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EBookClubs

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Book Private Health Insurance Market Reforms in the Patient Protection and Affordable Care Act  ACA

Download or read book Private Health Insurance Market Reforms in the Patient Protection and Affordable Care Act ACA written by Annie L. Mach and published by Createspace Independent Pub. This book was released on 2012-07-28 with total page 30 pages. Available in PDF, EPUB and Kindle. Book excerpt: The private health insurance provisions in the Patient Protection and Affordable Care Act (P.L. 111-148, ACA, as amended) include market reforms that impose requirements on private health insurance plans. Such reforms relate to the offer, issuance, generosity, and pricing of health plans, among other requirements. ACA's market reforms largely focus on the individual and small group health insurance markets, and in this report the reforms have been grouped by effective dates: “immediate” market reforms that become effective prior to the full implementation date of ACA, and reforms that become effective on the full implementation date (January 1, 2014). ACA requires implementation of a number of reforms prior to its full implementation date (i.e., prior to plan years beginning on or after January 1, 2014). “Immediate” reforms include a process to review unreasonable rate increases; an Internet portal to assist consumers in identifying coverage options; prohibition on lifetime limits and restriction of annual limits; the prohibition on rescissions; coverage of preventive health services with no cost-sharing; extension of dependent coverage; prohibition of discrimination based on salary; standards related to medical loss ratios and rebates to plan participants; appeals process; coverage of preexisting health conditions for children; patient protections; uniform explanation of coverage documents; and reporting requirements regarding quality of care. Market reforms effective beginning in 2014 include nondiscrimination based on health status; guaranteed issue and guaranteed renewability; coverage of preexisting health conditions (regardless of age); nondiscrimination regarding clinical trial participation; rating restrictions; waiting period limitation; and nondiscrimination regarding health care providers. This report provides background information about the private health insurance market, including market segments and regulation. It describes each ACA market reform and notes any major implementation activity that has occurred (e.g., issuance of final rule from a department such as Health and Human Services). The appendices of the report provide additional information about the status of regulations relating to each reform and how the reforms apply to the different market segments and health plans.

Book Patient Protection and Affordable Care Act

Download or read book Patient Protection and Affordable Care Act written by Otis Cronin and published by Nova Science Publishers. This book was released on 2012 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: In March 2010, the 111th Congress passed health reform legislation, the Patient Protection and Affordable Care Act. Jointly referred to as the PPACA, the law increases access to health insurance coverage, expands federal private health insurance market requirements, and requires the creation of health insurance exchanges to provide individuals and small employers with access to insurance. This book provides an overview of major PPACA provisions, implementation and oversight activities, and current legal challenges.

Book The Patient Protection and Affordable Care Act

Download or read book The Patient Protection and Affordable Care Act written by Otis Cronin and published by Nova Science Publishers. This book was released on 2012-04-01 with total page 161 pages. Available in PDF, EPUB and Kindle. Book excerpt: In March 2010, the 111th Congress passed health reform legislation, the Patient Protection and Affordable Care Act. Jointly referred to as the PPACA, the law increases access to health insurance coverage, expands federal private health insurance market requirements, and requires the creation of health insurance exchanges to provide individuals and small employers with access to insurance. This book provides an overview of major PPACA provisions, implementation and oversight activities, and current legal challenges.

Book Section 1557 of the Affordable Care Act

Download or read book Section 1557 of the Affordable Care Act written by American Dental Association and published by American Dental Association. This book was released on 2017-05-24 with total page 60 pages. Available in PDF, EPUB and Kindle. Book excerpt: Section 1557 is the nondiscrimination provision of the Affordable Care Act (ACA). This brief guide explains Section 1557 in more detail and what your practice needs to do to meet the requirements of this federal law. Includes sample notices of nondiscrimination, as well as taglines translated for the top 15 languages by state.

Book Health Care Utilization as a Proxy in Disability Determination

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.

Book Private Health Insurance and the Affordable Care Act

Download or read book Private Health Insurance and the Affordable Care Act written by Duke Riggs and published by Nova Science Publishers. This book was released on 2014-03 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Private health insurance (PHI) is the predominate form of health insurance coverage in the United States. The Patient Protection and Affordable Care Act, as amended, expands federal private health insurance market requirements, and requires the creation of health insurance exchanges (marketplaces) to provide certain individuals and small employers access to private insurance, among other provisions. This book explains in further detail these private health insurance market reforms in the ACA and discusses the economic issues of the ACA.

Book Provisions in the Patient Protection and Affordable Care Act  PPACA

Download or read book Provisions in the Patient Protection and Affordable Care Act PPACA written by Benjamin J. Gray and published by Nova Science Publishers. This book was released on 2011 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: In March 2010, President Obama signed into law a comprehensive health reform bill, the Patient Protection and Affordable Care Act (PPACA), and a package of amendments to PPACA, as well as the Health Care and Education Reconciliation Act (HCERA). PPACA includes numerous provisions intended to increase the primary care and public health workforce, promote preventive services and strengthen quality measurement. This book on PPACA and HCERA focuses on the new law's workforce, public health, health care quality and related provisions. It includes summaries of these provisions, explores some of their implications for health policy and contains an associated timeline.

Book Estimated Financial Effects of the  Patient Protection and Affordable Care Act   as Passed by the U  S  Senate on December 24 2009

Download or read book Estimated Financial Effects of the Patient Protection and Affordable Care Act as Passed by the U S Senate on December 24 2009 written by Richard S. Foster and published by DIANE Publishing. This book was released on 2010-08 with total page 37 pages. Available in PDF, EPUB and Kindle. Book excerpt: This memorandum summarizes the Centers for Medicare and Medicaid¿s (CMS) Office of the Actuary¿s estimates of the financial and coverage effects through FY 2019 of selected provisions of the ¿Patient Protection and Affordable Care Act¿ (PPACA) on December 24, 2009 (HR3590, as amended). Included are the estimated net Federal expenditures in support of expanded health insurance coverage, the associated numbers of people by insured status, the changes in Medicare and Medicaid expenditures and revenues, and the overall impact on total national health expenditures. Charts and tables.

Book Patient Protection and Affordable Care ACT Procedures for Reporting Certain Financial Management Information Should Be Improved

Download or read book Patient Protection and Affordable Care ACT Procedures for Reporting Certain Financial Management Information Should Be Improved written by United States Government Accountability and published by CreateSpace. This book was released on 2015-06-26 with total page 32 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Patient Protection and Affordable Care Act (PPACA),1 which was enacted in March 2010, includes provisions to expand access to public and private health insurance-including through the creation of health insurance exchanges-and made a number of changes affecting the provision of private health insurance.

Book Private Health Insurance Market Reforms in the Patient Protection and Affordable Care Act  ACA

Download or read book Private Health Insurance Market Reforms in the Patient Protection and Affordable Care Act ACA written by Annie L. Mach and published by . This book was released on 2016 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: This report provides background information about the private health insurance market, including market segments and regulation. It then describes each ACA market reform, grouped under the following categories: obtaining coverage, keeping coverage, cost of purchasing coverage, covered services, cost-sharing limits, consumer assistance and other health care protections, and plan requirements related to health care providers.

Book Law  Explanation and Analysis of the Patient Protection and Affordable Care Act

Download or read book Law Explanation and Analysis of the Patient Protection and Affordable Care Act written by CCH Incorporated and published by Wolters Kluwer. This book was released on 2010-01-01 with total page 2114 pages. Available in PDF, EPUB and Kindle. Book excerpt: The One Resource That Explains EVERY Provision of the Single Most Sweeping Piece of Legislation in 50 Years! CCH's Law, Explanation and Analysis of the Patient Protection and Affordable Care Act, Including Reconciliation Act Impact provides employers, legal, legislative, health, and insurance professionals with comprehensive explanation and analysis of every aspect of health care reform legislation. The information is crucial, current, and reliable and offers complete, clear and practical guidance on every provision. This is one of the most high-impact pieces of legislation passed in decades. Taken together, the laws are over 2,800 pages long. Many hundreds of changes are made to existing laws and– over 600 changes to the Social Security Act alone (which contains all of the Medicare and Medicaid law), including almost 50 newly added provisions. Other laws affected include the Employee Retirement Income and Security Act (ERISA), the Public Health Service Act, the Internal Revenue Code, and even the Fair Labor Standards Act, among others. Law, Explanation and Analysis of the Patient Protection and Affordable Care Act, Including Reconciliation Act Impact include contains almost 500 expert explanations telling you what all those law changes mean. Only Law, Explanation and Analysis of the Patient Protection and Affordable Care Act, Including Reconciliation Act Impact includes: An editorially enhanced version of the Patient Protection and Affordable Care Act that integrates in place changes made to it by the Reconciliation Act of 2010 and Title X amendments Text of the Joint Committee on Taxation report that provides background information on the revenue-related provisions of the laws Finding devices to help navigate between analysis and official text Caution notes The legislation contains the most significant health care changes in decades. Topics covered include the following: For employers: Enhanced employer responsibility Insurance market reforms Health insurance exchanges Individual responsibility mandate For health providers and beneficiaries: Expanded eligibility rules for Medicaid and the Children's Health Insurance Program Reimbursement changes for physicians and hospitals to focus on primary and preventive care Reimbursement changes for hospitals to increase coverage in rural areas Expansion of existing value-based purchasing and quality programs EXCLUSIVE ONLINE FEATURE! With your purchase of the book, you'll receive access to a special website that gives you access to SSA, ERISA, and IRC provisions amended by the Patient Protection and Affordable Care Act and the Reconciliation Act of 2010, as well as other valuable Health Care Reform information and resources. Full text of both Acts will also be provided on this exclusive website.

Book Health Insurance Within the Affordable Care Act

Download or read book Health Insurance Within the Affordable Care Act written by Campbell Richardson and published by Nova Science Pub Incorporated. This book was released on 2012-12-17 with total page 136 pages. Available in PDF, EPUB and Kindle. Book excerpt: In March 2010, the 111th Congress passed health reform legislation, the Patient Protection and Affordable Care Act (ACA). ACA increases access to health insurance coverage, expands federal private health insurance market requirements, and requires the creation of health insurance exchanges to provide individuals and small employers with access to insurance. It also expands Medicaid coverage. The costs to the federal government of expanding health insurance and Medicaid coverage are projected to be offset by increased taxes and revenues and reduced spending on Medicare and other federal health programs. This book provides an overview of major ACA provisions, implementation and oversight activities.

Book Backgrounder  Federal Health Care Reform

Download or read book Backgrounder Federal Health Care Reform written by Janet L. Kaminski Leduc and published by . This book was released on 2010 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Discusses key provisions of the federal Patient Protection and Affordable Care Act (P.L. 111-148, PPACA), amended by the Health Care and Education Reconciliation Act (P.L. 111-152, HCERA), that affect private health insurance.

Book The Impacts of the Affordable Care Act on Preparedness Resources and Programs

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.