Taylor Lewis: President And Michelle Obama’s Legacy Lives On In October Issue Of ESSENCE
It’s the end of an era. While the Obamas are hoping that their initiatives—My Brother’s Keeper, Let’s Move, Let Girls Learn, to name a few—will live on, the couple hopes to hold onto the memories that they’ve made during their eights years in DC. Some of my fondest memories of the White House are just being with the girls on a summer night and walking the dogs around the South Lawn, talking and listening to them, trying to get Bo to move because sometimes it’s hot.”
“I think when it comes to Black kids, it means something for them to have spent most of their life seeing the family in the White House look like them,” Mrs. Obama said. “It matters. All the future work that Barack talked about, I think over these last few years, we’ve kind of knocked the ceiling of limitation off the roofs of many young kids; imaginations of what’s possible for them. And as a mother, I wouldn’t underestimate how important that is, having that vision that you can really do anything—not because somebody told you, but because you’ve seen and experienced it. I think that will be a lasting impact on our kids.”
Fewer Americans are uninsured than ever before, new federal data shows.Quarterly numbers from the National Center for Health Statistics (NCHS) show that the uninsured rate fell to 8.6 percent during the first three months of 2016. That’s the lowest rate the government has on record.
States that opted to expand Medicaid coverage to include lower-income individuals have managed to cut their uninsured rate from 18.4 percent in 2013 to 9.2 percent in the first three months of 2016. The uninsured rate has fallen most dramatically for nonwhite adults since 2013. For Hispanic adults, the uninsured rate has been cut nearly in half, dropping from 40.6 percent in 2013 to 24.5 percent in 2016.
Carolyn Y. Johnson: U.S. Will Spend $2.6 Trillion Less On Health Care Than Expected Before Obamacare, Study Projects
A new study predicts that the federal forecast of national health care spending under President Obama’s signature health law was a big overestimate — by $2.6 trillion over a five-year period. Looking forward, the study’s authors also point to recent evidence that a 2014 uptick in health spending that had seemed to signal a return to higher growth may have been temporary. If slower growth persists, they argue that it will become harder to argue that it is just the economy and not the cost containment policies enabled by the Affordable Care Act that are tempering spending. Hempstead said it’s becoming increasingly plausible that the federal policies included in the Affordable Care Act —
and its ripple effects as programs implemented within Medicare influence the private market — are having a tempering effect. Hempstead thinks that some of the policies that came with health reform have contributed. For example, she pointed to a policy that was intended to cut hospital readmissions by introducing financial penalties for hospitals with excessive readmissions. Being readmitted to the hospital isn’t good for patients or for payers — a report by the Agency for Healthcare Research and Quality found that 3.3 million adult hospital readmissions racked up $41.3 billion in hospital costs in 2011. Hospital readmission rates fell after the Affordable Care Act was implemented, both for conditions targeted by policy and those that weren’t.
Importance The Affordable Care Act is the most important health care legislation enacted in the United States since the creation of Medicare and Medicaid in 1965. The law implemented comprehensive reforms designed to improve the accessibility, affordability, and quality of health care. Objectives To review the factors influencing the decision to pursue health reform, summarize evidence on the effects of the law to date, recommend actions that could improve the health care system, and identify general lessons for public policy from the Affordable Care Act. Evidence Analysis of publicly available data, data obtained from government agencies, and published research findings. The period examined extends from 1963 to early 2016. Findings The Affordable Care Act has made significant progress toward solving long-standing challenges facing the US health care system related to access, affordability, and quality of care. Since the Affordable Care Act became law, the uninsured rate has declined by 43%, from 16.0% in 2010 to 9.1% in 2015, primarily because of the law’s reforms. Research has documented accompanying improvements in access to care (for example, an estimated reduction in the share of nonelderly adults unable to afford care of 5.5 percentage points), financial security (for example, an estimated reduction in debts sent to collection of $600-$1000 per person gaining Medicaid coverage),
and health (for example, an estimated reduction in the share of nonelderly adults reporting fair or poor health of 3.4 percentage points). The law has also begun the process of transforming health care payment systems, with an estimated 30% of traditional Medicare payments now flowing through alternative payment models like bundled payments or accountable care organizations. These and related reforms have contributed to a sustained period of slow growth in per-enrollee health care spending and improvements in health care quality. Despite this progress, major opportunities to improve the health care system remain. Conclusions and Relevance Policy makers should build on progress made by the Affordable Care Act by continuing to implement the Health Insurance Marketplaces and delivery system reform, increasing federal financial assistance for Marketplace enrollees, introducing a public plan option in areas lacking individual market competition, and taking actions to reduce prescription drug costs. Although partisanship and special interest opposition remain, experience with the Affordable Care Act demonstrates that positive change is achievable on some of the nation’s most complex challenges.