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Discussion board post


This discussion will focus on health care delivery and financing, specifically on the Affordable Care Act (ACA) and Medicare.

  • (1) In the ACA, there are three categories of state Marketplace/Exchanges. Identify the three categories and provide a summary of each. (REFER TO YOUR ASSIGNED READINGS).
  • (2) There are five (metal) categories of plans that individuals can access through the Marketplace. Identify the five categories and discuss what types of services each provides. (Hint—the fifth is Catastrophic). (REFER TO YOUR ASSIGNED READINGS).
  • (3) What new roles for nurses and others do you see developing in the age of the Affordable Care Act?. Identify at least two new roles.
  • All citations and references must be in APA version 7.

Instructions and readings

  • Chapters 15-20 from Mason, D. J., Dickson, E.L., Perez, G.A., & McLemore, M.R. (Eds.). (2021). Policy & politics in nursing and health care (8th ed.). Elsevier.
    • Pay particular attention to: Medicare, Medicaid, Affordable Care Act, health care financing mechanisms, payment system reforms, private insurance payment system, health insurance exchanges, and the Veteran Administration (VA) system.
  • Jacobson, J. (2013). The new health insurance marketplace: Many uninsured aren’t aware of what the ACA can offer. American Journal of Nursing, 113(12), 19-21.
    • The article is provided (PDF).
  • American Association of Colleges of Nursing. (2010, April 14). Patient Protection and Affordable Care Act, Public Law No: 111-148, Nursing Education and Practice Provisions. Retrieved from file:///C:/Users/lanea6/Downloads/NRP%20612%20AACN%20Overview%20Summary%20of%20ACA%20(6).pdf
    • The article is provided (PDF).
  • American Nurses Association. (2010). State Health Insurance Exchanges. Retrieved from
    • The article is provided (PDF).
  • The Kaiser Family Foundation site is truly a
    gold-standard, offering a wealth of information. You can feel
    confident using their information. This site is kept up to date.

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