Review for Exam 2
Know the basic approach of a policy options analysis
Recognize the numerators and denominators in economic analyses
Know the economic and insurance terms and concepts that have been covered
Insurance
How does managed care differ from traditional insurance?
What are the attributes of managed care?
What are the two major kinds of managed care plans?
What is the main way in which PPOs, POS plans, and HMOs differ (on a
continuum)?
What are the pros and cons of managed care from the member, provider, and
public health system perspectives?
The ACA
-AVA major provisions
-ACA market places:
-what are they?
-how much variation is there in choice of plans depending on location?
-who can purchase insurance there?
-what is an ACA-compliant plan?
-what must all ACA compliant plans offer?
-based on what attributes can ACA plans can vary insurance premiums
under a plan
-what does the difference between the Bronze, Silver, Gold, and Platinum
plans (the “metal level” reflect?)
ACA Terms:
-Medicaid expansions
-the coverage gap
-the family affordability glitch
Challenges to the ACA
-Outcome of Supreme Court Case NFIB vs Sebelius
-Main issue in Texas vs Azar Supreme Court Case
