CHAPTER 9
Medicare Enrollment
“Ringing in the New Year with New Health Care Benefits”
Some of the most important provisions of the Affordable Care Act will take effect in 2011. Starting this year, the vast majority of people with Medicare will see several new benefits, including free annual wellness check-ups, recommended preventive services without cost-sharing and discounts on prescription drugs in the Medicare Part D “donut hole” (Sebelius, Health Care, 2011). In addition, new rules will hold insurance companies accountable so more of your premium dollars go to health care, and you’re more protected from unreasonable rate hikes (Sebelius, Health Care, 2011).
• Medicare will no longer have out-of-pocket costs for the “Welcome to
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• Also, several are using a process called “presumptive eligibility” which allows health care clinics, schools and others to temporarily enroll children who appear eligible so they can quickly get the medicine or doctor visits they need while their full eligibility is being determined (Sebelius, U.S.Department of Health & Human Services., 2010).
Chapter 13
Health Policy: Access and Persons with AIDS
“The Affordable Care Act and People Living with HIV or AIDS” People living with HIV and AIDS have always had a difficult time obtaining access to health coverage (Sorian, 2010). Medicaid, Medicare, and the Ryan White HIV/AIDS Program have provided a critical safety net (Sorian, 2010). But today, nearly 30% of people living with HIV do not have any health insurance coverage, and many others have limited coverage (Sorian, 2010). In addition, people living with HIV and AIDS have faced hurdles to getting quality care from qualified providers (Sorian, 2010). The Affordable Care Act passed by Congress and signed by President Obama in March helps make it easier and fairer for people living with HIV or AIDS to get the coverage and care they need (Sorian, 2010). It will:
• Stop insurance discrimination: As early as September 23, 2010, insurers will no longer be able to deny coverage to children because they have HIV or AIDS (Sorian, 2010). And insurers won’t be able to rescind
President Obama signed the Affordable Care Act on March 23, 2010. This law puts in place widespread health insurance reforms that expanded out over the last 4 years and continues to change the lives of many Americans today. Health care reform has been an extensively debated topic for multiple years, and the ACA is the first effective attempt at passing a law aiming to make health care not only affordable, but accessible for all individuals. The law impacts many Americans including, children, employers, government programs which includes federal and state, health plans and private insurers, health care coverage, health care cost, and the quality of care received. The main goal of the law is to expand health care coverage, broaden Medicaid eligibility, minimize and regulate health care cost, and improve the health care delivery system. In order to improve the health care delivery there have been new consumer protections established and an increase access to affordable care.
In order to understand current health delivery services changes and formulate predictions, one must thoroughly comprehend the three developmental eras of the health care system. The evolution of our current health care system began in 1850, and has metamorphosed in three time periods, 1850 to 1900, 1900 to World War II (WW II), and WW II to 2009. Significant distinct and overlapping trends in disease prevalence, availability of health care resources, social organizations, and the public's knowledge and perception of health and illness and technology.
Americans have been faced with a new health care reform act known as Affordable Care Act initiated in 2010. Why was it so important for this nation to reform is health care system? How are we sure the ACA is improving our system for the American people? For many years, the health care industry has left many Americans uninsured. With health care costs on the rise and very few able to afford costs, and the quality of care in underserved areas not what it should be has left this nation largely unhealthy. Several landmark reports, including the Center for Disease Control factsheets and the Healthy People 2020 have astounding statistics confirming these alarming rates and clearly identifying the need for reform. The Affordable Care Act is the starting foundation for Americans to start investing in their own promotion of wellness and disease prevention. By choosing healthier lifestyle changes, individuals can make a difference which in turn will improve our nation’s overall health for the better.
The Patient Protection and Affordable Care Act (Obamacare) had mame dramatic changes in the field of the health care system, especially in Medicare, that will seriously take effect in American seniors. Indeed, much of the health law’s new spending is financed by spending reductions in the Medicare program. In addition to the provider payment reductions, Obamacare significantly reduces payments to Medicare Advantage (MA) plans by an estimated $156 billion from 2013 to 2022.( Elmendorf, letter to Speaker Boehner). About 27 percent of all Medicare beneficiaries are enrolled in MA plans, a system of regulated and private plans competing against each other as an alternative to traditional Medicare. MA plans are attractive to beneficiaries because they offer more generous and comprehensive coverage than traditional Medicare by capping out-of-pocket costs and offering drug coverage to a rasonable
The Patient Protection and Affordable Care Act was signed into law by President Barack Obama in March of 2010. This law provides equal access to medical care, lowered health care costs and eliminates denial of coverage of pre-existing conditions to the millions of the uninsured and insured Americans that were without and denied health care coverage. Patients who were denied coverage due to pre-existing conditions can now look forward to relief and great improvement because their illness is covered in the new policy, and care is now provided for them at next to minimal cost (Stehly,
Health care in America is a serious issue as it involves families that are unable to receive accessible, affordable and quality medical treatment. Middle class or impoverished families are unable to receive the benefits of health care due to low income levels and a volatile economy. Politicians discuss the reformation of the health care system, but people who are uninsured suffer the consequences of a system that overlooks middle class families in favor of wealthy families, a dominant issue for conflict theorists. Some argue that the health care system is not in need of reform and state that
The Patient Protection and Affordable Care Act (a.k.a. Obamacare) was signed into law by President Barack Obama on March 23, 2010. While the act is directed at addressing one of the country's most pressing problems, it generated much controversy as a consequence of the ethical dilemmas that it brings on. The act provides individuals with a wider range of choices and control over their health coverage. It provides a series of benefits such as people getting lower costs on coverage, several important health benefits being covered in the Marketplace, more help in local areas, and pre-existing conditions being covered. However, it also involves a legislation claiming that most people have to have health coverage by 2014, with those who do not have it having to pay a fee.
Eligibility for Medicaid expanded to groups like childless parents, all children and other parents not entitled to the Medicaid. To kick start this reform, the state would cover the whole cost for the non-eligible population for a period until they can cover the costs. Enrolment to the Medicaid made easy through websites and those who are disabled would get care in the community.
Though the American healthcare system has made big steps towards providing affordable healthcare for everyone, there remains a growing population of people who fall through the system’s cracks. These people are the medically underserved. They are typically the victims of unfortunate life circumstances that has left them without health insurance, or with insurance that provides inadequate coverage. The underserved also includes those who have trouble accessing healthcare for any reason. Anyone with illnesses or disabilities that require assistance beyond their coverage, or people who live in remote areas where healthcare services are sparse fall under this title. The term also does not exclude those who have sufficient insurance and resources, but struggle to understand and navigate our increasingly complex system of healthcare.
The affordable care act was passed by congress and then signed into law by the President on March 23, 2010. On June 28th 2012 the Supreme Court rendered a final decision on the law. The affordable care act also known as the health care law offers clear choices for consumers and provides new ways to hold insurance companies accountable.
The Affordable Care Act (ACA) was signed into law on March 23rd, 2010 by President Barack Obama. This radical health care law was a much-needed step in comprehensive health insurance reform. Three important features of the Affordable Care Act are 1. Improving quality and lowering health care costs 2. New consumer protections and 3. Increased access to healthcare. (Key Features. 2014). Under the umbrella of these three key features additional benefits include free preventive care, drug discounts for senior citizens, increased protection against health care fraud, small business tax credits, increased access to health care through the health insurance marketplace, consumer assistance, and non-discrimination based on pre-existing conditions.
Leibowitz, A. A., & Desmond, K. (2015). Identifying a Sample of HIV-Positive Beneficiaries From Medicaid Claims Data and Estimating Their Treatment Costs. American Journal Of Public Health, 105(3), 567-574. doi:10.2105/AJPH.2014.302263
The implementation of the Affordable Care Act (ACA), popularly known as “Obamacare”, has drastically altered healthcare in America. The goal of this act was to give Americans access to affordable, high quality insurance while simultaneously decreasing overall healthcare spending. The ACA had intended to maximize health care coverage throughout the United States, but this lofty ambition resulted in staggeringly huge financial and human costs.
The United States healthcare delivery system is a uniquely developed system that involves various features, components, and services. The US delivery system is massive, with total employment in various healthcare settings of qualified medical professionals that provide key functions to delivering quality healthcare. This essay will discuss the characteristics if the United States healthcare delivery system and how it could be developed from a free market perspective.
Many who live in poverty and have a chronic illness are often faced with the consequence of not having their illness treated because of the incurring medical costs of treating a chronic disease and being viewed as non-compliant. This leads to costly emergency room visits that could have been preventable if the necessary medical treatment had been utilized. Many hospitals and physicians are currently screening patients that may need additional resources to pay for medications, need transportation for appointments, nutrition, and housing. Communities may elect to apply for government funded health centers to help address this gap. Hospitals are also partnering with community-based organizations to help the patient receive the resources needed