Analyze the impacts of the ACA on the health care ecosystem we inhabit today. As part of this analysis, discuss the related significance of one other health care initiative enacted since 2010. Select this initiative from a list of the following four historical health care quality milestones:

  • The Hospital Quality Initiative (2012).
  • The Medicare Access and CHIP Reauthorization Act (MACRA) (2015).
  • The Merit-Based Incentive Payment System (MIPS) (2015).
  •   -Although MIPS is a component of MACRA, you may choose to focus on it separately.
  • The American Rescue Plan Act (2021).
  • Title page.
  • Introduction.
    • Preview the main themes of your paper.
  • Annotated bibliography.
    • Demonstrate research ability by identifying three quality sources supporting the ACA.
    • Demonstrate research ability by identifying three quality sources supporting your chosen focused topic in health care legislation, a regulatory agency, or a quality initiative.
    • Summarize each of the six articles separately to show comprehension of both topics.
    • Include APA citations for each source.
  • Draft a summary (1–2 pages) addressing how the ACA and the other topic selected have impacted today’s health care ecosystem.
  • Conclusion.
  • References.
  • Length: Your paper must be a minimum of 3–5 double-spaced pages, not including the title page and References section.
  • Font: Times New Roman, 12 point.


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