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The Effects of the Patient Protection and Affordable Care Act on Health Expenditure

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How Obamacare changed healthcare
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  The Effects of the Patient Protection and Affordable Care Act on Health Expenditure According to the US National Library of Medicine National Institutes of Health, the Patient Protection and Affordable Care Act will ensure that about 94% of Americans have health insurance cover. This will effectively reduce the uncovered Americans by 31 million only rendering 15 million uncovered. The bill had five major aims. First, it aimed at achieving universal coverage, secondly, improving the fairness, quality and affordability of health insurance coverage. Thirdly, it had the goal of improving health-care value, quality and efficiency while reducing the wasteful spending. Thirdly, it aimed at strengthening primary health-care access while bringing about long-term changes in the availability of  primary and preventive health-care and finally, it had the aim of making strategic investments in public health through expansions of clinical preventive care and community health investments. These aims and the provisions in the PPACA, have huge financial implications. The Chief Actuary of Centers for Medicare estimates that the National Health Expenditure will rise by $ 311 billion (0.9%) in the interval between 2010 and 2019. This is as a result of the substantial increase in coverage of uninsured people. Usually people with health insurance use more health services than those without health insurance and since about 31 million people will now obtain cover, then this explains the significant rise in the overall cost of healthcare. The savings provisions by Medicare are also another factor that increases the National Health Expenditure. Since children up to 26 years can be classified as dependents, an estimated 485,000 children will gain coverage increasing the expenditure by about $0.9 billion. Pharmaceutical companies will have to pay more excise tax. For instance, manufacturers and importers of brand name prescription were paying $2.5 billion which is estimated to rise to 4.1 billion in 2018, then set to rise by 2.8 billion annually. In terms of dental healthcare, America dental Association (ADA) expected that more children will take advantage of dental benefits than adults therefore increasing dental spending by an estimated $4 billion.  References American Dental Association (Producer) (2013 August 19) Affordable Care Act, dental benefits examined retrieved from http://www.ada.org/en/publications/ada-news/2013-archive/august/affordable-care-act-dental-benefits-examined Foster R.S. (2010)  Estimated Financial Effects of the Patient Protection and Affordable Care Act   p15-16 Gruber J. (2011) The Impacts of the Affordable Care Act: How Reasonable Are the Projections? Rosenbaum, S. (2011 Jan-Feb) The Patient Protection and Affordable Care Act: Implications for Public Health Policy and Practice [Web post]retrieved from http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3001814/ 
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