Download or read book What the Actuarial Values in the Affordable Care Act Mean written by Larry Levitt and published by . This book was released on 2011 with total page 6 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Patient Protection and Affordable Care Act (PPACA) establishes four levels of coverage based on the concept of "actuarial value," which represents the share of health care expenses the plan covers for a typical group of enrollees. As plans increase in actuarial value - bronze, silver, gold, and platinum - they would cover a greater share of enrollees' medical expenses overall, though the details could vary across plans. The levels of coverage provided for in the PPACA are central to the coverage people will get and how they will ultimately perceive the effects of the health reform law. But an actuarial value is not as intuitive for people as specific deductibles and other out-of-pocket costs. Additionally, estimates of deductibles and other coverage features were not released by the Congressional Budget Office during the legislative debate. Because projections of deductibles are subject to variation in estimating techniques and databases used, to present the most likely range of out-of-pocket costs, the Foundation commissioned separate analyses from three different actuarial consulting firms to present a range of potential estimates. The study is part of the new Kaiser Initiative on Health Reform and Private Insurance, which will inform federal and state policymakers as they implement the PPACA and examine the implications of changes in the private insurance market under the health reform law.
Download or read book Obamacare Simplified written by Zephyros Press and published by Sourcebooks, Inc.. This book was released on 2013-11-14 with total page 221 pages. Available in PDF, EPUB and Kindle. Book excerpt: ObamaCare is a complex law that will affect every single American. Everyone has an opinion about ObamaCare, but few people actually understand how the Affordable Care Act works. ObamaCare Simplified navigates you through the intricacies of the health care law and explains what it means for you. Whether you are satisfied with your present insurance or seeking to get insured, ObamaCare Simplified informs you of your rights, presents the facts, and will help you make well-informed decisions when it comes to your health care plan. ObamaCare Simplified provides an easy-to-follow guide to the Affordable Care Act and what you need to know, offering: An overview of the goals and structure of ObamaCare, and how it changes the current health care system A "how it works" section that explains the individual mandate, insurance exchanges, and ObamaCare funding An ObamaCare timeline that provides a year-by-year breakdown of the law's implementation and what you need to know Spotlights on "what ObamaCare means for you," which explore the different impact of the law on various groups, including: senior citizens, immigrants, small-business employers, employees, uninsured individuals, and more Information on how ObamaCare affects individuals, depending on age, income, and employment status Taking care of your health should be your most vital priority. ObamaCare Simplified is your complete guide to understanding how ObamaCare works and what it means for your health care.
Download or read book Health Care Reform written by Jonathan Gruber and published by Macmillan. This book was released on 2011-12-20 with total page 162 pages. Available in PDF, EPUB and Kindle. Book excerpt: "A graphic explanation of the PPACA act"--Provided by publisher.
Download or read book Individual Health Insurance written by William F. Bluhm and published by . This book was released on 2007 with total page 485 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Moral Hazard in Health Insurance written by Amy Finkelstein and published by Columbia University Press. This book was released on 2014-12-02 with total page 161 pages. Available in PDF, EPUB and Kindle. Book excerpt: Addressing the challenge of covering heath care expenses—while minimizing economic risks. Moral hazard—the tendency to change behavior when the cost of that behavior will be borne by others—is a particularly tricky question when considering health care. Kenneth J. Arrow’s seminal 1963 paper on this topic (included in this volume) was one of the first to explore the implication of moral hazard for health care, and Amy Finkelstein—recognized as one of the world’s foremost experts on the topic—here examines this issue in the context of contemporary American health care policy. Drawing on research from both the original RAND Health Insurance Experiment and her own research, including a 2008 Health Insurance Experiment in Oregon, Finkelstein presents compelling evidence that health insurance does indeed affect medical spending and encourages policy solutions that acknowledge and account for this. The volume also features commentaries and insights from other renowned economists, including an introduction by Joseph P. Newhouse that provides context for the discussion, a commentary from Jonathan Gruber that considers provider-side moral hazard, and reflections from Joseph E. Stiglitz and Kenneth J. Arrow. “Reads like a fireside chat among a group of distinguished, articulate health economists.” —Choice
Download or read book Healthcare Risk Adjustment and Predictive Modeling written by Ian G. Duncan and published by ACTEX Publications. This book was released on 2011 with total page 350 pages. Available in PDF, EPUB and Kindle. Book excerpt: This text is listed on the Course of Reading for SOA Fellowship study in the Group & Health specialty track. Healthcare Risk Adjustment and Predictive Modeling provides a comprehensive guide to healthcare actuaries and other professionals interested in healthcare data analytics, risk adjustment and predictive modeling. The book first introduces the topic with discussions of health risk, available data, clinical identification algorithms for diagnostic grouping and the use of grouper models. The second part of the book presents the concept of data mining and some of the common approaches used by modelers. The third and final section covers a number of predictive modeling and risk adjustment case-studies, with examples from Medicaid, Medicare, disability, depression diagnosis and provider reimbursement, as well as the use of predictive modeling and risk adjustment outside the U.S. For readers who wish to experiment with their own models, the book also provides access to a test dataset.
Download or read book Medicaid Eligibility Quality Control written by United States. Social and Rehabilitation Service and published by . This book was released on 1975 with total page 460 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book 50 Vetoes written by Michael F. Cannon and published by Cato Institute. This book was released on 2013-03-27 with total page 65 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Patient Protection and Affordable Care Act (PPACA) remains vulnerable to repeal, largely because Congress and the Supreme Court have granted each state the power to veto major provisions of the law before they take effect in 2014. The PPACA itself empowers states to block the employer mandate, to exempt many of their low- and middle-income taxpayers from the individual mandate, and to reduce federal deficit spending, simply by not establishing a health insurance "exchange." To date, 34 states have refused to create Exchanges and some 16 states have announced they would not expand their Medicaid programs. Yet the Obama administration is trying to coerce states into implementing parts of the expansion that the Court rendered optional. This special White Paper provides a comprehensive review of the process now occurring between states and the Obama Administration, underscoring how a critical mass of states exercising their vetoes over Exchanges and the Medicaid expansion can force Congress to reconsider, and hopefully repeal, the rest of the PPACA.
Download or read book Inside National Health Reform written by John E. McDonough and published by Univ of California Press. This book was released on 2012-09-03 with total page 368 pages. Available in PDF, EPUB and Kindle. Book excerpt: A guide to the Affordable Care Act, our new national health care law. An account of the process from the 2008 presidential campaign to the moment in 2010 when the bill was signed into law before anyone had a chance to digest the document. At a time when the nation is taking a second look at the ACA, "Inside National Health Reform" provides essential information for Americans to review the governmental processes and politics in enacting this legislation.
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 10 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.
Download or read book Reinventing American Health Care written by Ezekiel Emanuel and published by Public Affairs. This book was released on 2014-03-04 with total page 402 pages. Available in PDF, EPUB and Kindle. Book excerpt: The definitive story of American health care today—its causes, consequences, and confusions In March 2010, the Affordable Care Act was signed into law. It was the most extensive reform of America’s health care system since at least the creation of Medicare in 1965, and maybe ever. The ACA was controversial and highly political, and the law faced legal challenges reaching all the way to the Supreme Court; it even precipitated a government shutdown. It was a signature piece of legislation for President Obama’s first term, and also a ball and chain for his second. Ezekiel J. Emanuel, a professor of medical ethics and health policy at the University of Pennsylvania who also served as a special adviser to the White House on health care reform, has written a brilliant diagnostic explanation of why health care in America has become such a divisive social issue, how money and medicine have their own—quite distinct—American story, and why reform has bedeviled presidents of the left and right for more than one hundred years. Emanuel also explains exactly how the ACA reforms are reshaping the health care system now. He forecasts the future, identifying six mega trends in health that will determine the market for health care to 2020 and beyond. His predictions are bold, provocative, and uniquely well-informed. Health care—one of America’s largest employment sectors, with an economy the size of the GDP of France—has never had a more comprehensive or authoritative interpreter.
Download or read book Ukraine s Revolt Russia s Revenge written by Christopher M. Smith and published by Brookings Institution Press. This book was released on 2022-03-15 with total page 444 pages. Available in PDF, EPUB and Kindle. Book excerpt: “This firsthand account of contemporary history is key to understanding Russia's latest assault on its neighbor."—USA Today An eyewitness account by a U.S. diplomat of Russia’s brazen attempt to undo the democratic revolution in Ukraine Told from the perspective of a U.S. diplomat in Kyiv, this book is the true story of Ukraine’s anti-corruption revolution in 2013—14, Russia’s intervention and invasion of that nation, and the limited role played by the United States. It puts into a readable narrative the previously unpublished reporting by seasoned U.S. diplomatic and military professionals, a wealth of information on Ukrainian high-level and street-level politics, a broad analysis of the international context, and vivid descriptions of people and places in Ukraine during the EuroMaidan Revolution. The book also counters Russia’s disinformation narratives about the revolution and America’s role in it. While focusing on a single country during a dramatic three-year period, the book’s universal themes—among them, truth versus lies, democracy versus autocracy—possess a broader urgency for our times. That urgency burns particularly hot for the United States and all other countries that are the targets of Russia's cyber warfare and other forms of political skullduggery. From his posting in U.S. Embassy Kyiv (2012–14), the author observed and reported first-hand on the EuroMaidan Revolution that wrested power from corrupt pro-Kremlin Ukrainian autocrat Viktor Yanukovych. The book also details Russia’s attempt to abort the Ukrainian revolution through threats, economic pressure, lies, and intimidation. When all of that failed, the Kremlin exacted revenge by annexing Ukraine's territory of Crimea and fomenting and sustaining a hybrid war in eastern Ukraine that has killed more than 13,000 people and continues to this day. Ukraine's Revolt, Russia’s Revenge is based on the author’s own observations and the multitude of reports of his Embassy colleagues who were eyewitnesses to a crucial event in contemporary history.
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 The Economics of Inequality Poverty and Discrimination in the 21st Century written by Robert S. Rycroft and published by Bloomsbury Publishing USA. This book was released on 2013-03-07 with total page 496 pages. Available in PDF, EPUB and Kindle. Book excerpt: Leading scholars examine the conflicting paradigms of affluence and destitution in the United States—as well as other free societies—and discuss the influence of education, race, and status on economic mobility. While recent catastrophic events in New Orleans and Haiti may have magnified issues of social inequity, leaders have debated over poverty and discrimination for decades. Are the poor disadvantaged by the institutions of society or by the choices they make? Through two insightful volumes, the author examines differing academic and political perspectives to help shed light on the causes of poverty and inequality; the role that gender, race, age, or sexual preference plays in determining opportunity; and the effectiveness of current social and economic policies in balancing the inequity among disparate groups. The Economics of Inequality, Poverty, and Discrimination in the 21st Century consists of 2 volumes containing 32 papers divided into 5 categories: measurement, inequality and mobility, institutions and choices, demographic groups and discrimination, and policy. The papers—written by economists, sociologists, philosophers and lawyers—deal with the extent of inequality in the United States and how it compares to other countries, and the newly emerging evidence on the relationship between inequality and mobility within a society.
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.
Download or read book Assessing Alternative Modifications to the Affordable Care Act written by Christine Eibner and published by Rand Corporation. This book was released on 2014-10-21 with total page 30 pages. Available in PDF, EPUB and Kindle. Book excerpt: This report summarizes analysis in which the COMPARE microsimulation model was used to estimate how several potential changes to the Affordable Care Act, including eliminating the individual mandate and eliminating the law’s tax-credit subsidies, might affect 2015 individual market premiums and overall insurance coverage. The report also presents estimate how changes in young adult enrollment might affect 2015 individual market premiums.
Download or read book A National Cancer Clinical Trials System for the 21st Century written by Institute of Medicine and published by National Academies Press. This book was released on 2010-07-08 with total page 317 pages. Available in PDF, EPUB and Kindle. Book excerpt: The National Cancer Institute's (NCI) Clinical Trials Cooperative Group Program has played a key role in developing new and improved cancer therapies. However, the program is falling short of its potential, and the IOM recommends changes that aim to transform the Cooperative Group Program into a dynamic system that efficiently responds to emerging scientific knowledge; involves broad cooperation of stakeholders; and leverages evolving technologies to provide high-quality, practice-changing research.
