Section A References

Name 8

Theimpact that educating communities on the affordable care and Medicaidhave on enrollment in health care insurance (Affordable Care Act)

SectionA

References

1.2016 OEP: Consumer survey findings | McKinsey onHealthcare.&nbspHealthcaremckinseycom.2016. Available at:http://healthcare.mckinsey.com/2016-oep-consumer-survey-findings.Accessed November 5, 2016.

2.Wood R. Down for Maintenance – Robert Wood JohnsonFoundation.&nbspRwjforg.2016. Available at:http://www.rwjf.org/content/dam/farm/reports/issue_briefs/2016/rwjf427898.Accessed November 5, 2016.

3.City-Data.com – Stats about all US cities – real estate, relocationinfo, crime, house prices, cost of living, races, home valueestimator, recent sales, income, photos, schools, maps, weather,neighborhoods, and more.&nbspCity-datacom.2016. Available at: http://www.city-data.com/. Accessed November 5,2016.

4.Ohio department of medicaid.&nbspOhiogov.2016. Available at:http://medicaid.ohio.gov/Portals/0/Resources/Research/MedicaidEligExpReports/2016/Med-08.pdf.Accessed November 5, 2016.

5.Kasich JMcCarthy J. Medicaid Eligibles and ExpendituresReports.&nbspMedicaidohiogov.2016. Available at:http://medicaid.ohio.gov/RESOURCES/ReportsandResearch/MedicaidEligiblesandExpendituresReports.aspx#800552-2016.Accessed November 5, 2016.

6.Plan Selections by ZIP Code and County in the Health InsuranceMarketplace: March 2016.&nbspASPE.2016. Available at:https://aspe.hhs.gov/basic-report/plan-selections-zip-code-and-county-health-insurance-marketplace-march-2016.Accessed November 5, 2016.

7.Regional Coalitions/ONCE – Google Drive.&nbspDrivegooglecom.2016. Available at:https://drive.google.com/drive/folders/0BytjES81d0uHektQZWxaRDFLdzg.Accessed November 5, 2016.

8.Zip Code Demographic Info.&nbspGoogleDocs.2016. Available at:https://docs.google.com/spreadsheets/d/1XaHsQHWGj-kdd5jaORDfeyvZcGlKuKtWHASw7Zd6GCE/edit?usp=sharing.Accessed November 5, 2016.

9.Columbus H. 2016 Enroll America Data Presentation.&nbspIssuu.2016. Available at:https://issuu.com/ahcols/docs/201608_franklin_county_data?e=7439231/37908655.Accessed November 5, 2016.

10.State Profiles | Enroll America.&nbspEnrollamericaorg.2016. Available at:https://www.enrollamerica.org/research-maps/maps/state-profiles/.Accessed November 5, 2016.

11.All counties in Ohio-uninsured rates by major demographicgroups.&nbspOhioSnapshot.2016. Available at:https://s3.amazonaws.com/assets.enrollamerica.org/wp-content/uploads/2015/11/OH-State-Snapshot-County-table.pdf.Accessed November 5, 2016.

12.State of Enrollment: Getting America Covered 2016 | EnrollAmerica.&nbspEnrollamericaorg.2016. Available at: https://www.enrollamerica.org/soe2016/. AccessedNovember 5, 2016.

13.Sommers B, Kenney G, Epstein A. New Evidence on the Affordable CareAct: Coverage Impacts of Early Medicaid Expansions. HealthAffairs.2014 33(1):78-87. doi:10.1377/hlthaff.2013.1087.

14.Buchmueller T, Levinson Z, Levy H, Wolfe B. Effect of the AffordableCare Act on Racial and Ethnic Disparities in Health InsuranceCoverage. AmJ Public Health.2016 106(8):1416-1421. doi:10.2105/ajph.2016.303155.

15.Miller S, Frogner B, Saganic L, Cole A, Rosenblatt R. Affordable CareAct Impact on Community Health Center Staffing and Enrollment.Journalof Ambulatory Care Management.2016 39(4):299-307. doi:10.1097/jac.0000000000000122.Frean,M, Gruber, J, Sommers, D. PremiumSubsidies, the Mandate, and Medicaid Expansion: Coverage Effects ofthe Affordable Care Act&nbsp(No.w22213). National Bureau of Economic Research 2016.

16.Cheng T, Adamides K, Campos S, Selbin J, O`Leary A, Fuentes R. TheObamacare Opportunity: Implementing the Affordable Care Act toImprove Health, Reduce Hardship, and Grow the Economy for AllCalifornians. SSRNElectronic Journal.2013. doi:10.2139/ssrn.2317415.

17.Dorn,S., Minton, S., Huber, E., Act, A. C., Landey, A. Examples ofPromising Practices for Integrating and Coordinating Eligibility,Enrollment and Retention: Human Services and Health Programs Underthe Affordable Care Act.&nbspWashington,DC: Urban Institute. http://www.urban.org/research/publication/examples-promising-practices-integrating-and-coordinatingeligibility-enrollment-and-retention-human-services-and-health-programs-under-affordable-care-act.2014

18.Frean, M, Gruber, J, Sommers, D. PremiumSubsidies, the Mandate, and Medicaid Expansion: Coverage Effects ofthe Affordable Care Act&nbsp(No.w22213). National Bureau of Economic Research 2016.

SectionB-Annotated Bibliography

ChengT, Adamides K, Campos S, Selbin J, O`Leary A, Fuentes R. TheObamacare Opportunity: Implementing the Affordable Care Act toImprove Health, Reduce Hardship, and Grow the Economy for AllCalifornians. SSRNElectronic Journal.2013. doi:10.2139/ssrn.2317415.

Thearticle presents research on the effectiveness that the Obamacare Actwill have on the health coverage of many Americans. To accomplish anexpansion in healthcare coverage, the Affordable Care Act will createmarketplaces on wellbeing insurance whereby they will offer subsidiesand premium tax credits for fitness insurance to variousstakeholders. California was the first state to implement ACAlegislation whereby they created a marketplace where the residentscould access health insurance. The state deployed variousmethodologies to provide information about public benefit programs.

Inessence, the implementation of the Federal ACA in the state ofCalifornia will enhance the opportunity to increase access to healthcoverage and critical safety and work support programs. The study isrelevant in providing insights on different programs that will aid inthe implementation of ACA. California should capitalize on the ACAfinancial incentive that entails 90 percent cost coverage by federalgovernment in healthcare infrastructure. Other states should alsoenact legislations that are in line with ACA to enhance theirhealthcare programs.

SommersB, Kenney G, Epstein A. New Evidence on The Affordable Care Act:Coverage Impacts Of Early Medicaid Expansions. HealthAffairs.2014 33(1):78-87. doi:10.1377/hlthaff.2013.1087.

Theimplementation of Affordable Care Act in 2014 expanded Medicare tomillions of low-income people in different states in the U.S.Primarily, since 2010 individuals in various states took advantage ofthe new regulations that aided the coverage of low-income childlessadults. The author presents data of documented records of the ramp upenrollment in California whereby it shows a gradual increase at anearly stage.

Thestudy is crucial in analyzing the effects of the Medicaid program tothe residents of California. Medicaid enrollments were high inindividuals with health related limitations while crowding in privatecoverage was apparent in Connecticut, especially for young adults.Previously eligible parents’ registration also increased with theimplementation of Medicaid.

Frean,M, Gruber, J, Sommers, D. PremiumSubsidies, the Mandate, and Medicaid Expansion: Coverage Effects ofthe Affordable Care Act&nbsp(No.w22213). National Bureau of Economic Research 2016.

Thearticle analyses the effectiveness of a combination of subsidizedpremiums for marketplace on the eligibility and increased coveragerate. The passage of ACA increased the number of health insurancecovered citizens in the U.S., which was enhanced by the enormousexpansion of both public and private wellbeing cover. Publicinsurance undertook a nationwide expansion of state Medicare programsto individuals below the Federal poverty level. This course led to areduction in the rate of uninsured individuals as per the censusbureau and national center for health statistics. Medicare enrollmenthad increased by eight percent in 2015.

Accordingto the article, insurance coverage was only moderately responsive toprice subsidies while the exemption and tax penalty structure ofindividuals had little impact on coverage decisions. The studyindicates that other measures should be put in place to enhanceenrollment of new individuals into the program.

MillerS, Frogner B, Saganic L, Cole A, Rosenblatt R. Affordable Care ActImpact on Community Health Center Staffing and Enrollment. Journalof Ambulatory Care Management.2016 39(4):299-307. doi:10.1097/jac.0000000000000122.

TheAffordable Care Act has increased the number of citizens covered bythe health insurance thereby enhancing the workload of communityhealth centers. According to the article, over 500 000, Washingtonresidents gained health insurance under ACA hence, an increase inthe number of patients frequenting the health centers. The articleexamined how the increased number of patients has been affecting theworkload and staffing of the health facilities. Apparently, there was an increase in new Medicaid and exchangepatients by 11.7% and 5.4% respectively.

Dueto the enormous increase in the workload experienced after theimplementation of ACA, there is need to expand the workforce to meetthe expanding demand by patients. Moreover, to enhance qualityservices, community health centers ought to get proper facilities tocater for increased number of patients. The study is crucial inlaying out the challenges accompanying the implementation of ACA andwill help the relevant stakeholders deploy measures to improve theprogram.

BuchmuellerT, Levinson Z, Levy H, Wolfe B. Effect of the Affordable Care Act onRacial and Ethnic Disparities in Health Insurance Coverage. AmJ Public Health.2016 106(8):1416-1421. doi:10.2105/ajph.2016.303155.

Thisarticle examines the effects of ACA on the racial and ethnicdisparity in health insurance coverage across the United States withthe aim of establishing how wellbeing indemnity coverage changed inadults from different races after ACA was implemented. According tothe article, before the implementation of ACA, 40.5 percent ofHispanics and 25.8percent of Blacks were uninsured compared to 14.8percent of Whites.

Coveragedisparities declined slightly upon the implementation of ACA wherebythe number of uninsured individuals across all races reducedparticularly in states that expanded Medicaid programs. As such, theACA legislation has reduced disparities in medical coverage in peopleof different races thereby enhanced expansion of improved programtake up. Therefore, it would be necessary to implement the Medicaidprogram to enhance access to all individuals.

References

BuchmuellerT, Levinson Z, Levy H, Wolfe B. Effect of the Affordable Care Act onRacial and Ethnic Disparities in Health Insurance Coverage. AmJ Public Health.2016 106(8):1416-1421. doi:10.2105/ajph.2016.303155.

ChengT, Adamides K, Campos S, Selbin J, O`Leary A, Fuentes R. TheObamacare Opportunity: Implementing the Affordable Care Act toImprove Health, Reduce Hardship, and Grow the Economy for AllCalifornians. SSRNElectronic Journal.2013. doi:10.2139/ssrn.2317415

Frean,M, Gruber, J, Sommers, D. PremiumSubsidies, the Mandate, and Medicaid Expansion: Coverage Effects ofthe Affordable Care Act&nbsp(No.w22213). National Bureau of Economic Research 2016.

MillerS, Frogner B, Saganic L, Cole A, Rosenblatt R. Affordable Care ActImpact on Community Health Center Staffing and Enrollment. Journalof Ambulatory Care Management.2016 39(4):299-307. doi:10.1097/jac.0000000000000122.Frean,M, Gruber, J, Sommers, D. PremiumSubsidies, the Mandate, and Medicaid Expansion: Coverage Effects ofthe Affordable Care Act&nbsp(No.w22213). National Bureau of Economic Research 2016.

SommersB, Kenney G, Epstein A. New Evidence on the Affordable Care Act:Coverage Impacts of Early Medicaid Expansions. HealthAffairs.2014 33(1):78-87. doi:10.1377/hlthaff.2013.1087.