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Chronic disease and healthcare costs: implications of the affordable care act and subsequent supreme court decisions

Stringer, Ryan (2015) Chronic disease and healthcare costs: implications of the affordable care act and subsequent supreme court decisions. Master Essay, University of Pittsburgh.

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Abstract

American public health has enjoyed successes in infectious disease prevention, healthcare access expansion, workplace safety, and other areas. Yet due to chronic disease, an area of public health significance, Americans face worsening health outcomes and exorbitant healthcare costs. The federal government included provisions in the Patient Protection and Affordable Care Act (PPACA) in order to improve these issues, including population based prevention, clinical prevention, and healthcare payment and organizational reforms. Each of these may have a long term impact upon chronic diseases and their associated costs by focusing on prevention and chronic disease management. Recent Supreme Court decisions, however, have had an effect on these laws. First, the Court’s Medicaid expansion decision in National Federation of Independent Business v. Sebelius limited the proliferation of clinical-based preventive based services. Second, the Burwell v. Hobby Lobby Stores, Inc. decision likely opened employer and insurer mandated preventive services to legal attack. While the PPACA did not cure the chronic disease and cost issues that the United States faces, it contains essential steps in the nation’s incremental health policy process.


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Details

Item Type: Other Thesis, Dissertation, or Long Paper (Master Essay)
Status: Unpublished
Creators/Authors:
CreatorsEmailPitt UsernameORCID
Stringer, Ryanrks29@pitt.eduRKS29
Contributors:
ContributionContributors NameEmailPitt UsernameORCID
Committee ChairBjerke, Elizabethschmidte@pitt.eduSCHMIDTEUNSPECIFIED
Committee MemberMeisel, Alanmeisel@pitt.eduMEISELUNSPECIFIED
Date: 2015
Date Type: Publication
Access Restriction: No restriction; Release the ETD for access worldwide immediately.
Publisher: University of Pittsburgh
Institution: University of Pittsburgh
Schools and Programs: Graduate School of Public Health > Health Policy & Management
Degree: MPH - Master of Public Health
Thesis Type: Master Essay
Refereed: Yes
Date Deposited: 04 Nov 2015 23:47
Last Modified: 30 Oct 2018 13:57
URI: http://d-scholarship.pitt.edu/id/eprint/24796

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