The Affordable Care Act (ACA) is the comprehensive healthcare reform signed into law by President Barack Obama in March 2010. Formally known as the Patient Protection and Affordable Care Act—and simply Obamacare—the law includes a list of health-related provisions intended to extend health-insurance coverage to millions of uninsured Americans.
The Act expanded Medicaid eligibility, created health insurance exchanges, and prevents insurance companies from denying coverage (or charging more) due to pre-existing conditions. It also allows children to remain on their parents' insurance plan until age 26.
The Affordable Care Act was designed to reduce the cost of health insurance coverage for people who qualify. The law includes premium tax credits and cost-sharing reductions to help lower costs for lower-income individuals and families.
Premium tax credits lower your health insurance bill each month. Cost-sharing reductions lower your out-of-pocket costs for deductibles, copays, and coinsurance. They also lower your out-of-pocket maximum—the total amount you pay in a year for covered health expenses.
All ACA-compliant health insurance plans—including every plan that's sold on the Health Insurance Marketplace—must cover specific "essential health benefits" including:
In addition, the Affordable Care Act requires most insurance plans (including those sold on the Marketplace) to cover at no cost to policyholders a list of preventive services. These include checkups, patient counseling, immunizations, and numerous health screenings.
What are the major provisions of the Affordable Care Act? The major provisions of the Affordable...
1-what factors led to passage of the Affordable care act? 2-what are the provisions of the affordable care act the benefit consumers? 3-what are the provisions of the Affordable care act that directly impact long term care providers? 4-what is meant by bundling? 5-what is an accountable care organization (ACO), had how does it work? 6-what is the class act, and why it suspended? 7-what is pay- for performance (P4P), and how does it improve quality? 8-what is the hospital...
How does the affordable care act impact Human Resources planning at major hospitals, community clinics and county health departments. How can these types of health care organizations better predict and provide quality staffing for increased access of diverse patient population under the affordable care act.
The U.S. Presidential Administration of Barack Obama passed the controversial Patient Protection and Affordable Care Act (ACA). The Affordable Care Act (ACA) is one of the many influences that impact the financial structure of healthcare today. It addresses three balancing goals within the United States' health care system: 1.) access, 2.) costs, and 3.) quality. Based on your perception of the Act's purpose, do you think all three goals can be effectively reached? For example, can you increase access and...
The Affordable Care Act of 2010 (ACA) put the responsibility of overpriced hospital charges on the public's radar. Instead of forcing hospitals to reduce charges, a greater plan emerged. The price transparency initiative mandated that hospitals and clinics had to put their charges online so patients could see and compare. With more being paid out of pocket due to insurance changes, the public has been interested in shopping prices (and quality, which is also publically reported). This public access drove...
What do you think will ultimately replace the Affordable Care Act? How will that impact HMOs, patient privacy, costs, quality, access, etc.?
The Affordable Care Act allowed for the expansion of the Medicaid program. As the Act passed through the legal system, many states have decided not to expand their respective programs. Select one of the 50 states and discuss whether they have decided to expand their Medicaid program. What are the implications of this decision? Would this expansion help to improve both access and quality while reducing costs?
According to the provisions of the Affordable Care Act, hospital reimbursement for healthcare services can be severely limited or entirely eliminated in paying for patients readmitted to the hospital within 30 days of discharge for conditions such as pneumonia. This well-intended provision was put forward with the goal of getting healthcare organizations to provide sufficient post-discharge support to patients. However, this provision is resulting in lack of reimbursement for purposeful re-admissions that occur within 30 days. For example, Jane was...
Health Economics question. What are the three major parts of Patient Protection and Affordable Care Act (PPACA), colloquially known as "Obamacare."? Please elaborate
What has been the impact of the Affordable Care Act (ACA) on healthcare access, cost, and quality? Who was newly covered and how is this achieved? What are exchanges and how are different States approaching them? What does the Medicaid program have to do with the ACA? How are health insurance premiums being affected? What variables are in play in the political debate over the impact of the ACA on cost, access, and quality of care? What are some of...
With so many different stakeholders in the health care system, many with powerful political lobbies, it is understandable that the government has been unable, until the Patient Protection and Affordable Care Act of 2010, to effectively address the problems of cost, access, and quality. Despite this recent legislature, employers and the public have deep concerns about the ever-increasing costs of health care. Physicians, hospitals and other providers continue to voice displeasure with managed health plans’ requirements and restrictions, while employers...