Sample Nursing Essay on The Affordable Care Act

The Affordable Care Act

The Patient Protection and Affordable Care Act became law on March 23, 2010. The Act took effect on January 1, 2014, when subsidies for individuals and small employer groups began to flow, the Medicaid expansions took effect, and state Health insurance Exchanges began to operate. The Act has several objectives including improving the fairness, quality, and affordability of health insurance coverage, improving healthcare value, quality, and efficiency, and making strategic investments in the public’s health by engaging in the expansion of clinical preventive care and community investments. This paper explores the Act’s aim to improve the fairness, quality, and efficiency of care across the country.

Affordable Care Act (ACA) consists of several provisions related to improving the quality of care and efficiency of the health system across U.S. One of the provisions of the ACA is to improve coordination between the Medicaid and Medicare programs to ensure that individuals who qualify for both can access quality care (Dogra and Dorman 2). Besides, ACA provides options for the states to establish medical homes for individuals with multiple chronic conditions enrolled in the Medicaid program to improve care for such persons. Furthermore, the act focuses on the need for health settings to engage in effective data collection and report mechanisms to address health disparities that may exist within a particular population based on gender, disability status, ethnicity, and others (Mach and Kinzer 22). ACA also promotes the need for health settings to develop effective payment systems to improve the efficiency and results of health care service delivery (McGuire 1030). Another ACA provision focuses on the need for health settings to develop medical malpractice alternatives and reduce medical errors.

ACA is of great significance in the U.S as one of its objectives is to improve the fairness, quality, and efficiency of healthcare for the general public. To achieve that, the act has several provisions that include promoting the development of effective payment systems within various health settings. It also promotes coordination between Medicaid and Medicare to ensure that enrollees of these programs access quality care.

Works Cited

Dogra, Anjali P., and Todd Dorman. “Critical care implications of the Affordable Care Act.” Critical care medicine 44.3 (2016): e168,

Mach, Annie L., and Janet Kinzer. “Legislative Actions to Modify the Affordable Care Act in the 111th-115th Congresses.” (2018),

McGuire, Thomas G. “Achieving mental health care parity might require changes in payments and competition.” Health Affairs 35.6 (2016): 1029-1035,