MHA/505
Affordable Care Act Public Option – Ages 55 to 64
University of Phoenix
Systems Thinking in Health Care Environments MHA/505
Introduction
The Affordable Care Act (ACA) and the discussion of the public option for individuals
age 55 to 64 is a subject that has a mirage of questions to go along with the debate. Such as
“what are the benefits?” or “what are the costs?’ and the list goes on. This option brings
Medicare into the picture for purchase for those individuals 10 years before the actual benefit is
being allowed at this time. Does it make good sense? Can we sustain another burden of costs that
will affect our already stretched thin health care system? The public option can be a life changing
thing for those that struggle for health care coverage. This age bracket can at times be the lost
ones in the health care market due to aging out of a profession, becoming ill and losing a job, or
in general have no company option for health care coverage. We will look at the public option
and see what works and what does not in our current health care market.
Public Option
Since the induction of the Affordable Care Act (ACA), there has been dispute about
Public Option being included. Public Option can be viewed as a settlement between the single-
payer system and our current system. The proposal would allow those considered as middle-class
working adults to have a choice of Insurance plans in lieu of paying for private insurance. Some
proposal alternatives would give individuals the option to buy into Medicaid or Medicare as
early as 50 years of age. Generally, Medicare is offered to older, disabled adults or those living in
poverty. The Government would bear the responsibility of establishing and supplying a model of
health insurance for individuals to acquire and pay for their healthcare. If those providing private
, insurance aren’t more practicable with their rates and offer or maintain coverage for those with
pre-existing conditions, the execution of Public Option could happen much sooner.
Strategy and Concept of the Public Option
The Biden administration has more than COVID-19 to worry about; they have prioritized
and want to reshape and build on the Affordable Care Act while fixing the previous
administration's regulations. President Biden’s focus is to reverse policies authorized by Trump
regarding the ACA and Medicaid programs. The days to sign up for insurance were cut back to
45 from 92 days to sign up for marketplace coverage in 2017, under Trump. Biden, has offered
more outreach, open a special enrollment period during COVID-19 for people to sign up for
coverage.
In comparison, Trump rejected a special enrollment period. Biden and his administration
“will restore federal spending on navigation, marketing, and outreach for exchange plans.”
Outreach, extending the annual enrollment period and awareness about eligibility are some
options that Biden could be driving towards the American people “Who may not have known
they were eligible for Medicaid based on their income or get premium tax credits.” ACA
advocates are some of the people Biden is picking for his cabinet. A slow process to rebuild our
healthcare after four years Trump and his administration slowing broken it down.
A significant focus for Biden is “making sure that people have access to what the law
allows them to have access to.” Meaning everyone should have access to healthcare. Biden’s
public option plan would be purchasable by all Americans, even if they already have coverage
through their employees. The potential to change the healthcare prices in the U.S. alters the
pressure on prices and how people access healthcare. Although this could help, there is pushback
from private insurers and providers due to this being an option for a government-run insurance
choice. By increasing to 97% insured, Biden is working hard at decreasing the 27 million
uninsured people. A new public health option like Medicare is giving American’s choices, “if
Affordable Care Act Public Option – Ages 55 to 64
University of Phoenix
Systems Thinking in Health Care Environments MHA/505
Introduction
The Affordable Care Act (ACA) and the discussion of the public option for individuals
age 55 to 64 is a subject that has a mirage of questions to go along with the debate. Such as
“what are the benefits?” or “what are the costs?’ and the list goes on. This option brings
Medicare into the picture for purchase for those individuals 10 years before the actual benefit is
being allowed at this time. Does it make good sense? Can we sustain another burden of costs that
will affect our already stretched thin health care system? The public option can be a life changing
thing for those that struggle for health care coverage. This age bracket can at times be the lost
ones in the health care market due to aging out of a profession, becoming ill and losing a job, or
in general have no company option for health care coverage. We will look at the public option
and see what works and what does not in our current health care market.
Public Option
Since the induction of the Affordable Care Act (ACA), there has been dispute about
Public Option being included. Public Option can be viewed as a settlement between the single-
payer system and our current system. The proposal would allow those considered as middle-class
working adults to have a choice of Insurance plans in lieu of paying for private insurance. Some
proposal alternatives would give individuals the option to buy into Medicaid or Medicare as
early as 50 years of age. Generally, Medicare is offered to older, disabled adults or those living in
poverty. The Government would bear the responsibility of establishing and supplying a model of
health insurance for individuals to acquire and pay for their healthcare. If those providing private
, insurance aren’t more practicable with their rates and offer or maintain coverage for those with
pre-existing conditions, the execution of Public Option could happen much sooner.
Strategy and Concept of the Public Option
The Biden administration has more than COVID-19 to worry about; they have prioritized
and want to reshape and build on the Affordable Care Act while fixing the previous
administration's regulations. President Biden’s focus is to reverse policies authorized by Trump
regarding the ACA and Medicaid programs. The days to sign up for insurance were cut back to
45 from 92 days to sign up for marketplace coverage in 2017, under Trump. Biden, has offered
more outreach, open a special enrollment period during COVID-19 for people to sign up for
coverage.
In comparison, Trump rejected a special enrollment period. Biden and his administration
“will restore federal spending on navigation, marketing, and outreach for exchange plans.”
Outreach, extending the annual enrollment period and awareness about eligibility are some
options that Biden could be driving towards the American people “Who may not have known
they were eligible for Medicaid based on their income or get premium tax credits.” ACA
advocates are some of the people Biden is picking for his cabinet. A slow process to rebuild our
healthcare after four years Trump and his administration slowing broken it down.
A significant focus for Biden is “making sure that people have access to what the law
allows them to have access to.” Meaning everyone should have access to healthcare. Biden’s
public option plan would be purchasable by all Americans, even if they already have coverage
through their employees. The potential to change the healthcare prices in the U.S. alters the
pressure on prices and how people access healthcare. Although this could help, there is pushback
from private insurers and providers due to this being an option for a government-run insurance
choice. By increasing to 97% insured, Biden is working hard at decreasing the 27 million
uninsured people. A new public health option like Medicare is giving American’s choices, “if
