Health reform is used to shape the

Health reform is used to shape the delivery of healthcare services. The most recent healthcare reform adopted in an effort to influence health delivery was the Affordable Care Act. Prior to the ACA, it is estimated over 46 million Americans were uninsured; however, even with the adoption of the Act, an estimated 23 million Americans remain uninsured or underinsured. Worldwide, there are four healthcare delivery models to include the Beveridge model, the Bismark model, the National Health Insurance model, and the out-of-pocket-model. Briefly describe each model and explain the difference between universal healthcare coverage and what the ACA accomplished.

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