Health Insurance and the Affordable Care Act

Suppose you have been
tasked with purchasing health insurance for your organization that has fifty
full-time employees.

Use the Internet or
Strayer databases to research different types of health insurance.

Write a 2-3 page
paper in which you:

  1. Suggest one (1) plan
    that you would use to purchase health insurance for your organization. Determine
    the extent to which employee lifestyle choices and health economics would factor
    in to your chosen plan. Provide a rationale for your response.
  2. Analyze the
    implication of the Affordable Care Act on your decision to purchase insurance.
    Debate two (2) advantages and two (2) disadvantages of purchasing health
    insurance for your employees, as opposed to having your employees receive
    governmental insurance.
  3. Use at least two (2)
    quality references. Note: Wikipedia and other Websites do not
    qualify as academic resources.

Your assignment must
follow these formatting requirements:

  • Be typed, double
    spaced, using Times New Roman font (size 12), with one-inch margins on all
    sides; citations and references must follow APA or school-specific format. Check
    with your professor for any additional instructions.
  • Include a cover page
    containing the title of the assignment, the student’s name, the professor’s
    name, the course title, and the date. The cover page and the reference page are
    not included in the required assignment page length.

The specific course
learning outcomes associated with this assignment are:

  • Analyze the impact
    of healthcare financing and health insurance on healthcare access, quality, and
    cost.
  • Analyze the
    influence of health policy and health reform on healthcare access, quality, and
    cost in the U.S.
  • Use technology and
    information resources to research issues in healthcare policy, law, and
    ethics.
  • Write clearly and
    concisely about healthcare policy and law using proper writing
    mechanics.

Click here to view the grading rubric. 

Points: 150

Assignment 4: Health Insurance and the Affordable Care Act

Criteria

Unacceptable
Below 60% F

Meets Minimum Expectations
60-69% D

Fair
70-79% C

Proficient
80-89% B

Exemplary
90-100% A

1. Suggest one (1) plan that you would use to purchase health insurance for your organization. Determine the extent to which employee lifestyle choices and health economics would factor in to your chosen plan. Provide a rationale for your response.
Weight: 40%

Did not submit or incompletely suggested one (1) plan that you would use to purchase health insurance for your organization. Did not submit or incompletely determined the extent to which employee lifestyle choices and health economics would factor in to your chosen plan. Did not submit or incompletely provided a rationale for your response.

Insufficiently suggested one (1) plan that you would use to purchase health insurance for your organization. Insufficiently determined the extent to which employee lifestyle choices and health economics would factor in to your chosen plan. Insufficiently provided a rationale for your response.

Partially suggested one (1) plan that you would use to purchase health insurance for your organization. Partially determined the extent to which employee lifestyle choices and health economics would factor in to your chosen plan. Partially provided a rationale for your response.

Satisfactorily suggested one (1) plan that you would use to purchase health insurance for your organization. Satisfactorily determined the extent to which employee lifestyle choices and health economics would factor in to your chosen plan. Satisfactorily provided a rationale for your response.

Thoroughly suggested one (1) plan that you would use to purchase health insurance for your organization. Thoroughly determined the extent to which employee lifestyle choices and health economics would factor in to your chosen plan. Thoroughly provided a rationale for your response.

2. Analyze the implication of the Affordable Care Act on your decision to purchase insurance. Debate two (2) advantages and two (2) disadvantages of purchasing health insurance for your employees, as opposed to having your employees receive governmental insurance.
Weight: 45%

Did not submit or incompletely analyzed the implication of the Affordable Care Act on your decision to purchase insurance. Did not submit or incompletely debated two (2) advantages and two (2) disadvantages of purchasing health insurance for your employees, as opposed to having your employees receive governmental insurance.

Insufficiently analyzed the implication of the Affordable Care Act on your decision to purchase insurance. Insufficiently debated two (2) advantages and two (2) disadvantages of purchasing health insurance for your employees, as opposed to having your employees receive governmental insurance.

Partially analyzed the implication of the Affordable Care Act on your decision to purchase insurance. Partially debated two (2) advantages and two (2) disadvantages of purchasing health insurance for your employees, as opposed to having your employees receive governmental insurance.

Satisfactorily analyzed the implication of the Affordable Care Act on your decision to purchase insurance. Satisfactorily debated two (2) advantages and two (2) disadvantages of purchasing health insurance for your employees, as opposed to having your employees receive governmental insurance.

Thoroughly analyzed the implication of the Affordable Care Act on your decision to purchase insurance. Thoroughly debated two (2) advantages and two (2) disadvantages of purchasing health insurance for your employees, as opposed to having your employees receive governmental insurance.

3. Two (2) References
Weight: 5%

No references provided

Does not meet the required number of references; all references poor quality choices.

Does not meet the required number of references; some references poor quality choices.

Meets number of required references; all references high quality choices.

Exceeds number of required references; all references high quality choices.

4. Clarity, writing mechanics, and formatting requirements
Weight: 10%

More than 8 errors present

7-8 errors present

5-6 errors present

3-4 errors present

0-2 errors present

Expert Solution Preview

Introduction:
Purchasing health insurance for an organization can be a complex process that requires consideration of various factors. This paper aims to suggest a health insurance plan for an organization with fifty full-time employees while considering the impact of employee lifestyle choices and health economics. Additionally, the paper will analyze the implication of the Affordable Care Act on the insurance purchase decision and debate the advantages and disadvantages of purchasing health insurance for employees versus having them receive governmental insurance.

1. Suggested health insurance plan:
For an organization with fifty full-time employees, a group health insurance plan would be appropriate. This plan offers coverage to a group of people under a single policy, making it cost-effective for both the employees and the employer. To determine the extent to which employee lifestyle choices and health economics would factor into this plan, the employer would need to examine factors such as the employees’ age, health status, occupation, and lifestyle behaviors. For instance, younger and healthier employees may opt for a plan with lower premiums but higher out-of-pocket expenses. However, older employees or those with pre-existing conditions may prefer a plan with lower deductibles and co-payments but higher premiums. A wellness program could also be implemented to promote healthy behaviors, reduce the risk of chronic diseases, and lower healthcare costs. The program can include regular check-ups, screenings, and counseling on lifestyle changes such as exercise and diet.

2. Implications of the Affordable Care Act (ACA):
The ACA has significant implications for organizations purchasing health insurance. One of the advantages of the ACA is that it requires insurance companies to cover pre-existing conditions, meaning that employees with such conditions are not penalized. Additionally, the ACA expanded the Medicaid program, providing coverage for low-income employees who may not be able to afford private health insurance. However, the ACA has also led to increased premiums for some plans, which may impose an additional financial burden on organizations. The ACA also imposes additional taxes on certain types of insurance plans, which may increase the cost of purchasing these plans.

Debate on the advantages and disadvantages of purchasing health insurance for employees versus having them receive governmental insurance:
One of the advantages of purchasing health insurance for employees is that it provides comprehensive coverage tailored to the employees’ specific needs. It also allows employees to choose from different plans based on their preferences and budget. Additionally, employer-sponsored insurance plans tend to offer better coverage and lower costs than government-sponsored plans. However, one of the disadvantages is that the cost of purchasing insurance plans may be a financial burden for the organization, which may result in reduced salaries or benefits for employees. On the other hand, having employees receive governmental insurance may reduce the financial burden on the organization. However, these plans may not offer comprehensive coverage, restrict healthcare providers or treatments, and limit the employees’ choice of plans. Employees may also face longer wait times to receive care under governmental insurance plans.

Conclusion:
In conclusion, purchasing health insurance for an organization requires careful consideration of various factors such as the employees’ age, health status, occupation, and lifestyle behaviors. A wellness program could be implemented to promote healthy behaviors, reduce the risk of chronic diseases, and lower healthcare costs. While the ACA has advantages such as the inclusion of pre-existing conditions and expanded Medicaid coverage, it also has disadvantages such as increased premiums and additional taxes. The choice between purchasing health insurance or having employees receive governmental insurance is a complex one that requires consideration of factors such as the cost of purchasing insurance plans and the comprehensiveness of the coverage offered by governmental plans.

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