Term paper Week 1 - Intro to Health Care
dynamic8823
2-ImpactoftheAffordableCareAct.pptx
Impact of the Affordable Care Act
Did You Know?
The ACA requires most U.S. citizens and legal residents to purchase health insurance if they can afford it or pay a penalty.
The ACA mandates that every state create a consumer-oriented marketplace where individuals are provided information and can purchase healthcare insurance.
The ACA bans health plans from establishing lifetime dollar limits on healthcare insurance reimbursement.
Did You Know?
The new Independence at Home program provides an opportunity for the chronically ill to be treated at home.
The ACA established the Medicare and Medicaid Innovation Center, which provides opportunities for innovative healthcare research.
The Elder Justice Act, passed as part of the Affordable Care Act, targets abuse, neglect, and exploitation of the elderly.
ACA
Signed into law in March 2010
Divisive landmark legislation
Lawsuits against the federal government
The focus is access, quality and cost containment of healthcare
Nearly 50 initiatives implemented over several years
Issues with the implementation of the individual insurance mandate effective January 1, 2014
Federal website did not work; millions could not enroll in a healthcare plan.
Table 2-1
ACA Major Provisions
Eliminate lifetime and unreasonable annual caps or limits on healthcare reimbursement with annual limitations prohibited by 2014.
Provide assistance for the uninsured with pre-existing conditions and prohibit denial of insurance coverage for pre-existing conditions for children.
Develop a temporary national high-risk pool for health insurance for individuals with preexisting conditions who have no insurance.
This ended with the opening of the Health Insurance Marketplaces on October 1, 2013
Extend dependent coverage up to age 26.
ACA
Establishment of www.healthcare.gov for consumers to access information about healthcare insurance.
This Health Insurance Marketplace was unveiled on October 1, 2013 so insurance enrollment could begin during open enrollment. Ends on March 31st: It did not work, resulting in a huge controversy
Create a reinsurance program for retirees who are not yet eligible for Medicare
Would end when the Marketplaces opened on October 1st
ACA Health Insurance Marketplaces
States would establish health insurance marketplaces so consumers can shop and compare prices for health insurance.
If states did not operate their own website, the citizens could use the healthcare.gov website established by the federal government.
Huge problems with its initial operation. Low enrollment in October, November, December. Huge overhaul of the website.
Enrollment has since increased.
ACA Health Insurance Marketplaces
Insurance plans must now offer a Summary of Benefits so consumers can compare health insurance plans
Insurance plans must offer essential health benefits such as outpatient services, emergency services, laboratory services, preventive services, prescription drugs
Fines are levied if individuals do not purchase health insurance
