lecture 16 Flashcards
1
Q
PCORI
A
stands for Patient Centered Outcome Research
- goal: patient centered care
- conduct research on relative health outcomes,clinical effectiveness and appropriateness
- medicare may consider research, but not required
2
Q
What were Obama goals with the ACA?
A
get insurance coverage
- don’t disrupt the system
- -> let those who are happy stay in the system
- improve quality
- lower costs
3
Q
what are some of the essential benefits covered under the ACA? How many in total?
A
10 in total
- outpatient care
- emergency services
- Maternity and newborn care
- prescription drugs
- laboratory services
- preventative services
- Mental health services and addiction treatment
- Laboratory services
- Pediatric services
- Rehab treatment
4
Q
How does the employer mandate work?
A
> 200: must provide insurance to employees
50-200: Pay or Play
<50: smaller businesses get help providing coverage for employees
–> provide tax credits
–> Exchange (purchasing pool to buy health insurance)