Health Care Reform - Term Paper Example

Health Care Reform: Populations that Will Benefit Most The people who would benefit a great deal from the Health Care Reform report are Individuals and families who belong to low-income and middle-income level groups, do not have insurance from their employers, and are not receiving Medicaid or Medicare; 2) Individuals and families who earn enough to not receive Medicaid, but have lower wages than 400 percent more than the poverty line. The government will give them “premium credits” to make their health insurance more affordable; 3) People who have current health problems; and 4) People at different levels of income and working for diverse employees, since they will be given greater opportunity to access cheaper and more expansive health insurance coverage (Jackson & Nolen, 2010; Thoma, 2010).

Health Care Reform: Populations that Will Benefit LeastPeople who will not benefit that much or will be negatively affected by the health care reform are: 1) Illegal immigrants who cannot participate in the reform and its insurance exchange, even when they fully pay for their expenses (Jackson & Nolen, 2010); 2) This group composes about “one third of the 24 million who will remain uninsured” (Thoma, 2010); 3) The insured will also be adversely affected, since this can increase their premiums; 3) Doctors will not largely benefit, due to lower Medicare payment rates; and 4) The wealthy will foot the bill of those who will benefit from the health care reform, since there will be a “0.

9% increase in Medicare payroll taxes” for those who earn higher than $200,000 per annum and the rich will also be taxed 3.8% on their investment income by 2013 (Wingfield, Whelan, & Herper, 2010, p.3)Involvement of DHHS Agencies in Health Care Reform The Agency for Healthcare Research and Quality (AHRQ) (2009) will focus on attaining the information needs of the Health Care Reform, such as identifying who will receive additional Medicare and Medicaid services. The Centers for Medicare and Medicaid Services (CMS) will also be involved in the reform activities, because it will provide medicine discounts for senior citizens, and expand Medicaid to include more families and childless adults, beginning in 2014 (Jackson & Nolen, 2010).

The Administration for Children and Families (ACF) (2011) will ensure that insurance providers will not deny insurance to covered children due to “preexisting conditions” (Jackson & Nolen, 2010) and that they will allow children to be part of their parents insurance until the former are 26 years old (Jackson & Nolen, 2010).Nursing Implications in Health Care ReformParadis, Wood, and Cramer (2009) reported that there will be higher demand for advanced practice registered nurses (APRNs) as a result of the health care reform, because it would need more primary care providers and case managers (p.3). APRNs are suitable for these roles, because they know the care continuum model; they are capable of providing affordable and quality health care.

Paradis, Wood, and Cramer (2009) added that federal and state laws should also be reformed to accept APRNs as principal care providers for home centers, so that the latter can avail of reimbursements.ReferencesAdministration for Children and Families (ACF). (2011). Insure kids now. Retrieved from http://www.insurekidsnow.gov/Agency for Healthcare Research and Quality (AHRQ). (2009). Filling the information needs for Healthcare Reform. Retrieved from http://www.ahrq.gov/data/hinfosum.htmJackson, J.

& Nolen, J. (2010, March 21). Health care reform bill summary: A look at whats in the bill. CBS News. Retrieved from http://www.cbsnews.com/8301-503544_162-20000846-503544.htmlParadis, M., Wood, J., & Cramer, M. (2009, September/October). A policy analysis of health care reform: implications for nurses. Nursing Economics. Retrieved from http://findarticles.com/p/articles/mi_m0FSW/is_5_27/ai_n39382519/pg_4/?tag=mantle_skin;contentThoma, M. (2010, March 22). Who benefits from health care reform?

Moneywatch.com. Retrieved from http://moneywatch.bnet.com/economic-news/blog/maximum-utility/who-benefits-from-health-care-reform/539/Wingfield, B., Whelan, D., & Herper, M. (2010, March 21). Health reforms winners and losers. Forbes.com. Retrieved from http://www.forbes.com/2010/03/21/health-care-vote-business-beltway-congress.html