Affordable Care Act Users Guide for Nurses - page 5

by JB85

Sentiments run high regarding the Affordable care Act, but whether one supports the new law or believes it to be a case of government over-reach, the fact is that the ACA is now the law and as nurses we are obligated to make sure... Read More


  1. 1
    It is true that if you're a bedside nurse trying to explain to a patient the basics about any insurance let alone the new affordable care act will be difficult and time consuming. Likewise, it behooves bedside nurses to know at least the basics and if not use your resources such as Inpt nurse case nanager or the social worker. Healthcare is at a point now where cost effectiveness is crucial. Yes, the insurance are seeking more money and so are the hospitals- but nurses are still part of the institution and as such should contribute in lowering cost, which evenatually trickles down to the patients. Safe discharge can be accomplished once all discipline are onboard. Your notation goes to billing and for every service performed the insurance and patients are billed- So, maybe you will think twice before you agree to the acetaminophen tab and encourage to patient to mbulate instead of having to take the heparin shot- Yes, everyone is inuntated with med dispensing and notation, I know that but working with the nursing assistant and PT can make work easier and more cost effective. BTW, I am an inpatient nurse case manager -
    MBARNBSN likes this.
  2. 0
    The first part of this piece is certainly opinion, but the bullet points and the way the ACA was broken down in this article is very helpful. Thank you.
  3. 2
    I'm in Home Health and patients ask questions about the ACA constantly.
    herring_RN and studentmamaca like this.
  4. 0
    Wow, I am amazed at how angry some of these comments are, I would think as a person that cares for others in the healthcare system you should at least have a clue and some education on the facts of the ACA. The facts listed all seemed to me to be positive, no one really stated what part of the law they rejected they just seemed to bash it for no good reason. Maybe they just hate the president?
  5. 0
    There seems to be more confusion than anger . But for hospital nurses ,there could be anger about more things put on nursing, we don't really know who has insurance or who does or how they got it. As a American, well anger about being told what insurance I must have ,want it or not. I like my my plan and my Dr. and my hospital, don't tell me I don't have it right and to go to the government to get it right!
  6. 1
    I'm confused by some of these facts that seem to contradict each other. For example:

    Quote from JB85
    Myth: Healthcare premiums will go up on individual plans.

    Fact: Persons with pre-existing conditions, women and older people are more likely to see their premiums go down. Co-pays and deductibles may also decrease and limits on how much insurance companies will pay for care will be eliminated. Several studies on insurance premiums expect that more people will pay less (than they did prior to the reforms) than those who will pay more and that those premiums will be more stable and transparent due to the regulations on insurance. It is estimated that about half the people who currently buy insurance on their own today will be eligible for subsidies.

    Myth: Everyone's premiums will go down under the ACA.

    Fact: For a healthy young person who has a low cost, high deductible policy the premiums will likely go up, but the coverage will be better. Those making less that $45,000 annually will probably be eligible for a subsidy.
    So, it's a "myth" that healthcare premiums will go up on individual plans. Great! Oh, wait. I look at the next "fact" and it says "For a healthy young person who has a low cost, high deductible policy the premiums will likely go up".

    As a nurse who should be obligated to explain the ACA to my patients, help me make sense of these two contradicting facts.
    tntrn likes this.
  7. 2
    Quote from studentmamaca
    Wow, I am amazed at how angry some of these comments are, I would think as a person that cares for others in the healthcare system you should at least have a clue and some education on the facts of the ACA. The facts listed all seemed to me to be positive, no one really stated what part of the law they rejected they just seemed to bash it for no good reason. Maybe they just hate the president?
    I'm amazed that some think that those of us who disagree with a president's policies do so on personal grounds. We must also hate poor people, women, homosexuals, etc. too, right?

    No one would argue that there are many things that sound good in the ACA. But many of us believe that it isn't substainable, and the price we pay for this won't be worth it in the long run. So far, many of the promises made regarding the ACA are already being broken. Many of us are not surprised, except that it is happening sooner then we thought.

    Why shouldn't people as American citizens be repsonsible for having a "clue and some education on the facts of the ACA." After all, this president was elected in large part because of the ACA. I would hope the voters would be somewhat knowledgable about Obamacare.

    Also, maybe you should try working as a nurse before you blast those of us "angry" nurses that don't think it is our place to be able to explain the ACA to people.
    Sunflowerinsc and tntrn like this.
  8. 0
    Quote from SC_RNDude
    I'm confused by some of these facts that seem to contradict each other. For example:So, it's a "myth" that healthcare premiums will go up on individual plans. Great! Oh, wait. I look at the next "fact" and it says "For a healthy young person who has a low cost, high deductible policy the premiums will likely go up".As a nurse who should be obligated to explain the ACA to my patients, help me make sense of these two contradicting facts.
    A nurse is obligated to explain the ACA to my patient??? I've not seen that in my plan of care.
  9. 0
    Quote from Sunflowerinsc
    A nurse is obligated to explain the ACA to my patient??? I've not seen that in my plan of care.
    Me neither. But the OP and others believe it should be.
  10. 3
    Quote from SC_RNDude
    Me neither. But the OP and others believe it should be.
    Where???? What others???

    There are nurses whose job is to do this...they work for insurance companies; there are Nurse Case Managers, there are Care Coordinators.

    When I oriented to my recent job, part of my orientation was for documentation and MDS reimbursement; same thing when I worked at a rehab hospital. It's not uncommon to understand how reimbursement works and how it relates to documentation and nursing care; too few nurses don't understand the impact of documentation, only when in terms to malpractice cases; it goes MUCH farther than that.
    nursel56, laborer, and herring_RN like this.


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