Please respond to these two post with a minumun of 100 world, maximun 150 worlds
1) Summary of the Health Care Act
Carlos Ortiz
Florida National University
Dr. Crevecoeur
09/18/2017
Summary of the Health Care Act rolls back to affordable care Act’s expansion of Medicaid. The Act eliminates tax penalties for individuals who are not covered by a health insurance and ending taxes on high income earners and manufacturers of medical related devices for them to finance the current health law. The American Health Care Act was announced on 6th March, and passed by the House of Representatives on May. The overall approach of the Act is increase amount for the young and reduce for the older adults. The Act has provisions that help people buy insurance if they are not enrolled in a government program and have no coverage at work. Under the previous rules, insurers could not charge older adults more than three times what they charge young adults (Gaffney & McCormick, 2017). The new Act allows the insurers to charge the older adults five times more compared to young adults.
Under the new Act, continuous coverage is encouraged by requiring that the insurers impose 30% surcharge on premiums for those people who have a gap in paying. On the other hand, the insurers are prohibited from charging very high premiums that are based on an individual’s health status. The Health Care Act does not change the benefit design by a large margin. The requirement of the Affordable Care Act to cover 10 essential health benefit categories remain unchanged. There no changes on prohibition on lifetime and annual dollar limits. Nevertheless, Federal premium tax credits cannot cover abortion services except those outlined in the Hyde Amendment. The Act is expected to cut taxes of high income earners by repealing payroll tax increase and a tax on investment as imposed by the Act.
References
Gaffney, A., & McCormick, D. (2017). The Affordable Care Act: implications for health-care equity. The Lancet, 389(10077), 1442-1452
2) DB Week 3
Rosana Yma
Deborah Crѐvecoeur, DNP, ARNP, FNP-BC
Health Care Policy
NGR 5891-MSN2
ACA, also known as Affordable Care Act was enacted in 2010 (Hall, A., & Lorde, R., 2014). This mandated health plan provides coverage for specified preventive items or services. The ACA covers recommended immunizations, recommended preventive care and screenings for women and children. Also, ACA is a health plan that provides dependent coverage of children for an unmarried, adult child until the child turns 26 years of age. The Affordable Care Act’s core achievement is to make all Americans insurable, by requiring insurers to accept all applicants at rates based on population averages regardless of health status (Affordable Care Act, 2016). The act also increases coverage by allowing states to expand Medicaid to cover everyone near the poverty line, and by subsidizing private insurance for people who are not poor but who do not have workplace coverage. The act allows most people to keep the same kind of insurance that they currently have, and it does not change how private insurance pays physicians and hospitals.
The ACA directly impacts delivery of care people without coverage or group insurance having difficulty obtaining individual insurance, not only because of its expense, but also because private insurers screen people for health status and either decline to cover people with potentially costly medical conditions, or charged them substantially more, or excluded coverage for their existing conditions.
A key challenge I anticipate is provider and hospital payment (Hall, A., & Lorde, R., 2014). Even though, it does not directly change how private insurers pay healthcare providers, direct client billing will pose a problem for collection. Nevertheless, it has set into motion market dynamics that are affecting medical practice, such as limiting insurance networks to fewer providers and requiring patients to pay for more treatment costs out of pocket.
References:
Affordable Care Act. (2016). Retrieved from: https://healthcare.gov/glossary/affordable-care-act/
Hall, A., & Lorde, R. (2014). Obamacare: what the Affordable Care Act means for patients and physicians [PDF]. Winston Salem: BMJ 2014;349:g5376 doi: 10.1136/bmj.g5376.
