The Affordable Care Act as a national experiment : health policy innovations and lessons / Harry P. Selker, editor.
Selker, Harry P., editor.
2021
RA395.A3 A4785 2021
Available Online

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Title The Affordable Care Act as a national experiment : health policy innovations and lessons / Harry P. Selker, editor.
Edition Second edition.
ISBN 9783030667269 (electronic bk.)
303066726X (electronic bk.)
9783030667252
3030667251
DOI https://doi.org/10.1007/978-3-030-66726-9
Published Cham : Springer, [2021]
Copyright ©2021
Language English
Description 1 online resource : illustrations (chiefly color)
Item Number 10.1007/978-3-030-66726-9 doi
Call Number RA395.A3 A4785 2021
Dewey Decimal Classification 362.10973
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
Note Includes index.
Access Note Access limited to authorized users.
Source of Description Online resource; title from PDF title page (SpringerLink, viewed August 4, 2021).
Added Author Selker, Harry P., editor.
Available in Other Form Affordable Care Act as a national experiment.
Linked Resources Online Access
Record Appears in Online Resources > Ebooks
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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

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