Health Policy and Management Report: CMS Proposed Rule and ACA Impact

This report examines the Centers for Medicare and Medicaid Services (CMS) proposed rule and its implications, particularly in relation to the Affordable Care Act (ACA). The report discusses the policy's impact on health insurance coverage, the potential for fines, and the expansion of Medicaid. It highlights the policy's emphasis on improving public health through grants, research, and interventions. Key aspects covered include revenue provisions, the healthcare workforce, and the improvement of healthcare quality and efficiency. The author points out that the policy aims to lower healthcare expenses and increase hiring. The report also mentions the policy's reliance on state loan repayment for critical healthcare positions and its support for community-based coordinated care and healthcare improvement research. The report references Kinney (2015) and Zogg et al. (2016) to support its analysis of the ACA's effects on healthcare access and outcomes.

Running head: HEALTH POLICY AND MANAGEMENT 1
Health Policy and Management
Student’s Name
Institutional Affiliation

HEALTH POLICY AND MANAGEMENT 2
Subject: The Centers for Medicare Medicaid Services (CMS) Proposed Rule: Patient
Protection and Affordable Care Act; Exchange Program Integrity
Comment Tracking Number: 1k2-96ir-5omf
Agency: Centers for Medicare Medicaid Services
Parent Agency: Department of Health and Human Services
Document Type: The proposed Rule
Title: Patient Protection and Affordable Care Act, Exchange Program Integrity
Docket ID: CMS_FRDOC_0001

HEALTH POLICY AND MANAGEMENT 3
Comment:
There are a lot of questions about this policy. For instance, if an SIUE employee who is
eligible for state Insurance health coverage is affected with this policy. On the other hand, I can
admit this policy is a universal health care system which covers over ninety-five percent of the
American public. However, it requires that citizens should acquire health insurance and for those
individuals that do not comply are penalized with a fine (Zogg et al., 2016). I can agree that this
policy expands the welfare Medicaid availability to more people, but I feel like individuals that
make much money to merit for the Medicaid continue struggling to afford the private insurance
and also pay fines on top if not insured.
The good thing about this policy is that it improves the public health and also prevents
the chronic disease thus promoting community health through grants, research, public health and
interventions (Kinney, 2015). Accordingly, some of the titles that I like most about this policy
are highlighted below. The first one is revenue provision, health care workforce, improving the
quality and efficiency of health care and lastly quality and affordable healthcare for everyone
which helps to acquire healthcare that is more efficient and effective.
The effects of this policy on the economy are that it helps to lower the growth of
healthcare expenses, thus raising hiring in the near term and bolstering the worker's paychecks
(Kinney, 2015). Conversely, regarding revenue provision, I think this policy relies on state loan
repayment on critical need positions in healthcare. Furthermore, I like the fact that it increases
community based coordinated care and support research on health care improvements.

HEALTH POLICY AND MANAGEMENT 4
References
Kinney, E. (2015). The Affordable Care Act and Medicare in a comparative context. New York,
NY, USA: Cambridge University Press.
Zogg, C. K., Chew, F. P., Scott, J. W., Wolf, L. L., Tsai, T. C., Najjar, P., ... & Canner, J. K.
(2016). Implications of the patient protection and Affordable Care Act on insurance
coverage and rehabilitation use among young adult trauma patients. Jama
surgery, 151(12), e163609-e163609.