Economic Data Analysis: Impact of Patient Protection & the ACA 2010

Impact of the Patient Protection & Affordable Care Act of 2010 on Chicago's Cost, Practice, and Insurance of Healthcare: Economic Data analysis
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Impact of the Patient Protection & Affordable Care Act of 2010 on Chicago's Cost, Practice, and Insurance of Healthcare: Economic Data analysis
Since 2010, following the enactment of the (ACA), there has been a significant transition for health care in the United States. ACA intended to increase the number of people with health insurance (both private and Medicaid), improve the quality of services, and reduce the cost of healthcare (Kominski et al., 2017). The current paper seeks to assess the progress made under ACA by focusing on Chicago. Data utilized in the current analysis were obtained from the Dartmouth Atlas of Health Care (2018 update). While focusing on the shift in cost and practice, and changes in insurance, the critical areas of focus include Medicare reimbursement, end-of-life care for patients with chronic illness, thirty-day Readmission, and primary care and preventive services.
Chicago Data Overview
Between 2011 and 2018, the national average for Medicaid reimbursement remained relatively constant after inflation adjustment. The rate was, on average, $10,936 per enrollee (Bronner, 2021). Under Medicaid reimbursement, the critical variables based on data include changes in variation among hospital referral regions and spending by program component. Under end-of-life care for patients with chronic illness, the critical variables are hospital and physician utilization. Under the thirty-day readmission component, the variable included in the data is medical discharges. Lastly, under primary care and preventive services, variables include % seeing a primary care physician and preventing screening tests. Table 1 below summarizes Chicago's data based on these variables.
Table  SEQ Table \* ARABIC 1: Chicago Changes Due to ACA Summary
CORE COMPONENTVARIABLES% CHANGE (2011-2018)Medicaid ReimbursementChanges in variation among hospital referrals11% (decrease)Spending by program component6% (decrease)End-of-Life Care for Chronically-ill PatientsHospital Utilization (length of stay)3.7% (decrease)Physician Utilizat...