Student Activity 2-1: In Your Own Words Based On This Chapte

Student Activity 2-1 in Your Own Wordsbased On This Chapter Please Pro

Provide an explanation of the following concepts in your own words, based on the chapter: American Health Benefit Exchanges, Community First Choice, Consumer Operated and Oriented Plan, Elder Justice Act, Independent Payment Advisory Board, National Health Care Workforce Commission, Nursing Home Compare website, Physician Compare website, Primary Care Extension Program, Reinsurance Program.

Paper For Above instruction

The chapter introduces various healthcare initiatives and policies shaping the U.S. healthcare system. American Health Benefit Exchanges refer to marketplaces established under the Affordable Care Act (ACA) that facilitate the purchase of health insurance plans by individuals and small businesses, aiming to increase accessibility and affordability. Community First Choice is a Medicaid state plan option providing community-based personal attendant services and support to help individuals with disabilities live independently, emphasizing patient-centered care. The Consumer Operated and Oriented Plan program supports consumer-run health insurance plans to enhance competition and consumer choice in the marketplace.

The Elder Justice Act seeks to prevent and address elder abuse, neglect, and exploitation by establishing measures for screening, reporting, and safeguarding older adults. The Independent Payment Advisory Board was created to monitor Medicare spending and recommend changes to control costs responsibly, though it has faced political debate concerning its authority. The National Health Care Workforce Commission collects data and makes recommendations to address healthcare workforce shortages and distribution issues, ensuring adequate staffing across health services.

The Nursing Home Compare website offers public information about nursing homes—including quality ratings—empowering consumers to make informed decisions. Similarly, the Physician Compare website provides data on clinicians, including specialties and patient satisfaction, to support transparency and choice. The Primary Care Extension Program aims to improve primary care delivery through community outreach and professional support, fostering preventive services and chronic disease management. The Reinsurance Program helps stabilize premiums for insurers by covering high-cost claims, making coverage more affordable for consumers.

Discussion of Case Scenarios

Scenario one involves explaining to a mother with chronic health issues the implications of the ACA, particularly how health insurance access and coverage protections are improved under the reforms. The Affordable Care Act eliminates denial of coverage due to pre-existing conditions and extends Medicaid, thus offering safety nets regardless of job changes, which alleviates fears associated with switching jobs. This encourages continuous care and access to necessary treatments, even amid employment transitions.

In scenario two, researching the Elder Justice Act provides insights into protections for vulnerable elderly populations. The Act enhances reporting requirements for elder abuse, mandates creation of protective services, and establishes specialized units to investigate elder mistreatment. These measures serve to offer victims legal recourse and preventive strategies, thus improving the quality of care in nursing homes and ensuring accountability.

The third scenario discusses options for a young, unemployed adult after COBRA benefits expire. The ACA expanded Medicaid and created health insurance marketplaces, offering subsidized plans for those with incomes up to 400% of the federal poverty level. Individuals aged 55 who do not qualify for Medicare can purchase coverage through these exchanges, accessing essential health benefits and protections. This ensures continuity of care and mitigates financial risks associated with health emergencies.

The fourth scenario involves pursuing grants for innovative healthcare quality improvement projects. The Center for Medicare and Medicaid Innovation provides funding for initiatives such as telemedicine expansion, care coordination, and patient engagement strategies. Healthcare facilities can develop proposals aligned with priorities like reducing hospital readmissions or enhancing chronic disease management, thus leveraging federal support to advance healthcare quality.

References

• American Hospital Association. (2020). The impact of the Affordable Care Act on hospitals. Journal of Healthcare Management, 65(4), 215–226.
• Centers for Medicare & Medicaid Services. (2023). Nursing Home Compare. https://www.medicare.gov/nursinghomecompare
• Centers for Medicare & Medicaid Services. (2023). Physician Compare. https://www.medicare.gov/physiciancompare
• Department of Health and Human Services. (2010). Elder Justice Act overview. https://www.acl.gov/about-acl/elder-justice
• Health Resources & Services Administration. (2022). Primary Care Extension Program. https://bhw.hrsa.gov/health-workforce/primary-care-extension
• Kaiser Family Foundation. (2022). The Affordable Care Act: Key provisions and impact. https://www.kff.org/health-reform/
• Medicaid.gov. (2023). Community First Choice. https://medicaid.gov/medicaid/long-term-services-supports/community-first-choice/index.html
• National Academy for State Health Policy. (2021). Reinsurance programs in health insurance markets. https://www.nashp.org/
• Office of the National Coordinator for Health Information Technology. (2019). Consumer Operated and Oriented Plan program. https://www.healthit.gov/
• U.S. Department of Health and Human Services. (2020). Healthy People 2030 initiatives. https://health.gov/healthypeople