. The first essay explores the expected effects of the repeal of the individual health insurance mandate on veterans' access to private and VA insurance by analyzing 52,692 non-elderly veterans in Florida and California from 2008 to 2017. The findings suggest that the repeal will lead to a considerable increase in the number of uninsured veterans and veterans who are unemployed, poor, and suffering disabilities are more likely to sign up for the VA insurance than better off veterans. The second essay evaluates technical efficiency scores of the VA hospitals and investigated the effect of the Veterans Choice Act of 2014 on the VA hospitals' technical efficiency. The findings show that overall technical efficiency of the VA hospitals decreased after the implementation of the Act which authorized veterans' use of non-VA hospitals. The magnitude of the decrease was in proportion to the number of veterans using non-VA hospitals under the Act. This suggests that the VHA should evaluate whether current capacity of the VA hospitals is appropriate and try to reduce wasted input resources. The third essay examines how technical efficiency, along with other factors, influences quality of care in VA hospitals. The findings show that high technical efficiency, a low nurse turnover rate, and a low preventable hospitalization rate lead to a decrease of both mortality and readmission. Conversely a high percentage of veterans using the Veterans Choice Programs (VCPs) leads to an increase in the mortality. These findings suggest that the VHA should improve coordination within the VA healthcare system, reduce nurse turnover, construct an integrated patient information exchange system between VA and non-VA hospitals, and increase veterans' access to primary care. This dissertation is meaningful to existing literature on health policy in that it is the first dissertation that examined veteran health policy from perspectives of access, cost and quality. In addition, this dissertation suggests several substantial recommendations for practitioners in the VA and the VHA.
Download or read book TRICARE and VA Health Care Impact of the Patient Protection and Affordable Care Act P L 111 148 written by and published by . This book was released on 2010 with total page 12 pages. Available in PDF, EPUB and Kindle. Book excerpt: The 111th Congress recently passed, and the President signed into law, the Patient Protection and Affordable Care Act (P.L. 111-148; PPACA), as amended by the Health Care and Education Reconciliation Act of 2010 (P.L. 111-152; HCERA). In general, PPACA did not make any significant changes to the Department of Defense (DOD) TRICARE program or to the Department of Veterans Affairs (VA) health care system. However, many have sought clarification as to whether certain provisions in PPACA, such as a mandate for most individuals to have health insurance, or extending dependant coverage up to age 26, would apply to TRICARE and VA health care beneficiaries. To address some of these concerns, Congress has introduced and/or enacted legislation. The TRICARE Affirmation Act (H.R. 4887), passed by both the House and the Senate and received by the President, would affirm that TRICARE satisfies the minimum acceptable coverage requirement in PPACA. Similarly S. 3162 (passed by the Senate on March 26, 2010) and H.R. 5014 (introduced in the House on April 14, 2010) would, if enacted, clarify that the Civilian Health and Medical Program of the Department of Veterans Affairs (CHAMPVA), Spina Bifida Health Care Program, and the Children of Women Vietnam Veterans Health Care Program meet the "minimum essential coverage" requirement under PPACA. In addition, the TRICARE Dependent Coverage Extension Act (H.R. 4923; S. 3201), if enacted, would extend certain PPACA provisions to TRICARE beneficiaries. This report addresses key questions concerning how PPACA will likely affect TRICARE and VA health care. This report will be updated if events warrant.
Download or read book The Affordable Care Act written by Tamara Thompson and published by Greenhaven Publishing LLC. This book was released on 2014-12-02 with total page 130 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Patient Protection and Affordable Care Act (ACA) was designed to increase health insurance quality and affordability, lower the uninsured rate by expanding insurance coverage, and reduce the costs of healthcare overall. Along with sweeping change came sweeping criticisms and issues. This book explores the pros and cons of the Affordable Care Act, and explains who benefits from the ACA. Readers will learn how the economy is affected by the ACA, and the impact of the ACA rollout.
Download or read book Communities in Action written by National Academies of Sciences, Engineering, and Medicine and published by National Academies Press. This book was released on 2017-04-27 with total page 583 pages. Available in PDF, EPUB and Kindle. Book excerpt: In the United States, some populations suffer from far greater disparities in health than others. Those disparities are caused not only by fundamental differences in health status across segments of the population, but also because of inequities in factors that impact health status, so-called determinants of health. Only part of an individual's health status depends on his or her behavior and choice; community-wide problems like poverty, unemployment, poor education, inadequate housing, poor public transportation, interpersonal violence, and decaying neighborhoods also contribute to health inequities, as well as the historic and ongoing interplay of structures, policies, and norms that shape lives. When these factors are not optimal in a community, it does not mean they are intractable: such inequities can be mitigated by social policies that can shape health in powerful ways. Communities in Action: Pathways to Health Equity seeks to delineate the causes of and the solutions to health inequities in the United States. This report focuses on what communities can do to promote health equity, what actions are needed by the many and varied stakeholders that are part of communities or support them, as well as the root causes and structural barriers that need to be overcome.
