Impact of Affordable Healthcare Act on North Carolina's Uninsured Essay

Impact of Affordable Healthcare Act on North Carolina's Uninsured population - Essay Example However, the Affordable Care Act has given two percent of North Carolina’s uninsured adult parents the eligibility for Medicaid (Ronai, 2011). It has been noted that there are some North Carolinians who are eligible for coverage under Medicaid but have not enrolled partly because of historic enrolment barriers and partly because they are not aware of their eligibility. It is projected that the coverage expansion of the Affordable Care Act will reach out to more of the individuals who are eligible for cover but are still uninsured as it streamlines North Carolina’s enrolment processes thus increasing the enrolment of eligible persons for Medicaid. Uninsured North Carolinians who earn above the limit of premium tax subsidies will not be covered under the Affordable Care Act. The Affordable Care Act does not cover uninsured undocumented North Carolinian immigrants (Milstead, 2013). According to the Affordable Care Organization (ACO) concept enacted in 2010 by congress, healthcare organization can be looked at in two dimensions, the ACO and individual healthcare institutions that can constitute an ACO. One of impacts of the economics of providing care to patients from an ACO’s point of view is the demand for caution in navigating the complex formula for reimbursing its member hospitals and physicians. The complexity of this formula draws from the combination of fee-for-services under Medicare and shared-savings for hospital and physician ACO participants. ACO has an added duty of upholding accountability for the quality and cost of patient care including the overall care of its fee-for-service Medicare beneficiaries. ACOs have to design legal framework that would allow for the reception and distribution of payments for shared savings to its participant physicians and hospitals. ACOs have to meet the patient-centeredness criteria provided by the Secretary including patient and caregiver assessments and provision of