Preventative Measures in the Affordable Care Act (ACA)

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Preventive Measures in the Affordable Care Act (ACA)

3962 Affordable Care Act
Tittle 1 Preventive Measures in the ACA
Subtitle A: Effectiveness of Preventive Measures in Children
Subtitle B: Effectiveness of Preventive Measures in Adolescents
Subtitle C: Effectiveness of Preventive Measures in Adults
Section 2713 is an example of an insurance reform that needs all the non-grandfathered health insurance to cover various outlined preventive services without sharing costs. Examples of such preventive services include; adult, adolescents, and children routine immunization that is effective from the recommendation of the Advisory Committee based on the individual involved, as highlighted in The Federal Register (2015).
Additionally, the section requires coverage of preventive and screening services concerning women as recommended by the Health Resources and Services Administration, including sterilization procedures, counseling for reproductive women, and approved contraceptives (The Federal Register, 2015).
gov (n. d a) states that ACA children preventive health services encompass coverage for obesity and hearing screening, aspects gathered from the USPSTF (US Preventive Services Task Force) recommendations.
In a USPSTF study observing obesity in children and adolescents, USPSTF advocates for obesity screenings among children aged 6 years and above. Thus, based on the study, early detection fosters comprehensive behavioral interventions such as physical activity, diet, and counseling which help yield significant weight changes (US Preventive Services Task Force, 2010). Moreover, in another study championing screening for hearing loss in newborns, USPSTF advocates for universal screening as a detection mode.
Consequently, universal screening performed before 1 month of age promotes early interventions for infants with hearing impairment. Such interventions, including therapy, cochlear implants, or introduction to sensory devices, improve the child’s verbal and non-verbal communication skills (US Preventive Services Task Force, 2008). Primarily, better outcomes will be noted from the child’s increased reasoning skills, better vocabulary, and receptive as well as expressive language.
Based on the ACA, some preventive services for pregnant women or those who may become pregnant entail infection screening and intake of folic acid supplements (USA.gov, n. d b). The benefits of infection screening can be assessed from a USPSTF study investigating the screening of bacterial vaginosis in pregnant women.
From the study, bacterial vaginosis can be detected through significant screening tests such as Gram stain and Amsel clinical criteria. Hence, using the Amsel clinical criteria, a diagnosis ought to be made when there is discharge, a fishy odor, clue cells, and a vaginal PH higher than 4.7 (Calonge et al., 2008). Notwithstanding, to prevent preterm delivery, its early treatment needs to be done by providing oral clindamycin or clindamycin cream and oral metronidazole or vaginal metronidazole gel.
On the intake of folic acid supplements, USPSTF observed its considerable effect in preventing neural tube defects. Basically, USPSTF encouraged the ingestion of about 0.4mg to 0.8mg of folic acid at least a month before conception and a further 2 to 3 months after pregnancy.
This is because the ingestion of folic acid led to considerable reductions in neural tube defects in approximately 3056 women (US Preventive Services Task Force, 2009 a). Moreover, according to USPSTF (2009 a), only 1 of the 3056 women who took the supplement recorded a neural tube defect, contrary to 9 of those who did not ingest it.
Among the preventive services for all adults, USA.gov (n. d c) states that the Affordable Care Act champions tobacco use screening and its cessation interventions, which were derived from USPSTF recommendations.
Based on USPSTF, a cessation intervention involves a 5-A counseling strategy and pharmacotherapy (US Preventive Services Task Force, 2009 b). According to USPSTF (2009 b), a 5-A counseling strategy involves asking, advising, assessing, assisting, and arranging. Asking is whereby one gets information about the individual’s tobacco use, advising involves asking the person to quit, assessing is examining the person’s chances of quitting, assisting is giving a helping hand, and arranging is following up and giving support.
On the other hand, pharmacotherapy involves nicotine replacement therapy and the issuance of varenicline as well as bupropion. As a result of counseling and pharmacotherapy, USPSTF (2009 b) thereon observed high quit rates and prolonged refrains as individuals abstained for considerable amounts of time of at least a year

 
 
 
 

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