Question

1. Discuss Medicaid expansion and healthcare financing mandates included in the Affordable Care Act. (Chapter 8)

Answer 1

Ans) The original plan for medicaid developed by the ACA:To call for al 50 states to expand their medicaid programs to 138% poverty level.

- ACA seeks to reduce costs and improve outcomes by shifting the focus of insurers and providers to quality of care vs. quantity of care.

- Introduces a number of programs to test and expand new models of care and new payment procedures

- Small business health insurance tax credits

- Required free preventative care

- ACA provided new funding to state Medicaid programs that elect to provide preventive care services to Medicaid patients

- Free preventive care for seniors
Financial relief for seniors who hit the Medicare Part D "donut hole"

- Supreme court held that the federal government could NOT coerce states to expand their state Medicaid programs by threatening to eliminate funding if they chose not to expand the existing programs

Part of financing of Affordable Care Act reduces Medicare payments to disproportionate share hospitals.