Analyze the historical events or circumstances that created a need for the legislative act you have selected.

Analyze the historical events or circumstances that created a need for the legislative act you have selected.

The U.S. health care delivery system is often described as a kaleidoscope, puzzle, or patchwork quilt to emphasize that health care delivery in this country involves multiple, loosely coordinated components, and does not function through one integrated system (Shi & Singh, 2015). The organization of this “system” has a significant impact on the delivery of services. As a health care administrator, it is important to understand how the health care industry has been shaped over time and the various factors that influence health care delivery today.

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To prepare for this Discussion, select one legislative act from the list below:

1937 Social Security Act
1946 Hill-Burton Act
1965 Social Security Amendments (Medicare/Medicaid)
1973 Health Maintenance Act (Managed Care)
1983 Introduction of Diagnostic Related Groups (DRGs) by Medicare
1986 Emergency Medical Treatment and Active Labor Act (EMTALA)
1986 Consolidated Omnibus Budget Reconciliation Act (COBRA)
1996 Balanced Budget Amendment
1996 Health Insurance Portability and Accountability Act (HIPAA)
2006 Medicare Part D Drug Benefit
2006 Massachusetts (Chapter 58) and Vermont (No. 191) legislation to expand health coverage for state residents
2010 Patient Protection and Affordable Care Act (PPACA)
Review the information about your selected legislation in this week’s Learning Resources, including the chapters of the Shi and Singh text (2015). Conduct additional research using resources available in the Library and on credible websites. As you research each legislative act, identify historical events or circumstances that brought about the need for that legislation, and examine the positive and/or negative consequences that followed the implementation of each act.

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