Major changes in healthcare over the past 10 years

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Millions more have increased security when insured, benefitting from prohibitions on discrimination by insurers and protections for people with preexisting conditions. As we consider the past 10 years of the ACA, here are some of the significant events and greatest successes in its history, along with a preview of things to come. This political configuration lasted only for the first two years of the Obama administration. Once Republicans gained control of Congress in , having campaigned on a promise to repeal the ACA, they made more than 50 attempts to eliminate the law.

President Obama vetoed attempts at outright repeal, but some targeted actions were successful, as Congress made use of its appropriation power that the President either could not or chose not to fight. These funds were to be used for, among other things, programs to increase access to primary care and preventive care.

After Republicans gained control of Congress in , they made repeated cuts to the Fund. This was intended to insulate insurers covering high needs patients from significant losses, as the ACA prohibited plans from discriminating based on health condition.

As expected, the federal government owed plans billions, however, a now-hostile Congress attached riders to the appropriations bills preventing the use of these funds for payments. This undermined insurer confidence and increased premiums. This ultimately led to a successful lawsuit by the insurers, but caused significant disruption at the outset of the program.

But, defying expectations, the ACA survived largely intact. Four lawsuits alleging that the law was unconstitutional were filed the very day that President Obama signed the legislation and opponents brought dozens more challenges over the next few years. The Court held that Congress exceeded its powers under the Commerce Clause when it enacted the individual mandate, but that the provision was a valid exercise of the taxing power.

However, the Court also held that requiring states to expand Medicaid or forfeit federal funding violated the Tenth Amendment because it was unduly coercive. Nearly a decade later, another case at the Court, Texas v.

California , presents another existential threat to the law. In this challenge, a group of state attorneys general and two individuals argued that, because Congress had eliminated the financial penalty for not having insurance, the individual mandate is not constitutional because it no longer operates as a tax.

Moreover, they argued that the remaining provisions of the ACA could not be severed from the mandate and that the entire law should be struck down. A district court judge in Texas obliged, striking down the entire law. On appeal, the Fifth Circuit agreed that the mandate was unconstitutional, remanding to the district court to determine whether it was severable from the remainder of the ACA.

During the case, the Trump administration declined to defend the ACA and supported Texas and its allied states. California and 20 other state attorneys general intervened to defend the law, later petitioning the Supreme Court for review before remand.

Review was granted , and the case was argued in November The Court has not yet ruled. Based on the argument , the Court appeared skeptical of the central theory of the case and particularly unconvinced of the need to strike down the entire law.

That said, given the high stakes and the fact that the fate of insurance coverage for millions hangs in the balance, including many lesser-known provisions such as the permanent reauthorization of the Indian Health Care Improvement Act , public health proponents are on edge. The ACA was intended to expand options for health coverage, reform the insurance system, increase coverage for services particularly preventive services , and provide a funding stream to improve quality of services.

By any metric, it has been wildly successful. Has it improved coverage? Indisputably, yes. More than 20 million people have gained coverage as a result of the ACA. It has dramatically reduced the uninsured rate. Health access? Again, yes.

The expansion has been or is in the process of being adopted by 38 states and the District of Columbia, including states like Idaho, Utah, and Nebraska that have adopted the expansion as a result of ballot initiatives. Access to care improved: more low-income adults had personal physicians, got check-ups and other preventive care, as well as care for chronic conditions. Studies showed more people receiving medication-assisted treatment for opioid disorders and decreases in hospitalizations for overdoses.

Access to mental health care improved. Public Health Service. The Secretary is a member of the President's Cabinet. Nominations to the office of Secretary are referred to the U. Senate Committee on Finance. Confirmation is last considered by the U.

Thomas E. Price, M. Archive Collection. Washington, D. A-Z Index. HHS Historical Highlights. Initiative to combat bioterrorism was launched. Nutrition Labeling and Education Act was passed, authorizing the food label.

McKinney Act was passed to provide health care to the homeless. Worldwide eradication of smallpox, led by the U. Head Start program was created. January 24, - January 20, Alex M. Thompson January 22, - January 20, Donna E. Shalala March 1, - January 20, Louis W.

Sullivan, M. D December 13, - January 20, Otis R. Bowen, M. March 9, - December 13, Margaret M. Heckler January 22, - February 3, Richard S. Califano, Jr. Weinberger June 24, - January 29, Elliot L. Richardson January 21, - June 23, Robert H. Finch May 16, - January 20, Wilbur J.

Cohen August 18, - March 1, John W. Gardner July 31, - August 17, Anthony J.

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Healthcare leadership needs to be ready for these changes. Connected systems with microsensors will monitor and control the release of medicines into the body. All of this could aid doctors in doing what matters most: improving patient health. Figuring out how to execute this improvement in patient health. One option could be virtual visits, which may improve patient and provider satisfaction, as well as improve relationship, reduce burnout, and enhance patient outcomes.

A recent study conducted by Stanford and the Harris Poll found that physicians spend half of their working days using the electronic health record; their response to this survey was to create a new leadership role — chief wellness officer, who could work on issues like improving documentation that may then lessen burnout. Well, for starters, as technology is improving, they will likely want to have continued and improved access to their medical records online, as well as communication with their providers electronically, perhaps quicker than the current standard.

They will want to have a visit with their provider on their terms — when they want it and where they want it — virtually, if possible.

They will also want continued advances in technology that benefit them. They will also want a leadership team that continues to work towards these goals.

Healthcare has rapidly changed over the past 10 years. There have been many advancements in technology that will continue to improve our ability to care for our patients. Our plea to our healthcare leaders is that over the next 10 years, we continue to grow and accommodate our patients wishes while also caring for our frontline staff. Future of Healthcare Leadership. Greengard, S. A look into the future of health care leadership. Henderson, R.

Growing pressures facing healthcare leadership. Landi, H. Healthcare leaders look at the past, present and future of consolidation. Then I became burned out and left the floor.

So what is going on in healthcare? Present State of Leadership Healthcare leadership is in an interesting state as we move into the next decade.

What can we expect in the future? In this article, we are going to look at six ways that healthcare has changed over the last ten years. Then keep on reading! Every single year, healthcare machinery continues to get upgraded and updated. From x-ray and MRI machines to computer software and tracking systems, everything works more efficiently than ever before. The fact is, technology and healthcare go hand in hand in the world, and it has shaped our system to what it is today.

Tests are becoming less invasive and more accurate, saving time and stress for healthcare workers and patients. While mental health has always been a priority in the healthcare industry, it is now more openly discussed.

With new organizations built to cater to those facing certain mental conditions such as anxiety and depression, individuals are focusing more on its importance. These various organizations are helping us get closer to ending the stigma of mental illness. As mentioned above, technology is now playing a significant role in healthcare. Digital health careers are now being offered across the world as a way for individuals to be diagnosed online or over the phone.

Medical research has definitely come a long way in the last decade, with more and more information being collected about a range of different health problems. With the help and support of medical foundations , research is being conducted at an entirely new level, leading to new innovations and improvements.

In the past ten years, the FDA has approved more drugs and therapies than ever before, including a total of 55 in According to preclinical, areas such as gene therapy, immunotherapy, HIV, neurology, and rare diseases have all shown significant promising treatments. With more and more drugs being tested every day, it will be interesting to see what is developed next. Since we have seen four notable outbreaks that have caused much concern across the world, including Ebola, Zika virus, Acute flaccid, Myelitis, and Measles.

Most recently, the Coronavirus pandemic has taken over with a current total of

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Robotics are in operating rooms. Families are getting pinged with updates while loved ones are lying in a cardiac catheterization lab.

Continuous glucose monitors are reading glucose levels in real-time, eliminating the need for finger sticks. Healthcare leadership needs to be ready for these changes. Connected systems with microsensors will monitor and control the release of medicines into the body. All of this could aid doctors in doing what matters most: improving patient health. Figuring out how to execute this improvement in patient health. One option could be virtual visits, which may improve patient and provider satisfaction, as well as improve relationship, reduce burnout, and enhance patient outcomes.

A recent study conducted by Stanford and the Harris Poll found that physicians spend half of their working days using the electronic health record; their response to this survey was to create a new leadership role — chief wellness officer, who could work on issues like improving documentation that may then lessen burnout. Well, for starters, as technology is improving, they will likely want to have continued and improved access to their medical records online, as well as communication with their providers electronically, perhaps quicker than the current standard.

They will want to have a visit with their provider on their terms — when they want it and where they want it — virtually, if possible. They will also want continued advances in technology that benefit them. They will also want a leadership team that continues to work towards these goals.

Healthcare has rapidly changed over the past 10 years. There have been many advancements in technology that will continue to improve our ability to care for our patients. Our plea to our healthcare leaders is that over the next 10 years, we continue to grow and accommodate our patients wishes while also caring for our frontline staff.

Future of Healthcare Leadership. Greengard, S. A look into the future of health care leadership. Henderson, R. Growing pressures facing healthcare leadership. Landi, H. Healthcare leaders look at the past, present and future of consolidation. Then I became burned out and left the floor. Since we have seen four notable outbreaks that have caused much concern across the world, including Ebola, Zika virus, Acute flaccid, Myelitis, and Measles.

Most recently, the Coronavirus pandemic has taken over with a current total of This has resulted in many policy and procedure changes, with some hospitals unable to cope with the overwhelming capacity. While the end of this is still uncertain, it has resulted in many decisions that may shape the future of healthcare. These were six ways that healthcare has changed over the past ten years.

What do you think its future will be? Sign in. Forgot your password? Get help. Privacy Policy. Password recovery. Advanced Machinery Every single year, healthcare machinery continues to get upgraded and updated. New Organizations to Help with Mental Health While mental health has always been a priority in the healthcare industry, it is now more openly discussed. Digital Health Careers As mentioned above, technology is now playing a significant role in healthcare. Improved Medical Research Medical research has definitely come a long way in the last decade, with more and more information being collected about a range of different health problems.

New Drug Advancements In the past ten years, the FDA has approved more drugs and therapies than ever before, including a total of 55 in Pandemic Changes Since we have seen four notable outbreaks that have caused much concern across the world, including Ebola, Zika virus, Acute flaccid, Myelitis, and Measles.

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