Health care reform Flashcards
What is the goal of reform?
expanded coverage income based subsidies protection on pre-existing conditions no annual limit improve drugs
What led to the health care reform?
cost of insurance
access b/c of pre-existing conditions
lifetime limit on benefits
What are concerns of HC reform?
complexity
cost
mandate
How is coverage increased?
individual mandate
employer requirements
premium and cost-sharing subsidies to individuals
cost sharing reduction for payers
package of benefits that assure health plans offer in state.
essential health benefits
what is purpose of health insurance market?
competition in insurance and provide choices.
what is individual mandate?
require ppl to maintain minimum level of health insurance coverage in each month
individual mandate can be satisfied through
employer-based coverage
individual coverage
health exhanges
medicare/caid
what is medicaid expansion?
allowed expansionn to be optional.
Federal funding of medicaid?
fed will cover 100% of states’ cost of expansion 2014-16, then decrease to 90%
What happens if states don’t want medicaid expansion?
only ACA medicaid expansion funds will be withheld.