Pain Management Center of Paducah, Paducah, KY 42003, USA.
J Neurointerv Surg. 2012 Mar;4(2):141-6. doi: 10.1136/neurintsurg-2011-010036. Epub 2011 Apr 27.
The Patient Protection and Affordable Care Act (the ACA, for short) became law on 23 March 2010. It represents the most significant transformation of the American healthcare system since Medicare and Medicaid. Essentials of ACA include: (1) a mandate for individuals and businesses requiring as a matter of law that nearly every American has an approved level of health insurance or pay a penalty; (2) a system of federal subsidies to completely or partially pay for the now required health insurance for ∼34 million Americans who are currently uninsured-subsidized through Medicaid and Exchanges; (3) extensive new requirements on the health insurance industry and (4) changes in the practice of medicine. The Act is divided into 10 titles. It contains provisions that went into effect starting on 21 June 2010 with many of the provisions going into effect in 2014 and later. The ACA goes well beyond insurance and payment reform. Practicing physicians will potentially be impacted by the Independent Payment Advisory Board and the Patient Centered Outcomes Research Institute.
《患者保护与平价医疗法案》（简称 ACA）于 2010 年 3 月 23 日成为法律。它代表了自医疗保险和医疗补助计划以来美国医疗保健系统最重大的变革。ACA 的要点包括：（1）要求个人和企业依法为几乎每个美国人提供批准的医疗保险水平，否则将被处以罚款；（2）为目前未参保的约 3400 万美国人提供联邦补贴，通过医疗补助和交易所完全或部分支付现在必需的医疗保险；（3）对医疗保险行业提出了广泛的新要求；（4）对医疗实践的改变。该法案分为 10 个标题。它包含自 2010 年 6 月 21 日起生效的条款，其中许多条款于 2014 年及以后生效。ACA 远远超出了保险和支付改革的范畴。执业医生可能会受到独立支付咨询委员会和以患者为中心的医疗成果研究所的影响。
