DNP 825 In reviewing the Affordable Care Act, what are the potential effects of having the option for insurance coverage in both the private and public sectors? 

Re: Topic 5 DQ 2

Having medical Insurance motivates people to get medical care without worrying of expenditures. Rajashri et al (2020) reports that the COVID-19 pandemic brought economic recession with job loses, economic hardship and increase in job-based coverage loses. Medicaid expansion through the Affordable Care Act (ACA) has played great role in protecting coverages with increases in public coverages and drop in private coverage. Campbell et al (2020) reports that prior to ACA, most vulnerable people with job losses were excluded from Medicaid. Private insurance was obtainable through group which usually come from employment or non-group market. The non-groups suffered from problems such as lack of access to insurance from individuals with pre -existing health conditions, high administrative cost, limited choice, and continued exposure to health expenditure risks with caps on coverage or exclusions of coverage. Therefore, ACA address the private insurance issues without reducing the employee group coverage. The most impact of ACA on insurance is establishment of marketplace where individuals could shop for insurance policies and this is offered to everyone with pricing variations on basis of geography, family composition The employer sponsored coverages were also required to offer affordable coverage meeting minimum standards (Campbell et al 2020). The DNP provider can be included in providing needed care to their commonality health centers, clinics, hospitals and medical centers to give required care to all. Campbell, A.L., & Shore-Sheppard, L. (2020). The Social, Political, and Economic Effects of the Affordable Care Act: Introduction to the Issue. RSF: The Russell Sage Foundation Journal of the Social Sciences 6(2), 1-40. https://www.muse.jhu.edu/article/761100. Rajashri Chakrabarti & Lindsay Meyerson & William Nober & Maxim L. Pinkovskiy, 2020. “The Affordable Care Act and the COVID-19 Pandemic: A Regression Discontinuity Analysis,” Staff Reports 948, Federal Reserve Bank of New York.