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Long-term care has been defined as a continuation of medical services, social services, and housing for patients with chronic health conditions, limiting their abilities to partake in everyday activities. In the United States, the Affordable Care Act (ACA) was enacted to expand coverage for Medicaid and improve healthcare quality and cost. This qualitative research study aimed to evaluate the impact of the (ACA) on long-term care to determine if it has increased Medicaid payments. The methodology for this study utilized a systematic review complemented by a semi-structured interview. It was found that the ACA has increased Medicaid payments, and the number of uninsured patients has decreased. With the implementation of the ACA, nursing homes and lifelong care facilities have been required through the ACA to meet new requirements that have made it easier to file complaints about the quality of care. This study also suggested a decrease in readmission rates with Medicaid and the ACA in long-term settings. The ACA implementation has increased Medicaid payments and improved the quality of care by decreasing readmissions, ulcers, and falls in long-term care facilities.


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