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Essay / Research Paper Abstract
A 4 page research paper that examines the Patient Protection and Affordable Care Act (ACA) and how it impacts care for underprivileged patients with end stage renal disease (ESRD). Bibliography lists 2 sources.
Page Count:
4 pages (~225 words per page)
File: KL9_khersdaca.doc
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Unformatted sample text from the term paper:
of health care in the US. The goals of the ACA are to broaden access to care while limiting associated costs. The following examination of the ACA focuses specifically on
how it impacts treatment of end stage renal disease (ESRD) and access to treatment for underprivileged clients in North Carolina. Impact of ACA on underprivileged: The ACA prohibits health
insurance companies from limiting, or not offering, coverage for preexisting conditions (Axelrod, Millman and Abecassis, 2010). Furthermore, it also broadens access to Medicaid for those individuals who cannot afford to
purchase health insurance coverage. The ACA also prohibits practices such as lifetime and annual coverage limitations and discontinuing coverage of individuals when they become ill. It also limits high cost
plans and regulates premium increases (Axelrod, Millman and Abecassis, 2010). Specifically in regards to ESRD, the ACA provides improved access to transplant services. Lack of health insurance has been
shown by research to have a substantial negative impact on the ability of patients to access transplant services (Axelrod, Millman and Abecassis, 2010). While previously Medicare coverage of ESRD patients
only became effective in regards to kidney transplantation or after completing a specified period of dialysis, the ACA offers coverage to patients prior to meeting these qualifying conditions (Axelrod, Millman
and Abecassis, 2010). Available treatments for ESRD and economics of treatment from an organizational perspective: The only treatments available for ESRD are dialysis or kidney transplantation. The ACA specifies
that fee-for-service reimbursement will be aggregated into payments categorized as bundles of care, which is designed to be a strategy that leads to increased efficiency in the delivery of care
and result in lower costs (Cutler and Ghosh, 2012). The ACA further indicates that Centers for Medicare and Medicaid Services should experiment to determine the form that bundling payments should
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