U.S Health Care Reform Progress to Date and Next Steps


U.SHealth Care Reform Progress to Date and Next Steps


Thegreat recession caused a lot of challenges to the health care systemdespite a lot of funding. In 2008, 1 in 7 Americans had no healthinsurance due to high rates. The American Recovery and ReinvestmentAct was enacted in 2009, and the Children’s Health InsuranceProgram was extended. In October, the same year, the Tobacco ControlAct was signed leading to a reduction in smoking. On 23rd March 2010,the ACA was signed (Obama, 2016).

TheAffordable Care Act (ACA), has contributed to the reduction of thenumber of the uninsured people from 49 million in 2010 to 29 millionin 2015. The extended coverage is increasing the availability oftreatment, health, and financial security for newly insured. Coverageoffered on markets and small businesses now include healthcareservices entailing maternity, mental health, and substance abusedisorders (Obama, 2016).

TheACA policies have curbed fraud in the health sector and adopted avalue-based system that bond “fee-for-service” system to qualityand efficient service. The ACA is working toward “Alternativepayment models” these models include bundled payment systems andpopulation-based models. The law formed the Centre for Medicare andMedical Innovation (CMMI), to try alternative compensation methodsand introduce them if they succeed, a stable Accountable CareOrganization (ACO) that base payment on the result of the entirepatient’s care. As a result, healthcare spending is expected tofall, a difference of $160 billion in 2019 (Obama, 2016).

TheACA act has affected Americans both positively and negatively, someof them were blessed in that their insurance coverage can cover planspreviously avoided by insurers. While others especially thehigh-income earners, the law makes no difference. Until Medicare isadopted uniformly in the country, the ACA act will not have servedits purpose.


Obama&nbspB.(2016). United States Health Care Reform Progress to Date and NextSteps. AmericanMedical Association,315(5),525-531. doi:10.1001/jama.2016.9797