Nursing and Caring Affordable Care Act


Journal of Clinical Nursing and Practice aims to disseminate knowledge and promote discussion through the publication of peer-reviewed, high quality research papers on all topics related to clinical nursing and practice and has announced reasonable discounts in the publication charges.

The Editorial Board of Journal of clinical nursing and practices is overwhelmed by the response and eagerness of the academic and research contributors to publish with the journal and take part in the year-long celebrations. During this year we look forward to taking some initiatives that would encourage and reward our prospective audience which include clinicians, research scientists, decision-makers and a range of professionals. It gives us great pleasure to announce the call for paper on the occasion of Anniversary of the Journal at special and hefty discount of up to 50 percent on one-time article processing charge.

The Patient Protection and Affordable Care Act (ACA) was enacted in March 2010. Four years later, the ACA created the Health Insurance Exchanges (Marketplaces). The Marketplaces were designed to promote competition among insurance companies for consumers, with dual goals of slowing down the rising cost of health care and increasing health insurance coverage. In 2014, the Pima County Marketplace was one of the most competitive federally qualified exchanges. Pima County’s 10 insurers offered 119 plans across all metal categories and catastrophic plans. This descriptive study examined how the Pima County Marketplace had changed during 2014-2019. It looked at three areas:

  • Marketplace competitiveness
  • consumer cost sharing
  • Marketplace enrollment trends.


At the end of six years, the Pima County Marketplace had become less competitive and more expensive -- insurers had decrease from 10 to 3 and health plans had decrease from 119 to 17. The consumer cost sharing portion had increased significantly. During last three years, the number of Marketplace enrollees had steadily declined.




The Affordable Care Act had three main goals when it was created, to decrease the cost of health care, improve the quality of healthcare, and make healthcare more accessible, particularly to the uninsured. While initially these goals were met and there was a dip in the uninsured rate, it is clear these targets are no longer being met in Pima County. After six years of the Pima County Marketplace, it had become less competitive. The number of insurers had decreased from 10 to 3 and the number of health plans had decreased from 119 to 17. As consumers were left with fewer choices, prices rose.


Journal accepts original manuscripts in the form of research articles, review articles, Clinical reviews, commentaries, case reports, perspectives and short communications encompassing all aspects of clinical nursing and practice for publication in open access platform. All the manuscript published are available freely online immediately after publication without any subscription charges or registration. Those who are interested to submit the editorials or their commentaries can submit at or you can mail  through this mail id as  an attachments,

Emily Wilson
Managing Editor        
Journal of Clinical Nursing and Practice
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