chapter 17 and 18 Flashcards
how did the GOP fight towards the ACA?
- Adminstratively
- through public perception
- legislatively
- politically
How did the GOP fight adminstratively with the ACA?
- regulatory debate
- what should medical loss ratio be?
- rules for obtaining federal money
- is considered an essential benefit?
Sebelius vs. NFIB
-june 2012
-issue: 1.can’t force people to buy insurance (mandate) is individual mandate okay? Can feds mandate?
2. Medicaid expansion
decision: courts ruled that mandate could stay
Up to the states to expand Medicaid (some expanded, others didn’t)
-coverage gap
Hobby Lobby vs. Burwell(2014)
non-profits with religion mission=previously exempted from requirement
- hobby lobby didn’t want to cover IUD and Plan B
- decision: exemption was extended to for-profit companies
King vs. Burwell(2015)
- issue: do states with exchanges not built by them get subsidies
- republican states didn’t want to build own state exchanges
- no–> ACA collapses
- decision: subsidies will be given to all who qualify
How did the Republicans aim to kill ACA legislatively?
- starve the bill(financially)
- house didn’t want to provide funding for it
- 2013-2014L republicans tried to kill ACA with budget stand off
Successes of the ACA?
- 33 states expanded Medicaid
- 14+million enrolled via exchanges
- less than 10% are uninsured (still large number though)
- exchanges
- employer
how many elections did ACA survive?
2010 midterm, 2012 presidential election, 2014 midterm election
Pre-2016 election, what was the state of the ACA?
- health plans were leaving exchange
- drug prices were rising
- high deductible for plans, lower premiums
- large increases in premiums thru/out health care system
ACO-Accountable care organizations
- involved with quality
- paid providers based off of value and low cost and high quality
