Download or read book Health Care Utilization as a Proxy in Disability Determination written by National Academies of Sciences, Engineering, and Medicine and published by National Academies Press. This book was released on 2018-04-02 with total page 161 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Social Security Administration (SSA) administers two programs that provide benefits based on disability: the Social Security Disability Insurance (SSDI) program and the Supplemental Security Income (SSI) program. This report analyzes health care utilizations as they relate to impairment severity and SSA's definition of disability. Health Care Utilization as a Proxy in Disability Determination identifies types of utilizations that might be good proxies for "listing-level" severity; that is, what represents an impairment, or combination of impairments, that are severe enough to prevent a person from doing any gainful activity, regardless of age, education, or work experience.
Download or read book The Affordable Care Act written by Tamara Thompson and published by Greenhaven Publishing LLC. This book was released on 2014-12-02 with total page 130 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Patient Protection and Affordable Care Act (ACA) was designed to increase health insurance quality and affordability, lower the uninsured rate by expanding insurance coverage, and reduce the costs of healthcare overall. Along with sweeping change came sweeping criticisms and issues. This book explores the pros and cons of the Affordable Care Act, and explains who benefits from the ACA. Readers will learn how the economy is affected by the ACA, and the impact of the ACA rollout.
Download or read book The Impacts of the Affordable Care Act on Preparedness Resources and Programs written by Institute of Medicine and published by . This book was released on 2014 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Many of the elements of the Affordable Care Act (ACA) went into effect in 2014, and with the establishment of many new rules and regulations, there will continue to be significant changes to the United States health care system. It is not clear what impact these changes will have on medical and public health preparedness programs around the country. Although there has been tremendous progress since 2005 and Hurricane Katrina, there is still a long way to go to ensure the health security of the Country. There is a commonly held notion that preparedness is separate and distinct from everyday operations, and that it only affects emergency departments. But time and time again, catastrophic events challenge the entire health care system, from acute care and emergency medical services down to the public health and community clinic level, and the lack of preparedness of one part of the system places preventable stress on other components. The implementation of the ACA provides the opportunity to consider how to incorporate preparedness into all aspects of the health care system. The Impacts of the Affordable Care Act on Preparedness Resources and Programs is the summary of a workshop convened by the Institute of Medicine's Forum on Medical and Public Health Preparedness for Catastrophic Events in November 2013 to discuss how changes to the health system as a result of the ACA might impact medical and public health preparedness programs across the nation. This report discusses challenges and benefits of the Affordable Care Act to disaster preparedness and response efforts around the country and considers how changes to payment and reimbursement models will present opportunities and challenges to strengthen disaster preparedness and response capacities.
Download or read book Care Without Coverage written by Institute of Medicine and published by National Academies Press. This book was released on 2002-06-20 with total page 213 pages. Available in PDF, EPUB and Kindle. Book excerpt: Many Americans believe that people who lack health insurance somehow get the care they really need. Care Without Coverage examines the real consequences for adults who lack health insurance. The study presents findings in the areas of prevention and screening, cancer, chronic illness, hospital-based care, and general health status. The committee looked at the consequences of being uninsured for people suffering from cancer, diabetes, HIV infection and AIDS, heart and kidney disease, mental illness, traumatic injuries, and heart attacks. It focused on the roughly 30 million-one in seven-working-age Americans without health insurance. This group does not include the population over 65 that is covered by Medicare or the nearly 10 million children who are uninsured in this country. The main findings of the report are that working-age Americans without health insurance are more likely to receive too little medical care and receive it too late; be sicker and die sooner; and receive poorer care when they are in the hospital, even for acute situations like a motor vehicle crash.
Download or read book Coverage Matters written by Institute of Medicine and published by National Academies Press. This book was released on 2001-10-27 with total page 204 pages. Available in PDF, EPUB and Kindle. Book excerpt: Roughly 40 million Americans have no health insurance, private or public, and the number has grown steadily over the past 25 years. Who are these children, women, and men, and why do they lack coverage for essential health care services? How does the system of insurance coverage in the U.S. operate, and where does it fail? The first of six Institute of Medicine reports that will examine in detail the consequences of having a large uninsured population, Coverage Matters: Insurance and Health Care, explores the myths and realities of who is uninsured, identifies social, economic, and policy factors that contribute to the situation, and describes the likelihood faced by members of various population groups of being uninsured. It serves as a guide to a broad range of issues related to the lack of insurance coverage in America and provides background data of use to policy makers and health services researchers.
Download or read book Access to Health Care written by and published by DIANE Publishing. This book was released on 1993-05 with total page 164 pages. Available in PDF, EPUB and Kindle. Book excerpt: Reviews state initiatives to expand access to health insurance and control rising health care costs. Describes comprehensive plans to provide universal access to coverage, programs to extend access to specific groups, and efforts to control costs by reforming payment mechanisms. Maps and graphs.
Download or read book The Affordable Care Act and Medicaid Expansion written by Brian Dermot Coyne and published by . This book was released on 2016 with total page 155 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Arkansas premium assistance model, commonly known as the Private Option, is one of six alternative Medicaid waiver designs that have been approved in states to expand coverage for low-income adults. The waiver places adults age 19-64 and under 138% of poverty in the newly established health insurance exchange and uses Medicaid funding to purchase the premium payment for health plan coverage. The program began in January 2014. This qualitative descriptive study examined the key operational and program features of the Private Option in order to provide a formative evaluation of how well it is working at this early stage. The study also examined if this model, or similar models, might offer a promising path for the 19 states that have chosen not expand coverage for populations newly eligible for Medicaid under the Affordable Care Act. The results of the study suggest that it is a potentially promising model. Arkansas saw the largest drop in the uninsured rate in the country in the first 18 months since the program began. It has also expanded its provider networks, added new health plans to the marketplace, and the program is generating overall net state savings. Politics, policy, and state costs are factors that drive the current debate in states that have not expanded. Framing coverage as a uniquely designed state approach and not Medicaid expansion are key conditions for moving forward. Language emphasizing a private sector approach and personal responsibility are critical factors as well. There are challenges, however, between Medicaid rules and exchange rules, particularly around the issue of cost-sharing. There is a significant cliff between the two programs in terms of personal financial obligations that will likely need to be remedied in the years ahead. Studies show that as many as 50% of those under 200% of poverty are likely to transition between eligibility for these two programs in any given year, and these cost-sharing differences apply despite an integrated program. The Affordable Care Act is part of an ongoing process that has transformed Medicaid from a social welfare program to an income-based program to provide health insurance coverage to low-income populations. The integration of these two programs, Medicaid and the health insurance exchanges, through premium assistance, reflects these transformative changes and are part of the continuing evolution of our nation's health care system.
Download or read book Selected Options for Expanding Health Insurance Coverage written by Jack Rodgers and published by DIANE Publishing. This book was released on 1994 with total page 108 pages. Available in PDF, EPUB and Kindle. Book excerpt: Analyzes two major approaches for substantially reducing the number of uninsured people. One would expand employment-based coverage, while the other would cover more people under Medicaid. A third approach would be a combination of the two. Covers: advantages and disadvantages of each plan, alternative specifications, and illustrations of each plan. Charts and tables.
Download or read book Selected Options for Expanding Health Insurance Coverage written by Laban Jackson Rodgers and published by . This book was released on 1991 with total page 108 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book The Affordable Care Act as a National Experiment written by Harry P. Selker and published by Springer Nature. This book was released on 2021-07-27 with total page 128 pages. Available in PDF, EPUB and Kindle. Book excerpt: The landmark 2010 Patient Protection and Affordable Care Act (ACA), or “Obamacare,” is a topic of great debate in mainstream, academic, and scientific media that generated strong opinions across the political spectrum and our nation. Soon after the enactment of the ACA and the fierce debate that ensued, The Affordable Care Act as a National Experiment was published by Springer in 2014. Now five years later, just finishing an election year in which the ACA was a hotly debated issue, the second edition of this title examines the history, lessons, and impact of this ground-breaking legislation. Now a decade since implementation nationally, the ACA is the largest healthcare policy innovation in the United States in at least 50 years and one of our nation’s largest healthcare experiments ever. The history of public health and medicine shows us that to develop better solutions for important health problems, we must innovate. And when we try a new strategy, we are reminded that to innovate is to experiment. This is the basis of all medical research, public health interventions, and health policy innovations. Moreover, in recent years, there is an increasing emphasis on “translational science,” research that always has an ultimate focus on having real impact on medical care and the public’s health – whether in translating from bench research to the bedside, or from limited clinical use into widespread practice, public health interventions or policy. As with the previous edition, the book opens with a chapter that gives a basic overview of The Affordable Care Act. The second chapter, which previously discussed the objectives of the ACA, now takes a look at the successes, unfinished work and impact of the ACA in the past ten years. The third chapter now ponders the question of whether the ACA has protected patients since its implementation while its previous counterpart gave predictions for the future. The chapters that follow highlight things such as Medicaid expansion and insurance reform under the ACA, the Supreme Court Review of the ACA, social determinants of health, stories of the uninsured and stabilization of the ACA, among others. The book rounds out with a summary of what’s next and the push for universal healthcare followed by an epilogue. Due to the timely nature of the subject matter, some chapters from the previous edition have been dropped and seven new chapters have been added in their place. The remaining seven chapters from the previous edition have also been fully revised and updated. Written by nationally known healthcare policy leaders who were involved directly in the creation and implementation of the ACA, the second edition of The Affordable Care Act as a National Experiment again will examine the history and impact of this ground-breaking legislation as well as recommend priorities, objectives, and next steps for translational research. It is an essential resource for all healthcare providers as well as policy makers and academics.
Download or read book Expanding Health Insurance Coverage Under the Affordable Care Act written by Danielle Rhubart and published by . This book was released on 2016 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: By the end of 2015, almost forty percent of states had opted out of the Medicaid Expansion component of the Affordable Care Act, providing a unique opportunity to examine variation in health insurance coverage changes pre- and post- Medicaid expansion. Health insurance coverage has historically varied across places and groups of people. For example, rural areas and large sections of the South have been plagued with persistently low rates of coverage due to unique structural and compositional characteristics. Racial/ethnic disparities particularly among blacks and Hispanics also persist given socioeconomic and policy barriers to accessing coverage. Using county-level insurance coverage estimates for non-elderly adults from Enroll America and demographic, socioeconomic, and labor market variables from the American Community Survey, I examine a number of research questions related to the role of Medicaid expansion and county characteristics on changes in adult (ages 18 to 64) health insurance coverage rates. There are several noteworthy findings with important implications for research, policy, and practice. First, compared with counties located in states that did not expand Medicaid coverage under the ACA, counties located in states that did expand Medicaid experienced significantly larger improvements in overall adult health insurance coverage rates between 2013 and 2014, net of several other county characteristics. Second, in states that did not expand Medicaid, counties with larger shares of vulnerable residents (e.g., poor adults, foreign born residents, and adults with low educational attainment) experienced smaller improvements in coverage compared to counties with comparatively smaller shares of these vulnerable groups. However, counties in states that did expand Medicaid were protected from the disadvantage of having larger shares of vulnerable residents. Third, compared to large metropolitan counties in the South, small metropolitan and nonmetropolitan counties in the South experienced significantly smaller improvements in coverage from 2013 to 2014. Fourth, almost all counties experienced declines in racial/ethnic (white-black; white-Hispanic) disparities in coverage rates. However, counties in states that did expand Medicaid to at least 138 percent of the Federal Poverty Level experienced significantly larger declines in the white-black and white-Hispanic coverage gap compared to counties in states that adopted lower Medicaid thresholds. The findings from this study have important implications for county and state governments both in states that did and did not expand Medicaid as they are faced with the risks associated with persistently low coverage rates, including high rates of uncompensated care, declining population health and worker productivity, and struggling healthcare systems.
Download or read book The Affordable Care Act and Health Insurance Markets written by Christine Eibner and published by Rand Corporation. This book was released on 2013-08-29 with total page 117 pages. Available in PDF, EPUB and Kindle. Book excerpt: In this report, the authors estimate the effects of the Affordable Care Act on health insurance enrollment and premiums for ten states (Florida, Kansas, Louisiana, Minnesota, New Mexico, North Dakota, Ohio, Pennsylvania, South Carolina, and Texas) and for the nation overall, with a focus on outcomes in the nongroup and small group markets.
Download or read book Access to Health Care in America written by Institute of Medicine and published by National Academies Press. This book was released on 1993-02-01 with total page 240 pages. Available in PDF, EPUB and Kindle. Book excerpt: Americans are accustomed to anecdotal evidence of the health care crisis. Yet, personal or local stories do not provide a comprehensive nationwide picture of our access to health care. Now, this book offers the long-awaited health equivalent of national economic indicators. This useful volume defines a set of national objectives and identifies indicatorsâ€"measures of utilization and outcomeâ€"that can "sense" when and where problems occur in accessing specific health care services. Using the indicators, the committee presents significant conclusions about the situation today, examining the relationships between access to care and factors such as income, race, ethnic origin, and location. The committee offers recommendations to federal, state, and local agencies for improving data collection and monitoring. This highly readable and well-organized volume will be essential for policymakers, public health officials, insurance companies, hospitals, physicians and nurses, and interested individuals.
Download or read book The Affordable Care Act written by Tamara Thompson and published by Greenhaven Publishing LLC. This book was released on 2014-12-02 with total page 130 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Patient Protection and Affordable Care Act (ACA) was designed to increase health insurance quality and affordability, lower the uninsured rate by expanding insurance coverage, and reduce the costs of healthcare overall. Along with sweeping change came sweeping criticisms and issues. This book explores the pros and cons of the Affordable Care Act, and explains who benefits from the ACA. Readers will learn how the economy is affected by the ACA, and the impact of the ACA rollout.
Download or read book Obamacare written by Jason Miller and published by Post Hill Press. This book was released on 2013-11-01 with total page 130 pages. Available in PDF, EPUB and Kindle. Book excerpt: An Obamacare book like no other, Obamacare: Healthcare Apocalypse not only lays out all of the core components of the Patient Protection and Affordable Care Act, but also provides a detailed analysis of the long-term impacts of this massive federal intrusion into healthcare. Whether by intentional design or as the byproduct of bad law, Obamacare will literally and figuratively tax the current, and effective, predominantly employment-based third-party payor system to the breaking point, paving the way for full-scale government intervention in the form of socialized medicine. Obamacare will accomplish this feat under the guise of consumer protections but the real impact of Obamacare will be felt slowly over time as a series of delayed-implementation “time bombs” erupt with damaging consequences. The “recipe for financial disaster” that Obamacare concocts will slowly erode the private sector health insurance industry and tempt employers to pay the penalty instead of providing more costly qualified coverage for employees. All the while employers, individuals, insurers, and other businesses will feed the growing federal healthcare option that will emerge as the private insurance sector fails. Obamacare drastically expands Medicaid, converting it from a last-resort, needs-based program to a clear entitlement program. The middle class and businesses will fund this expansion in the form of new taxes. All the while, members of the middle class will see their own healthcare coverage vanish and be hit with a financial penalty simply because they cannot afford to purchase qualified coverage. Small businesses will quell their own growth to avoid the employer shared responsibility requirement while others will cut employee hours to part time status to avoid the obligation. The middle class will emerge as the new class of uninsured in America and as the private healthcare insurance industry spirals downward the government will step in with its own plan knowing the majority will be left with no other option but to accept it. Welcome to the healthcare apocalypse! This book provides a history of healthcare, focusing on the ever-increasing cost-ascent; a crash course on the insurance industry so that you will see precisely how Obamacare’s drafters hit the easy target with the long-term goal of implementing socialized medicine; and lays out precisely how Obamacare will ultimately lead to the destruction of the great, albeit flawed, American healthcare system.
Download or read book Affordable Care Act written by Judith Chandrasena and published by . This book was released on 2021 with total page 45 pages. Available in PDF, EPUB and Kindle. Book excerpt: One of The Affordable Care Act (ACA) 's main goals is to increase access in the United States through insurance marketplace reforms, mandates, and Medicaid Expansion which started to take effect in 2014. Medicaid Expansion offered coverage and affordability to all citizens, primarily to those in poverty. States that did not expand Medicaid have gone through much scrutiny due to the lack of coverage to its citizens and the lack of compensation to the hospitals and providers. The 12 states that opted out of the ACA failed to provide an alternate medical coverage plan for their citizens. This literature review, through qualitative analysis, examined the socioeconomic, population health, and economic effects on hospitals in non-expansion states through contrasting the expansion and non-expansion of Medicaid through the country. iv The consequences of opting out contributed to poor population health in that people are hesitant to seek medical care for fear of incurring medical bills. Physicians and hospitals are in a bind because they must render medical attention, knowing that they will not get adequate funding to stay in business. The federal government purposefully withholds additional funding for Medicaid as an incentive to try and get the 12 states to adopt slow but steady progress. Additional policy efforts are needed to encourage non-expansion states to expand Medicaid.
Download or read book Federalism and Health Policy written by Alan Weil and published by The Urban Insitute. This book was released on 2003 with total page 448 pages. Available in PDF, EPUB and Kindle. Book excerpt: The balance between state and federal health care financing for low-income people has been a matter of considerable debate for the last 40 years. Some argue for a greater federal role, others for more devolution of responsibility to the states. Medicaid, the backbone of the system, has been plagued by an array of problems that have made it unpopular and difficult to use to extend health care coverage. In recent years, waivers have given the states the flexibility to change many features of their Medicaid programs; moreover, the states have considerable flexibility to in establishing State Children's Health Insurance Programs. This book examines the record on the changing health safety net. How well have states done in providing acute and long-term care services to low-income populations? How have they responded to financial incentives and federal regulatory requirements? How innovative have they been? Contributing authors include Donald J. Boyd, Randall R. Bovbjerg, Teresa A. Coughlin, Ian Hill, Michael Housman, Robert E. Hurley, Marilyn Moon, Mary Beth Pohl, Jane Tilly, and Stephen Zuckerman.
