What impact did the Affordable Care Act have on the Centers for Medicaid and Medicare (CMS) in their effort to focus on both quality of care and cost reduction?

As a nurse practitioner, it is important that you understand the impact of health care payer system politics on the quality of care.

Assume you have been asked, in your role as a lead nurse practitioner for your local medical clinic, to prepare an editorial reflecting on the article below and its applicability in your local community.

Read "Equity-Efficiency Tradeoff" from the University Library.

Write a 750-word editorial reflection on the issue of the equity-efficiency tradeoff on quality of care and positive patient outcomes as they might apply to your own community.

Note: An editorial reflection is written in the first person. It is supported by evidence that is justified using citations and references.

Use the following questions to reflect on the article and your editorial response:
• What impact did the Affordable Care Act have on the Centers for Medicaid and Medicare (CMS) in their effort to focus on both quality of care and cost reduction?
• How did the CMS’s Hospital Readmission Reduction Program (HRRP) impact disadvantaged populations?
• How did a nurse practitioner keep a patient out of the hospital?
• The article makes the statement that health care is a civil rights issue. Do you agree or disagree with this statement after reading the article? Provide evidence for your position.

Cite sources in APA format.