Lecture 4: The Affordable Care Act (ACA) Flashcards
What was the main reason the ACA was created?
To reduce the cost of insurance coverage for qualifying people
How was ACA mandated for states?
Federal government runs state based “marketplace”
Which ACA mandate was overturned in 2018?
Individual mandate penalty – person would have had to pay a penalty if they did not have health insurance
What is the marketplace?
A service that helps people shop for and enroll in affordable health insurance
Fed. government operates marketplace for most states, some states run own marketplace
What is the Health Insurance Marketplace
Provides health plan shopping and enrollment services through websites, call centers and in-person help
Income and household info. determine which plans you qualify for
How many titles are there under the ACA?
10 different titles
What is the purpose for Title 1?
Quality affordable health care for all americans – all americans must have coverage
prohibits denying coverage based on pre-existing conditions, cant drop people if sick, extends dependent coverage to age 26, requires full coverage of preventive care and immunization, creates individual insurance exchange
What is the purpose of title 2?
The role of public programs:
Extends medicare and preserves CHIP and the exchanges
simplifies enrollment for families, reduces prescription drug costs, expands medicaid to 138% of federal poverty level
What is the purpose of title 3?
Improving quality and efficiency of health care
provides incentives for accountable care orgs. (ACO)
provide accountability for quality healthcare, closes donut hole, provide access to services in underserved areas
What is the purpose for title 4?
Prevention and improving public health
Increases access and availability to services
reduces incidences of preventable diseases in US, relies on small businesses and state and local government to be innovative and provide access/available services to community and workplace
What is the purpose of Title 5?
Health care workplace
Modifies federal loans-student programs to provide scholarship payments and bonuses to certain healthcare workers
provide scholarship and loan repayment programs has increased access to a wide providers to underserved communities
What is the purpose of title 6?
Transparency and program integrity
Creates screens for providers and suppliers to decrease fraud in health care
Creates patient center outcomes institute (PCOI) (helps fams find right nursing homes for loved ones and ensure improved quality service in choice of nursing home)
What is the purpose for title 7?
Improving access to innovate medical technologies
streamline process of FDA licensing for products
ends anti-competitive behavior for drug companies, extends drug discounts to hospsitals and communities that serve low income patients
What is the purpose for title 8?
Community living assistance and services and support
provides americans with new option to finance long-term services and care in the event of disability
Flexible benefit in wide range communities
What is the purpose of title 9?
Revenue provisions
Makes healthcare more affordable for families and small business owners by providing largest middle class tax cuts in US history
Increases taxes in people who earn high wages
