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NURS 8100 Discussion: Unintended Consequences of Health Care Reform NURS 8100 Discussion Unintended Consequences of Health Care Reform NURS 8100 Discussion: Unintended Consequences of Health Care Reform The PPACA of 2010 fostered new provisions for health care and the structure of health care delivery. The individual mandate to obtain insurance is one provocative provision. While this provision attempts to increase access to health care, it raises questions on how the existing system could sustain the potentially large influx of newly insured individuals. Another provision calls for new models of health care provider organizations to ensure delivery efficiency and continuity of care. In this week’s media presentation, Dr. Kathleen White discusses the accountable care organization, which comprises a group of providers coordinating care across a variety of institutional settings. Yet becoming an accountable care organization may present a number of challenges. This week’s Discussion builds on Week 1, continuing the examination of those societal and organizational contexts that influence health care reform. The unintended consequences of reform policy on the health care system are also considered. To prepare: Review this week’s media presentation and the other Learning Resources focusing on how reform may lead to improved quality, greater access, and reduced cost of care. Also think about the unintended consequences that may arise as a result. Consider the information presented about the individual mandate and accountable care organizations. What are some questions or concerns you might have regarding the individual mandate? What are the pros and cons associated with becoming an accountable care organization? With posting instructions in mind, select either the individual mandate or accountable care organizations as the focus of your Discussion this week. By Day 3 Post a cohesive response that addresses the following: In the first line of your posting, identify the topic you have selected—either the individual mandate or accountable care organizations. With regard to this topic, describe one or more positive results that could be achieved, and one or more unintended consequence(s) that organizations or individuals may experience. Briefly evaluate issues on the topic that may be a consideration for the organization you work in and the nursing profession. Read a selection of your colleagues’ postings. By Day 6 Respond to at least two of your colleagues in one or more of the following ways: Ask a probing question, substantiated with additional background information, evidence or research. Share an insight from having read your colleagues’ postings, synthesizing the information to provide new perspectives. Offer and support an alternative perspective using readings from the classroom or from your own research in the Walden Library. Validate an idea with your own experience and additional research. Make a suggestion based on additional evidence drawn from readings or after synthesizing multiple postings. Expand on your colleagues’ postings by providing additional insights or contrasting perspectives based on readings and evidence. Note: Please see the Syllabus and Discussion Rubric for formal Discussion question posting and response evaluation criteria. NURS 8100 Discussion Unintended Consequences of Health Care Reform Click here to ORDER an A++ paper from our Verified MASTERS and DOCTORATE WRITERS:NURS 8100 Discussion: Unintended Consequences of Health Care Reform Return to this Discussion in a few days to read the responses to your initial posting. Note what you learned and/or any insights you gained as a result of the comments made by your colleagues. Be sure to support your work with specific citations from this week’s Learning Resources and any additional sources. Submission and Grading Information Accountable Care Organizations. The discussion this week will focus on accountable care organizations (ACO). The ACO have both benefits and consequences which will be addressed below.  Lastly the discussion will incorporate the relevance of using ACO in a continuing care retirement community (CCRC) and the nursing profession as a whole. Positive Results There are different ways that ACO can be defined or explained. One such definition is by Dewey (2020) that describes an ACO as a heath care concept. Different providers or clinicians with diverse specialties are in agreement for care coordination, with payment options that are affordable and not aggravating.  The same concept is validated in the video (Walden, 2011), where ACO can be visualized by looking at health care delivery and financial burden or lack thereof. One positive result that has been achieved by ACO is control of health care costs. According to Figueroa, Lam,  Phelan, Orav & Jha (2021), ACOs have been an acceptable model for organization of health care delivery not limited to management and care coordination. This has in turn led to saving of resources in terms of time and money. Unintended Consequences One of the unintended consequence of an ACO is the decreased flexibility of patients to find providers that are not associated with an ACO. Sometimes clients prefer to have a second or third opinion from different providers not associated with a specific ACO. This is not always an easy task. Those providers in an ACO do not always use the same electronic health record (EHR). According to Perloff & Sobul (2022), the diverse structures of ACO can lead to multiple EHR use resulting to extreme delays. This could have severe consequences in compliance especially when there is an expectation to report quality measures through EHRs. Issues Considered for the Organization and the Nursing Profession. Working in a CCRC is dominated by geriatric patients. ACOs have part of their focus on patients who are receive Medicare benefits especially those that have chronic diseases and elderly and do not necessarily have the Medicare advantage program. Some of the issues that can be considered in the organization is physician participation in an ACO. Some of the patients have had the same physician for many years and are not willing to switch providers. Unfortunately, these are the providers who are not ready to be part of the ACO. It is crucial to admit ACOs offer a holistic patient centered approach which is attractive to the geriatric population who opt to receive services in a central place. Family members especially for those patients who have cognitive impairment also appreciate the coordinated care of an ACO.   References Dewey, J. (2020). Accountable Care Organizations (ACOs). Salem Press Encyclopedia of Health. Figueroa, J. F., Lam, M. B., Phelan, J., Orav, E. J., & Jha, A. K. (2021). Accountable Care Organizations Are Associated with Savings Among Medicare Beneficiaries with Frailty. Journal of General Internal Medicine, 36(12), 3891–3893. https://doi.org/10.1007/s11606-020-06166-6 Perloff, J., & Sobul, S. (2022). Use of electronic health record systems in accountable care organizations. The American Journal of Managed Care, 28(1), e31–e34. https://doi.org/10.37765/ajmc.2022.88818 Walden University, LLC. (Executive Producer). (2011). Healthcare policy and advocacy: Reforming health care delivery: Accountable care organizations. Baltimore: Author. Order Now