Establishing Californias Health Insurance Exchange Under The Affordable Care Act Governance And Operating Model

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Establishing California's Health Insurance Exchange Under the Affordable Care Act: Governance and Operating Model

Author : Charlaine Myshelle Hamilton
Publisher :
ISBN 13 :
Total Pages : 128 pages
Book Rating : 4.:/5 (774 download)

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Book Synopsis Establishing California's Health Insurance Exchange Under the Affordable Care Act: Governance and Operating Model by : Charlaine Myshelle Hamilton

Download or read book Establishing California's Health Insurance Exchange Under the Affordable Care Act: Governance and Operating Model written by Charlaine Myshelle Hamilton and published by . This book was released on 2011 with total page 128 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Patient Protection and Affordable Care Act (ACA) requires states to establish health insurance exchanges to facilitate the purchase of qualified health care coverage. The ACA affords states flexibility in designing these exchanges. This thesis is an analysis of the alternatives for the governance and operating model of an exchange in California. Within the parameters of the ACA, I present four alternatives for the exchange governance and three alternatives for its operating model. I then compare the alternatives based on how well they avoid adverse selection, facilitate competition, and provide an enhanced consumer experience. The results showed that establishing an independent government agency that selectively contracts with participating health insurers is the optimal choice for California.

New High Risk Entity

Author : California. Bureau of State Audits
Publisher :
ISBN 13 :
Total Pages : 50 pages
Book Rating : 4.3/5 (121 download)

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Book Synopsis New High Risk Entity by : California. Bureau of State Audits

Download or read book New High Risk Entity written by California. Bureau of State Audits and published by . This book was released on 2013 with total page 50 pages. Available in PDF, EPUB and Kindle. Book excerpt: Introduction -- Analysis Results. Covered California's Governance and Oversight Appear Adequate -- Covered California Has a Comprehensive QHP Certification Process, but Its Recertification and Decertification Processes Have Yet to Be Developed -- Covered California Has Worked Diligently and Collaboratively to Streamline the Eligibility and Enrollment Processes -- Covered California's Planned Outreach Efforts Are Extensive and Appear to Satisfy Federal and State Requirements -- Although Covered California Has a Thoughtful Funding Plan, Whether Funding Will Be Sufficient to Support Covered California's Operations Remains to Be Seen -- Recommendations -- Appendix. Monthly Premiums for Qualified Health Plans Offered Through Covered California -- Response to the Audit. Covered California.

Federalism and Health Policy

Author : Alan Weil
Publisher : The Urban Insitute
ISBN 13 : 9780877667162
Total Pages : 448 pages
Book Rating : 4.6/5 (671 download)

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Book Synopsis Federalism and Health Policy by : Alan Weil

Download or read book Federalism and Health Policy written by Alan Weil and published by The Urban Insitute. This book was released on 2003 with total page 448 pages. Available in PDF, EPUB and Kindle. Book excerpt: The balance between state and federal health care financing for low-income people has been a matter of considerable debate for the last 40 years. Some argue for a greater federal role, others for more devolution of responsibility to the states. Medicaid, the backbone of the system, has been plagued by an array of problems that have made it unpopular and difficult to use to extend health care coverage. In recent years, waivers have given the states the flexibility to change many features of their Medicaid programs; moreover, the states have considerable flexibility to in establishing State Children's Health Insurance Programs. This book examines the record on the changing health safety net. How well have states done in providing acute and long-term care services to low-income populations? How have they responded to financial incentives and federal regulatory requirements? How innovative have they been? Contributing authors include Donald J. Boyd, Randall R. Bovbjerg, Teresa A. Coughlin, Ian Hill, Michael Housman, Robert E. Hurley, Marilyn Moon, Mary Beth Pohl, Jane Tilly, and Stephen Zuckerman.

Health-Care Utilization as a Proxy in Disability Determination

Author : National Academies of Sciences, Engineering, and Medicine
Publisher : National Academies Press
ISBN 13 : 030946921X
Total Pages : 161 pages
Book Rating : 4.3/5 (94 download)

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Book Synopsis Health-Care Utilization as a Proxy in Disability Determination by : National Academies of Sciences, Engineering, and Medicine

Download or read book Health-Care Utilization as a Proxy in Disability Determination written by National Academies of Sciences, Engineering, and Medicine and published by National Academies Press. This book was released on 2018-04-02 with total page 161 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Social Security Administration (SSA) administers two programs that provide benefits based on disability: the Social Security Disability Insurance (SSDI) program and the Supplemental Security Income (SSI) program. This report analyzes health care utilizations as they relate to impairment severity and SSA's definition of disability. Health Care Utilization as a Proxy in Disability Determination identifies types of utilizations that might be good proxies for "listing-level" severity; that is, what represents an impairment, or combination of impairments, that are severe enough to prevent a person from doing any gainful activity, regardless of age, education, or work experience.

The Affordable Care Act

Author : Tamara Thompson
Publisher : Greenhaven Publishing LLC
ISBN 13 : 0737776196
Total Pages : 130 pages
Book Rating : 4.7/5 (377 download)

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Book Synopsis The Affordable Care Act by : Tamara Thompson

Download or read book The Affordable Care Act written by Tamara Thompson and published by Greenhaven Publishing LLC. This book was released on 2014-12-02 with total page 130 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Patient Protection and Affordable Care Act (ACA) was designed to increase health insurance quality and affordability, lower the uninsured rate by expanding insurance coverage, and reduce the costs of healthcare overall. Along with sweeping change came sweeping criticisms and issues. This book explores the pros and cons of the Affordable Care Act, and explains who benefits from the ACA. Readers will learn how the economy is affected by the ACA, and the impact of the ACA rollout.

Obamacare Wars

Author : Daniel Béland
Publisher : University Press of Kansas
ISBN 13 : 0700635076
Total Pages : 248 pages
Book Rating : 4.7/5 (6 download)

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Book Synopsis Obamacare Wars by : Daniel Béland

Download or read book Obamacare Wars written by Daniel Béland and published by University Press of Kansas. This book was released on 2023-02-10 with total page 248 pages. Available in PDF, EPUB and Kindle. Book excerpt: Not five minutes after the Affordable Care Act (ACA) was signed into law, in March 2010, Virginia’s attorney general was suing to stop it. And yet, the ACA rolled out, in infamously bumpy fashion, and rolled on, fought and defended at every turn—despite President Obama’s claim, in 2014, that its proponents and opponents could finally “stop fighting old political battles that keep us gridlocked.” But not only would the battles not stop, as Obamacare Wars makes acutely clear, they spread from Washington, DC, to a variety of new arenas. The first thorough account of the implementation of the ACA, this book reveals the fissures the act exposed in the American federal system. Obamacare Wars shows how the law’s intergovernmental structure, which entails the participation of both the federal government and the states, has deeply shaped the politics of implementation. Focusing on the creation of insurance exchanges, the expansion of Medicaid, and execution of regulatory reforms, Daniel Béland, Philip Rocco, and Alex Waddan examine how opponents of the ACA fought back against its implementation. They also explain why opponents of the law were successful in some efforts and not in others—and not necessarily in a seemingly predictable red vs. blue pattern. Their work identifies the role of policy legacies, institutional fragmentation, and public sentiments in each instance as states grappled with new institutions, as in the case of the exchanges, or existing structures, in Medicaid and regulatory reform. Looking broadly at national trends and specifically at the experience of individual states, Obamacare Wars brings much-needed clarity to highly controversial but little-understood aspects of the Affordable Care Act’s odyssey, with implications for how we understand the future trajectory of health reform, as well as the multiple forms of federalism in American politics.

Care Without Coverage

Author : Institute of Medicine
Publisher : National Academies Press
ISBN 13 : 0309083435
Total Pages : 213 pages
Book Rating : 4.3/5 (9 download)

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Book Synopsis Care Without Coverage by : Institute of Medicine

Download or read book Care Without Coverage written by Institute of Medicine and published by National Academies Press. This book was released on 2002-06-20 with total page 213 pages. Available in PDF, EPUB and Kindle. Book excerpt: Many Americans believe that people who lack health insurance somehow get the care they really need. Care Without Coverage examines the real consequences for adults who lack health insurance. The study presents findings in the areas of prevention and screening, cancer, chronic illness, hospital-based care, and general health status. The committee looked at the consequences of being uninsured for people suffering from cancer, diabetes, HIV infection and AIDS, heart and kidney disease, mental illness, traumatic injuries, and heart attacks. It focused on the roughly 30 million-one in seven-working-age Americans without health insurance. This group does not include the population over 65 that is covered by Medicare or the nearly 10 million children who are uninsured in this country. The main findings of the report are that working-age Americans without health insurance are more likely to receive too little medical care and receive it too late; be sicker and die sooner; and receive poorer care when they are in the hospital, even for acute situations like a motor vehicle crash.

American Federalism in Practice

Author : Michael Doonan
Publisher : Brookings Institution Press
ISBN 13 : 0815724837
Total Pages : 169 pages
Book Rating : 4.8/5 (157 download)

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Book Synopsis American Federalism in Practice by : Michael Doonan

Download or read book American Federalism in Practice written by Michael Doonan and published by Brookings Institution Press. This book was released on 2013-08-30 with total page 169 pages. Available in PDF, EPUB and Kindle. Book excerpt: American Federalism in Practice is an original and important contribution to our understanding of contemporary health policy. It also illustrates how contentious public policy is debated, formulated, and implemented in today’s overheated political environment. Health care reform is perhaps the most divisive public policy issue facing the United States today. Michael Doonan provides a unique perspective on health policy in explaining how intergovernmental relations shape public policy. He tracks federal-state relations through the creation, formulation, and implementation of three of the most important health policy initiatives since the Great Society: the State Children’s Health Insurance Program (CHIP) and the Health Insurance Portability and Accountability Act (HIPAA), both passed by the U.S. Congress, and the Massachusetts health care reform program as it was developed and implemented under federal government waiver authority. He applies lessons learned from these cases to implementation of the Affordable Care Act. “Health policymaking is entangled in a complex web of shared, overlapping, and/or competing power relationships among different levels of government,” the author notes. Understanding federal-state interactions, the ways in which they vary, and the reasons for such variation is essential to grasping the ultimate impact of federalism on programs and policy. Doonan reveals how federalism can shift as the sausage of public policy is made while providing a new framework for comprehending one of the most polarizing debates of our time.

Health Care Reform

Author : Jonathan Gruber
Publisher : Hill and Wang
ISBN 13 : 9780809053971
Total Pages : 0 pages
Book Rating : 4.0/5 (539 download)

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Book Synopsis Health Care Reform by : Jonathan Gruber

Download or read book Health Care Reform written by Jonathan Gruber and published by Hill and Wang. This book was released on 2011-12-20 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: You won't have to worry about going broke if you get sick. We will start to bring the costs of health care under control. And we will do all this while reducing the federal deficit. That is the promise of the Affordable Care Act. But from the moment President Obama signed the bill into law in 2010, a steady and mounting avalanche of misinformation about the ACA has left a growing majority of Americans confused about what it is, why it's necessary, and how it works. If you're one of them, buy this book. From how to tame the twin threats of rising costs and the increasing number of uninsured to why an insurance mandate is good for your health, Health Care Reform dispels false fears by arming you with facts.

Health Benefits Coverage Under Federal Law--.

Author :
Publisher :
ISBN 13 :
Total Pages : 108 pages
Book Rating : 4.3/5 ( download)

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Book Synopsis Health Benefits Coverage Under Federal Law--. by :

Download or read book Health Benefits Coverage Under Federal Law--. written by and published by . This book was released on 2010 with total page 108 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Fragmented Democracy

Author : Jamila Michener
Publisher : Cambridge University Press
ISBN 13 : 1108245323
Total Pages : 239 pages
Book Rating : 4.1/5 (82 download)

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Book Synopsis Fragmented Democracy by : Jamila Michener

Download or read book Fragmented Democracy written by Jamila Michener and published by Cambridge University Press. This book was released on 2018-03-22 with total page 239 pages. Available in PDF, EPUB and Kindle. Book excerpt: Medicaid is the single largest public health insurer in the United States, covering upwards of 70 million Americans. Crucially, Medicaid is also an intergovernmental program that yokes poverty to federalism: the federal government determines its broad contours, while states have tremendous discretion over how Medicaid is designed and implemented. Where some locales are generous and open handed, others are tight-fisted and punitive. In Fragmented Democracy, Jamila Michener demonstrates the consequences of such disparities for democratic citizenship. Unpacking how federalism transforms Medicaid beneficiaries' interpretations of government and structures their participation in politics, the book examines American democracy from the vantage point(s) of those who are living in or near poverty, (disproportionately) Black or Latino, and reliant on a federated government for vital resources.

Medicaid Eligibility Quality Control

Author : United States. Social and Rehabilitation Service
Publisher :
ISBN 13 :
Total Pages : 460 pages
Book Rating : 4.F/5 ( download)

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Book Synopsis Medicaid Eligibility Quality Control by : United States. Social and Rehabilitation Service

Download or read book Medicaid Eligibility Quality Control written by United States. Social and Rehabilitation Service and published by . This book was released on 1975 with total page 460 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Healthcare Unhinged: The Making of an Advocate

Author : Liz Helms
Publisher : Page Publishing Inc
ISBN 13 : 168289732X
Total Pages : 136 pages
Book Rating : 4.6/5 (828 download)

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Book Synopsis Healthcare Unhinged: The Making of an Advocate by : Liz Helms

Download or read book Healthcare Unhinged: The Making of an Advocate written by Liz Helms and published by Page Publishing Inc. This book was released on 2016-05-23 with total page 136 pages. Available in PDF, EPUB and Kindle. Book excerpt: Helms takes us through her unfiltered, uplifting story of chronic pain and severe depression to becoming a nationally recognized coalition builder and health care advocate as she battled to change a system that had failed millions. With stark honesty, she describes her personal struggle for appropriate care and the redemption she found challenging some of America’s most powerful, for-profit corporations on behalf of patient fairness and access to affordable, appropriate standards of quality care for all. “The power of one” an often over-used cliché, but the soul’s message of Unhinged; one woman joined by many to face down one dragon at a time; one voice joined by a chorus to alter forever, the conversation. Helms plots a roadmap for anyone who, even while questioning their own value or power, can move mountains unimagined by owning their voice, their sense of justice and their purpose. Armed with truth, directed purpose and willful respect, Helms proves that the ‘Lion’s den’ is but a myth, waiting to be challenged and exposed as such on behalf of all concerned.

Changing the U.S. Health Care System

Author : Ronald M. Andersen
Publisher : Jossey-Bass
ISBN 13 : 0787994081
Total Pages : 744 pages
Book Rating : 4.7/5 (879 download)

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Book Synopsis Changing the U.S. Health Care System by : Ronald M. Andersen

Download or read book Changing the U.S. Health Care System written by Ronald M. Andersen and published by Jossey-Bass. This book was released on 2007-03-15 with total page 744 pages. Available in PDF, EPUB and Kindle. Book excerpt: The third edition of Changing the U.S. Health Care System is a thoroughly revised and updated compendium of the most current thought on three key components of health care policy—improving access, ensuring quality, and controlling costs. Written by a panel of health care policy experts, this third edition highlights the most recent research relevant to health policy and management issues. New chapters address topics such as the disparities in health and in health care, information systems, and performance in the area of nursing. Revisions to chapters from the previous edition emphasize the most recent developments in the field.

ObamaCare Survival Guide

Author : Nick J. Tate
Publisher : Humanix Books
ISBN 13 : 0893348627
Total Pages : 266 pages
Book Rating : 4.8/5 (933 download)

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Book Synopsis ObamaCare Survival Guide by : Nick J. Tate

Download or read book ObamaCare Survival Guide written by Nick J. Tate and published by Humanix Books. This book was released on 2012 with total page 266 pages. Available in PDF, EPUB and Kindle. Book excerpt: Explores the intricacies of, and offers practical guidance on the Patient Protection and Affordable Care Act.

The Political Life of Medicare

Author : Jonathan Oberlander
Publisher : University of Chicago Press
ISBN 13 : 0226615960
Total Pages : 275 pages
Book Rating : 4.2/5 (266 download)

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Book Synopsis The Political Life of Medicare by : Jonathan Oberlander

Download or read book The Political Life of Medicare written by Jonathan Oberlander and published by University of Chicago Press. This book was released on 2003-06 with total page 275 pages. Available in PDF, EPUB and Kindle. Book excerpt: In recent years, bitter partisan disputes have erupted over Medicare reform. Democrats and Republicans have fiercely contested issues such as prescription drug coverage and how to finance Medicare to absorb the baby boomers. As Jonathan Oberlander demonstrates in The Political Life of Medicare, these developments herald the reopening of a historic debate over Medicare's fundamental purpose and structure. Revealing how Medicare politics and policies have developed since Medicare's enactment in 1965 and what the program's future holds, Oberlander's timely and accessible analysis will interest anyone concerned with American politics and public policy, health care politics, aging, and the welfare state.

The Impacts of the Affordable Care Act on Preparedness Resources and Programs

Author : Institute of Medicine
Publisher :
ISBN 13 : 9780309303606
Total Pages : 0 pages
Book Rating : 4.3/5 (36 download)

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Book Synopsis The Impacts of the Affordable Care Act on Preparedness Resources and Programs by : Institute of Medicine

Download or read book The Impacts of the Affordable Care Act on Preparedness Resources and Programs written by Institute of Medicine and published by . This book was released on 2014 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Many of the elements of the Affordable Care Act (ACA) went into effect in 2014, and with the establishment of many new rules and regulations, there will continue to be significant changes to the United States health care system. It is not clear what impact these changes will have on medical and public health preparedness programs around the country. Although there has been tremendous progress since 2005 and Hurricane Katrina, there is still a long way to go to ensure the health security of the Country. There is a commonly held notion that preparedness is separate and distinct from everyday operations, and that it only affects emergency departments. But time and time again, catastrophic events challenge the entire health care system, from acute care and emergency medical services down to the public health and community clinic level, and the lack of preparedness of one part of the system places preventable stress on other components. The implementation of the ACA provides the opportunity to consider how to incorporate preparedness into all aspects of the health care system. The Impacts of the Affordable Care Act on Preparedness Resources and Programs is the summary of a workshop convened by the Institute of Medicine's Forum on Medical and Public Health Preparedness for Catastrophic Events in November 2013 to discuss how changes to the health system as a result of the ACA might impact medical and public health preparedness programs across the nation. This report discusses challenges and benefits of the Affordable Care Act to disaster preparedness and response efforts around the country and considers how changes to payment and reimbursement models will present opportunities and challenges to strengthen disaster preparedness and response capacities.