Reflection

The fundamental shifts in health care cost and practice can be attributed to the Patient Protection
and Affordable Care Act (ACA). ACA is essential as it assists in improving health care and
increasing the number of people under coverage. Ideally, I feel the act is significant as it has
helped improve quality and reduce the cost of health in the United States. The enhanced
healthcare services have also led patients suffering from chronic diseases to get the best
treatment which saves their lives compared. This reflection paper focuses on data from ACA,
which covers New York, to help us understand the movement of healthcare costs in the coming
years.

New York's results

The results will focus on medicare reimbursements in the states. New York had a medicare
reimbursement of about $10,300, and there were variations in the referral hospitals within the
State. Secondly, the end of patients with chronic diseases saw a decrease in New York. The
number of days before the patients died also increased to two weeks in the different hospitals
within New York. Physician utilization in New York increased for patients with chronic diseases
recording about 68.3%. The utilization records the number of times physicians get required to
visit a patient. In addition, New York ranked the top in the number of inpatient take days and had
a hospital-level variation of 18.7 in Presbyterian hospitals. Lastly, New York had about 15.5% in
third-day readmissions and 62.1% in primary care and preventive services.

Analysis of the results

The medicare reimbursements in the New York region increased by about 15%. New York had
increased medical spending, leading to increased medicare reimbursements. Further, New York
also changed its spending programs and focused on hospice treatment, which was significant in
treating chronic patients. The increased use of hospice in New York led to chronic patients
staying for more than two weeks before dying. The chronically ill medicare patients in the region
would spend at least fourteen days before passing, which was an improvement. The number of
physicians who visited chronically ill patients increased and was high in New York. An
increased number of visits by physicians was essential as it helped to improve the quality of
treatment the patients received. In addition, the hospitals in New York had a high number of
inpatients, which led to increased hospital variations in the region. The readmission of patients in
New York was also high, where patients were experiencing heart failure, pneumonia, and acute
myocardial infarction. Medicare provided support for the patients, resulting in ACA having little
to do and New York having fewer medicare enrollees who could see primary care physicians.

Examination

The cost information and increased funding in New York can be used to create a stronger brand
for health care. Firstly, New York should plan to utilize its health cost. The cost of health should
focus on addressing critical issues and providing quality care to patients. There should be more
medicare reimbursements to have a stronger brand for health care. Further, New York should
also focus on hospice treatment which will help build a strong brand for the company.
Conclusion

Health care is a primary need which should be given to the citizens. Therefore, the ACA is
essential for improving the medicare services that patients need. New York and other states
should aim at ensuring that there are more reimbursements of funds for their health programs.
Secondly, the hospitals should have the appropriate equipment for better services and more
physicians who can handle fee patients simultaneously to enhance the quality of health in the
region.