APHA, public health supporters laud Supreme Court decision on ACA APHA applauds President Biden’s executive actions on improving health care access APHA and others underscore dire consequences of abolishing ACA, particularly during coronavirus pandemic From The Nation’s Health : Study: Expanding Medicaid can boost preconception health Rising rates of uninsurance may foretell US public health crisis Uninsurance rate jumps for first time since ACA; coverage falls in children Thousands lose coverage from Medicaid work requirements Navigators continue working to get people insured, despite cuts: Attacks on ACA spur enrollment concerns From Public Health Newswire: HHS to reopen insurance enrollment through federal marketplace next month Biden administration expected to strengthen Affordable Care Act A pandemic is no time to undercut US health care The Affordable Care Act is the nation’s health reform law enacted in March 2010.
- The law aims to reform both our private and public health insurance systems.
- Since it was enacted, it has helped about 20 million people get health insurance.
- Among the law’s many goals: increase benefits and lower costs for consumers, provide new funding for public health and prevention, bolster our health care and public health workforce and infrastructure, foster innovation and quality in our system, and more.
But the ACA is threatened with repeal. And a 2018 tax law repeals the ACA’s individual mandate beginning in 2019, a move that could increase insurance premiums and is expected to result in many millions of Americans becoming uninsured. Read this fact sheet on why we still need the Affordable Care Act.
Millions still need insurance: Though the ACA has helped about 20 million get health insurance, about 29 million people still lack coverage. Unsustainable spending: Health care spending represented 17.7% of our gross domestic product in 2019. Lack of emphasis on prevention: Today, seven in 10 deaths in the U.S. are related to chronic diseases such as obesity, diabetes, high blood pressure, heart disease, and cancer, which are largely preventable. Additionally, 90% of our health care dollars are spent treating such diseases. However, only three cents of each health care dollar spent in the U.S. go toward prevention. Poor health outcomes: The U.S. spends far more on medical care than any other industrialized nation, but ranks 28 among 36 OECD countries in terms of life expectancy. Health disparities: While inequities related to income and access to coverage exist across demographic lines, population-based disparities are impossible to deny.
The ACA is an important step forward. By making health coverage more affordable and accessible and thus increasing the number of Americans with coverage, by funding community-based public health and prevention programs, and by supporting research and tracking on key health measures, the ACA can help begin to reduce disparities, improve access to preventive care, improve health outcomes and reduce the nation’s health spending.
What is the states role in healthcare reform?
High and variable health care prices are the major drivers of health care spending in the private insurance sector in the United States. Most discussions about this problem focus on federal policy solutions or private negotiations between insurers, providers, and manufacturers.
- However, states can also be key players in addressing these issues.
- States occupy several roles in providing health care and coverage for their constituents.
- We often focus on the role of states in administering and financing public programs like Medicaid, but states also serve as purchasers of private insurance for state employees and retirees, and as regulators of private insurance.
States are leveraging these distinct, often powerful, roles to experiment with curbing high health care prices and spending.
What is the theory for healthcare change?
Nursing Theory The Change Theory of Nursing was developed by, who is considered the father of social psychology. This theory is his most influential theory. He theorized a three-stage model of change known as unfreezing-change-refreeze model that requires prior learning to be rejected and replaced.
Lewin’s definition of behavior in this model is “a dynamic balance of forces working in opposing directions.” The Change Theory has three major concepts: driving forces, restraining forces, and equilibrium. Driving forces are those that push in a direction that causes change to occur. They facilitate change because they push the patient in a desired direction.
They cause a shift in the equilibrium towards change. Restraining forces are those forces that counter the driving forces. They hinder change because they push the patient in the opposite direction. They cause a shift in the equilibrium that opposes change.
Equilibrium is a state of being where driving forces equal restraining forces, and no change occurs. It can be raised or lowered by changes that occur between the driving and restraining forces. There are three stages in this nursing theory: unfreezing, change, and refreezing. Unfreezing is the process which involves finding a method of making it possible for people to let go of an old pattern that was somehow counterproductive.
It is necessary to overcome the strains of individual resistance and group conformity. There are three methods that can lead to the achievement of unfreezing. The first is to increase the driving forces that direct behavior away from the existing situation or status quo.
Second, decrease the restraining forces that negatively affect the movement from the existing equilibrium. Thirdly, finding a combination of the first two methods. The change stage, which is also called “moving to a new level” or “movement,” involves a process of change in thoughts, feeling, behavior, or all three, that is in some way more liberating or more productive.
The refreezing stage is establishing the change as the new habit, so that it now becomes the “standard operating procedure.” Without this final stage, it can be easy for the patient to go back to old habits. : Nursing Theory
What is activism in healthcare?
Initially defined in terms of efforts, often grassroots, to change norms, social structures, policies, and power relationships in the health arena, health activism includes actions re- lated to patient activism, health care reform, disease prevention, illness advocacy, physical disability, environmental justice, public
What is the most recent health care reform passed in the US?
Affordable Care Act (ACA)
What is the theory of change and why is it important?
A theory of change helps to identify solutions to effectively address the causes of problems that hinder progress and guide decisions on which approach should be taken, considering UN comparative advantages, effectiveness, feasibility and uncertainties that are part of any change process.
Why is Lewin’s change model good?
What Makes Lewin’s Change Theory Ideal for Businesses Reading time: about 8 min Posted by: Lucid Content Team “The world as we have created it is a process of our thinking. It cannot be changed without changing our thinking.” —Albert Einstein Not long ago, Amazon was simply a source to purchase books online.
- Fast forward 20 years.
- According to a digital economy poll by NPR/Marist, practically two-thirds of Americans report buying something on Amazon.
- This adds up to 92% of the nation’s online shoppers—40% of which also cite they buy something from the online giant once a month or more.
- More impressive is how Amazon’s organizational change model completely shifted the paradigm when it comes to how most consumers research products.
Recent show Amazon is the starting point for 38% of all product searches by shoppers—beating out the 21% of consumer product searches on brand/retailer sites and the 35% being made on Google. So, why is it that businesses like Amazon possess the uncanny ability to adapt and reinvent themselves ahead of shifting consumer preferences or industry trends, while once formidable and ubiquitous businesses like Kmart and Sears become casualties in the retail landscape? Essentially, it comes down to an organization’s commitment to change.
Yet, no matter how logical or well planned the new course of action might be, buy-in from employees is crucial. Lewin’s change management theory helps account for both the uncertainty and resistance to change that can be experienced at all staff levels within an organization. The lack of cooperation between employees, a general distrust of unproven processes, or the fear of turning away from what has worked in the past are just some of the common barriers to implementing change.
Lewin’s change management model (Click on image to modify online) In this article, we will further expand upon Lewin’s change theory, which remains one of the most popular—and possibly the first—change management models still being used by modern business today.