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ASE1201 Population Health Question: Relate the provisions of the ACA to at least two of the four pillars of population health. How do these ACA provisions support more widespread application of Population Health principles and anticipated outcomes? ACA provisions – please read the attached Systematic Review by French et al. on Early research findings on the ACA- for the discussion board question ACA Provisions refers to information in the French et al. article. Answer: Affordable Care Act The four pillars of public health include health policy, public health, care management, and quality and safety. The provisions of the Affordable Care Act, relate to these pillars in a number of ways. It is important to note that the provision of the Affordable Care Act has massively reduced the number of people lacking coverage through several policy changes. As presented in the article by French et al., (2016), it is evident that the ACA relates more with the two pillars of population health that include public health and health policy. These Affordable Care Act provisions support a more widespread use of Population Health principles in a number of ways. Some of these ways are as discussed in this paper. Overall Health Insurance Coverage, Access, And Affordability It relates to health policy which is a pillar of population health. According to Sommers et al. (2012), the number of uninsured Americans has massively dropped in recent years since the introduction of the ACA. In fact, there have been significant improvements in the access of affordable care, primary care services, and self-reported health among others. It has been additionally reported that the expanded coverage has made it much easier for patients to gain access to physicians. Dependent Coverage Provision The ACA under the young adult mandate allows individuals aged between 19-25 years to remain in their parent’s  health insurance plans. There has been a noteworthy increase in the insurance coverage among the young adults since the introduction of this provision. As reported by McMorrow et al. (2015), there has been a decrease in the number of young adults lacking coverage from 30% in 2009 to just 19% in 2014 implying that only around 6 million young adults remained uninsured by 2014. Medicaid Expansion Expansion of Medicaid under the Affordable Care Act affects insurance coverage on different levels that include affordability, access to care, health outcomes, and utilization among others. The expansion of Medicaid improves coverage and reduces the rates of uninsured individuals (Olson, 2015). Among the low-income population, it has also affected utilization of services, the access to care, financial security, and affordability of care. Comments On The Student Posting I think that it is important that the young adults are knowledgeable regarding access to care during a period of transition when they are still trying to go through college or settling in new jobs. This access is made possible due to the fact that they can still remain under the insurance plans of their parents until they turn 25. I can confidently say that providers may be reluctant in participating in public insurance programs since some physicians may not be willing to accept Medicaid beneficiaries because of the rates of reimbursement as mentioned by the first student. I also believe that the insurance companies are not supposed to deny coverage based on preexisting conditions. Instead, they can vary the insurance rates based on a number of factors such as the family size, rating area and age among others. We can keep the beneficiaries of these plans healthy by ensuring that they have adequate care which also the financial burdens on both the individual and the society at large. References French, M. T., Homer, J., Gumus, G., & Hickling, L. (2016). Key provisions of the patient protection and Affordable Care Act (ACA): a systematic review and presentation of early research findings. Health services research, 51(5), 1735-1771. McMorrow, S., Kenney, G. M., Long, S. K., & Anderson, N. (2015). Uninsurance among young adults continues to decline, particularly in Medicaid expansion states. Health Affairs, 34(4), 616-620. Olson, L. K. (2015). The ACA Medicaid Expansion Waiver in the Keystone State: Do the Medically Uninsured “Got a Friend in Pennsylvania”?. Journal of health politics, policy and law, 40(3), 599-611. Sommers, B. D., Buchmueller, T., Decker, S. L., Carey, C., & Kronick, R. (2012). The Affordable Care Act has led to significant gains in health insurance and access to care for young adults. Health affairs, 32(1), 165-174.

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