Department of Occupational Therapy, University of Illinois at Chicago, 1919 West Taylor Street, MC 811, Chicago, IL 60612, USA.
Am J Occup Ther. 2013 Sep-Oct;67(5):502-6. doi: 10.5014/ajot.2013.675002.
The passage of the Patient Protection and Affordable Care Act of 2010 (ACA; Pub. L. 111-148) represents the largest expansion in government funding of health care since Medicare and Medicaid were established in 1965 (Curfman, Abel, & Landers, 2012). Although the health insurance mandate and Medicaid expansion have received the most attention as a result of legal challenges and the July 2012 Supreme Court ruling on the legality of the ACA (Henry J. Kaiser Family Foundation, 2012), other ACA initiatives may have even greater implications for occupational therapy. The ACA includes sections on improving quality and health systems performance for Medicare recipients, with some sections also applying to Medicaid recipients. Insurance companies commonly follow Medicare rules; therefore, the Medicare reforms are likely to spread across all payers, health care settings, and care recipients.
2010 年《患者保护与平价医疗法案》（ACA；公法 111-148）的通过代表了自 1965 年医疗保险和医疗补助制度建立以来政府对医疗保健的最大投资扩张（Curfman、Abel 和 Landers，2012）。尽管医疗保险授权和医疗补助扩张因法律挑战以及 2012 年 7 月最高法院对 ACA 合法性的裁决而受到最多关注（亨利·J·凯撒家庭基金会，2012 年），但 ACA 的其他倡议可能对职业治疗产生更大影响。ACA 包括改善医疗保险受益人的质量和卫生系统绩效的部分内容，其中一些部分也适用于医疗补助受益人。保险公司通常遵循医疗保险规则；因此，医疗保险改革可能会扩展到所有付款人、医疗保健环境和护理接受者。
