The Patient Protection and Affordable Health Care Act (PPACA) inculcate numerous provisions developed to intensify access to health insurance through augmenting Medicaid capability, offering incentives for enterprises to give health care benefits and subsiding health insurance premiums. Following the implementation of the PPACA in 2014, the development of Medicare provider payment was decreased to generate capital to boost the freshly developed amendments. Nevertheless, the changes resulting from the creation of the PPACA prompts different ethical arguments on the resultant approaches employed to contain the intensified cost of medical care.

Cost containment
Managing the expenses of medical care is a critical component of health care amendments. In the absence of sufficient expenditure regulations steps, ascertaining extensive access to health care may turn out to be untenable. The total of the emergency department (ED) visits lingers to increase at heightened extent compared to the rate of population escalation. The upsurge in ED visits can be demonstrated by the period between 1997 and 2007 352.8 to 390.5 for every 1000 individuals . Amid this period, Medicaid patients visiting the emergency department expenditure grew at the highest levels.
Presently, the USA expenditure on health care per capita is the highest transnationally. As a result, the USA citizens enjoys multiple benefits from the increased spending including reduced waiting duration for processes, simplified access to basic and specialized care, and more progressive diagnostic and pharmaceutical agents and therapeutic technologies when matched to other nations. Nonetheless, it would be in the interests of the Americans to have the health care cost contained in the absence of the lessening services or quality.
Further, the cost containment strategies should not be in the middle of value in health care. The cost containment exertions ought to concentrate on lessening redundancy and waste, advanced data control, enhancing communication and heightening delivery of great value health care.
Strategies utilized to cut cost
The PPACA looks into numerous cost containment approaches that encompass accountable care organizations, initiatives to decrease readmissions, bundled payments, patient-centered medical homes and conditions acquired in hospitals. In the first place, the PPACA advocates for the formation of accountable care organization (ACO), which the act depicts as health care practitioners that agree to be responsible for cost, quality, and the general care of Medicare patients that they largely proffer bulk basic primary care services.
