Health Insurance Coverage Analysis

A highly motivated and dedicated analyst with over two years’ experience in start-up Research Office at Huron Consulting Group. Working on developing Medicare Coverage Analysis (MCA) and study budgets for clinical research protocols in various therapeutic areas such as oncology, cardiology, pediatrics, and internal medicine for multiple clients across the country. A meticulous eye for detail in assisting clients with mitigating clinical research billing compliance risks, by interpreting and applying Medicare/Medicaid coverage decisions and national care guidelines to determine correct billing to insurance providers and research study sponsors. A confident communicator with an emphasis on utilizing the strengths of colleagues and creating an

“The fundamental market failure that Congress sought to fix was this cost-shifting from the uninsured to the privately insured.” (Fisher) It is clear to see that Obamacare did not fix the cost-shifting it was implemented to fix. There are still free health insurance options where the government is responsible for so many American’s healthcare costs, and when it comes down to it, the premiums for individuals with private insurance have still continuously went up over the years since the Affordable Care Act was passed. In 2012, Daniel Fisher wrote, “Existing federal laws already cover the poor, the elderly, and the roughly 60% of Americans who get their insurance through employers. Those laws provide free and low-cost care to just about anyone who needs it.” (Fisher) If this is the case, what purpose does requiring everyone to have insurance serve? It does not change the financial state of the country and only minutely impacts each individual’s quality of

The purpose of The Affordable Care Act (ACA) is to increase access and make it more affordable for all Americans. Unfortunately, the US health care delivery system lacks the ability to plan, direct, and coordinate from a central agency making it difficult for citizens to obtain health coverage. For that reason, The Affordable Care Act in 2010 became the most extensive health care reform in US history with its main objective to reduce the number of uninsured. The ACA permitted some standards in the health care delivery system to achieve universal coverage. Some examples were authorizing health insurances to start covering children and young adults below the age of 26 under their parents’ health insurance plans also allowing the law to lower

There are Currently 32 million people without health insurance in the United States. This means that roughly 83 per cent of citizens have to live day by day hoping they won’t get sick. For this reason, President Obama signed the U.S health reform bill into law. The health reform will make health care more affordable for citizens. Employers with more than 50 employees will be forced to provide coverage for all, or they will have to pay a fine. It will also make health insures more responsible. For example, health insurance carriers are forbidden from placing lifetime dollar limits on policies, from denying coverage to children because of pre-existing conditions, and from canceling policies because someone gets sick. It will also expand

The Affordable Care Act (ACA), also known as ObamaCare, is a healthcare reform law that focus on providing more Americans with access to affordable health insurance. “The ACA is expected to add 32 million people seeking primary and preventive service and treatment” (journalofnursingregulation.com). It was first enacted by President Barack Obama on March 23, 2010. The act has offered a number of people with benefits, set up a place they can purchase health insurance, expanded the use of Medicaid and Medicare to the disabled and senior citizens. The Act has forced many employers to offer coverage to their employees. Despite all of the positive attributes this act has provided, there is a flip side to it. Americans are required to have health

Obama Care officially named the Patient Protection and Affordable Care Act, is a national health care plan aimed at reforming the American health care system. It contains reforms in order to cut health care cost; it makes coverage improvements (for pre-existing conditions, for women, and more. It helps individual get insurance through expanding Medicaid and Medicare and offering cost assistance to Americans who cannot currently afford health care (DeMichele, Bastian, & Mullen, 2015). Obama care is the largest overhaul of the US healthcare system since 1960. The main purpose of Obama care was to extend healthcare insurance coverage to the US population. The law requires that all Americans to have some form of insurance, that is affordable. The law bans insurance companies from denying health coverage to people who is already ill from a pre-existing condition, it allows parents to continue coverage on their adult children until the age of 26, and in some cases it provides extended coverage to the government ran Medicaid program for the

The Affordable Care Act also known as Obamacare increases the quality, accessibility, and affordability of health insurance for all types of people with various financial status. In exchange, people who do not have an insurance would have to pay an additional fee for not having han insurance. This policy would make more people get an insurance and receive benefits as they grow old. This would ensure that it is not cheap for the people who are actually able to pay for their service. This law, stops insurance companies from dropping you when you are sick, protects against gender discrimination, expands free preventative services and health benefits, expands Medicaid, improves Medicare, requires larger employers to insure their employees. This would ensure equality for all patients are patients would not be abandoned when they are severely sick or not able to pay for their treatment. This also creates a marketplace for subsidized insurance providing tens of millions individuals, families, and small businesses with free or low-cost health insurance, and

Medicaid is a social health care program that covers nearly 60 million Americans, including children, pregnant women, seniors, parents and individuals suffering with disabilities. Medicaid is the biggest source of funding for health related services and medical needs for the people with low income in the United States. This program is funded jointly by the state and federal level governments, but it is the state’s responsibility to manage this program. The Medicaid program is not a required program that states have to use, but all 50 states have implemented this program. With the introduction of the Affordable Care Act (ACA), and its passing in 2010, the ACA unveiled its plans to expand Medicaid eligibility to nearly all low-income adults as an addition to the other groups that fall into the Medicaid eligibility. The Medicaid program had “many gaps in coverage for adults” because it was only restricted to the low income individuals and other people with needs in their own specific category. In the past, the majority of the states who had adults that did not have children dependent on those parents were not eligible for Medicaid. These low income adults without dependent children would be without medical insurance assistance before the ACA was introduced. Medicaid is now available to all Americans under the age of 65 whose family income is at or below the federal poverty guideline of “133 percent or $14,484 for an individual and $29,726 for a family of four in 2011” (NSCL).

With 50 million uninsured Americans in 2010, the Affordable Care Act (ACA) aimed to insure nearly everyone with “minimum essential” health insurance coverage. The ACA provides that all Americans and individuals lawfully present in the United States be provided health insurance regardless of their health or financial situation. It strengthens existing forms of health insurance coverage, while building a new health insurance market for individuals and families who do not have employer coverage or another form of “minimum essential coverage” such as Medicare or Medicaid. In addition, the ACA imposes fees or assessments on health insurance providers. The fees meant to be absorbed by insurance providers will impact premiums for all individuals covered under fully insured or self-funded plans and policies.

Since the law was signed in 2010, the Affordable Care Act is a working progress, it continues to changes to help improve individual’s needs. When the Marketplace, first launch there were some technical difficulties. The marketplace website was created so consumers can shop for affordable insurances that meets their needs. Now, despite some of the difficulties and the negativity from the media, the Affordable Care Act has many constructive effects. Obama care created the patient’s bill of rights. What many Americans fail to realize is, why many individuals were without health insurance. Before the law was created, insurances were more like a business. They would drop people without notice, raise premiums rates, or simply deny

The ACA of 2010 has a key goal of increasing access to health care by providing uninsured American’s with options to obtain health insurance. One way this is being done is allowing parents to keep their children on their health insurance plan, up to the age of 26 (HHS, n.d.). Another example is the option for states to expand Medicaid, and receive funding from the federal government to accomplish this. Medicaid covers

The rising healthcare cost is an issue that affects many working class Americans. Experts have tried to come up with different ways to make health care more affordable and easily accessible to all. Despite all the efforts and even after the Affordable Care Act, there are still millions of Americans without health insurance coverage and therefore unable to access the necessary medical care. According to a 2015 report by the U.S Census Bureau, there are over 33 million uninsured Americans. (“Health Insurance Coverage in the United States: 2014 - p60-253.pdf,” n.d.) The Affordable Care Act has unquestionably made healthcare more accessible and reduced the number of uninsured Americans. However, there are still millions of

Consumers looking for insurance are benefited as they have lower costs than they would without Obamacare. According to the ACA analysis, “silver plans cover seventeen percent more health expenses than the average plan prior to the ACA” (Zamosky). The Affordable Care Act has made a change in the costs and expenses regarding money put into health. Without Obamacare, clearly, the plans and various forms of insurance would be costly. To add on, Obamacare provides tax credits for those who have low income and shop through the health insurance marketplace. These people receive “a tax credit [they] can take in advance to lower [their] monthly health insurance payment” (Advance Premium Tax Credit). The tax credit gives these people enough to get by, seeing as they struggle with health insurance. Tax credits are calculated due to incomes, and to qualify, an individual must have an income between 100% and 400% of the poverty level. Without the huge prices on healthcare, the peoples of America can focus on food, shelter, and all the necessities they require besides their health. The Affordable Care Act also brings Medicare into play. Medicare helps with drug costs and prescriptions for people who cannot afford to pay much for them. Obamacare added many benefits to Medicare, including the coverage gap, also known as the “doughnut hole”. The system regarding the “doughnut hole”

Since the passage of the Affordable Care Act (ACA) or ‘Obamacare’ in 2010 and its implementation in 2014,there has been a steady decline in the uninsured population of the United States of America. The number of Americans with health insurance, has reached a historic peak. According to recent data from the Census Bureau about health insurance coverage, the number of uninsured Americans fell from 33 million the year prior to ACA implementation to 29 million in 2014.The total uninsured rate dropped by more than 4 percent since the health care law took effect. The ACA has significantly reduced the number of Americans who were not able to acquire health insurance due to poverty, unemployment, or having a pre-existing condition.

Obamacare may be one of the most debatable topics at the moment ever since 2010. For those who are still confused on what Obamacare is and how it works is understandable and common amongst Americans. Obamacare is also known as the Affordable Care Act. It can be summed up as a law that ensures every American has access to health insurance that is affordable and within their budget. This is done by offering people discounts on government-sponsored health insurance plans, and by expanding the Medicaid assistance program so they include more people who can’t afford health care. In order for someone to qualify for Obamacare they must have an insurance plan that covers at least ten essential services that pertain