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Hi Alicia,
Thank you for your post on the limitations of health insurance regulation. I strongly agree with you that, in addition to increasing the financial burden of the health care organizations, the Patient Protection and Affordable Care Acts has also increased the financial responsibility of the patients through tax payment applied to dividends, interest, rents, royalties, and property sales (Internal Revenue services, 2020). Now, what role do you think that health care administration leaders might play in influencing public policy to offsetting this burden?

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Limitations of Health Insurance Regulation
            The Patient Portability and Affordable Care Act  (PPACA) aimed to decrease health care costs and improve the accessibility of health care to individuals who did not have access. It mandated employers to offer health insurance coverage to employees (Bowling et al., 2018).   Many states did not enact the expansion of Medicaid, supported by federal reimbursement. Instead, states developed similar mandates. However, over time, states had no choice but to enact the PPACA to received federal incentives for financial assistance to implement the plan required to improve quality care and patient safety.
           While the PPACA expansion of Medicaid increased the resources for patients without insurance, there was a reduction in payments (Young et al., 2021). The PPACA changed the focus of the health care delivery system for physicians, nurses, hospitals, and other health service organizations (HSO’s). Health care delivery shifted from volume to value-based care, difficult for many providers (Eggbeer et al., 2015).