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Health Insurance Exchanges And The Assistance Role Of Navigators
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Book Synopsis Health Insurance Exchanges and the Assistance Role of Navigators by : Wallace V. Bremer
Download or read book Health Insurance Exchanges and the Assistance Role of Navigators written by Wallace V. Bremer and published by . This book was released on 2013 with total page 120 pages. Available in PDF, EPUB and Kindle. Book excerpt: The fundamental purpose of a health insurance exchange is to provide a structured marketplace for the sale and purchase of health insurance. The authority and responsibilities of an exchange may vary, depending on statutory or other requirements for its establishment and structure. The Patient Protection and Affordable Care Act requires health insurance exchanges to be established in every state by January 1, 2014. The ACA provides certain requirements for the establishment of exchanges, while leaving other choices to be made by the states. Qualified individuals and small businesses will be able to purchase private health insurance through exchanges. Issuers selling health insurance plans through an exchange will have to follow certain rules, such as meeting the private market reform requirements in the ACA. While the fundamental purpose of the exchanges will be to facilitate the offer and purchase of health insurance, nothing in the ACA prohibits qualified individuals, qualified employers, and insurance carriers from participating in the health insurance market outside of exchanges. This book outlines the required minimum functions of exchanges, and explains how exchanges are expected to be established and administered under the ACA. The coverage offered through exchanges is discussed, and the book concludes with a discussion of how exchanges will interact with selected other ACA provisions.
Book Synopsis Health Insurance Exchanges by : Suzanne M. Kirchhoff
Download or read book Health Insurance Exchanges written by Suzanne M. Kirchhoff and published by . This book was released on 2013 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: This report outlines federal and state oversight of navigators, the role of brokers and agents, and previous education and outreach efforts for federal health care programs.
Author :The Law The Law Library Publisher :Createspace Independent Publishing Platform ISBN 13 :9781729722565 Total Pages :78 pages Book Rating :4.7/5 (225 download)
Book Synopsis Patient Protection and Affordable Care ACT - Exchange Functions - Standards for Navigators and Non-Navigator Assistance Personnel, Etc. (Us Department of Health and Human Services Regulation) (Hhs) (2018 Edition) by : The Law The Law Library
Download or read book Patient Protection and Affordable Care ACT - Exchange Functions - Standards for Navigators and Non-Navigator Assistance Personnel, Etc. (Us Department of Health and Human Services Regulation) (Hhs) (2018 Edition) written by The Law The Law Library and published by Createspace Independent Publishing Platform. This book was released on 2018-11-10 with total page 78 pages. Available in PDF, EPUB and Kindle. Book excerpt: Patient Protection and Affordable Care Act - Exchange Functions - Standards for Navigators and Non-Navigator Assistance Personnel, etc. (US Department of Health and Human Services Regulation) (HHS) (2018 Edition) The Law Library presents the complete text of the Patient Protection and Affordable Care Act - Exchange Functions - Standards for Navigators and Non-Navigator Assistance Personnel, etc. (US Department of Health and Human Services Regulation) (HHS) (2018 Edition). Updated as of May 29, 2018 This final rule addresses various requirements applicable to Navigators and non-Navigator assistance personnel in Federally-facilitated Exchanges, including State Partnership Exchanges, and to non-Navigator assistance personnel in State Exchanges that are funded through federal Exchange Establishment grants. It finalizes the requirement that Exchanges must have a certified application counselor program. It creates conflict-of-interest, training and certification, and meaningful access standards; clarifies that any licensing, certification, or other standards prescribed by a state or Exchange must not prevent application of the provisions of title I of the Affordable Care Act; adds entities with relationships to issuers of stop loss insurance to the list of entities that are ineligible to become Navigators; and clarifies that the same ineligibility criteria that apply to Navigators apply to certain non-Navigator assistance personnel. This book contains: - The complete text of the Patient Protection and Affordable Care Act - Exchange Functions - Standards for Navigators and Non-Navigator Assistance Personnel, etc. (US Department of Health and Human Services Regulation) (HHS) (2018 Edition) - A table of contents with the page number of each section
Author :The Law The Law Library Publisher :Createspace Independent Publishing Platform ISBN 13 :9781722602420 Total Pages :78 pages Book Rating :4.6/5 (24 download)
Book Synopsis Patient Protection and Affordable Care ACT - Exchange Functions - Standards for Navigators and Non-Navigator Assistance Personnel (Us Centers for Medicare and Medicaid Services Regulation) (Cms) (2018 Edition) by : The Law The Law Library
Download or read book Patient Protection and Affordable Care ACT - Exchange Functions - Standards for Navigators and Non-Navigator Assistance Personnel (Us Centers for Medicare and Medicaid Services Regulation) (Cms) (2018 Edition) written by The Law The Law Library and published by Createspace Independent Publishing Platform. This book was released on 2018-07-05 with total page 78 pages. Available in PDF, EPUB and Kindle. Book excerpt: Patient Protection and Affordable Care Act - Exchange Functions - Standards for Navigators and Non-Navigator Assistance Personnel (US Centers for Medicare and Medicaid Services Regulation) (CMS) (2018 Edition) The Law Library presents the complete text of the Patient Protection and Affordable Care Act - Exchange Functions - Standards for Navigators and Non-Navigator Assistance Personnel (US Centers for Medicare and Medicaid Services Regulation) (CMS) (2018 Edition). Updated as of May 29, 2018 This final rule addresses various requirements applicable to Navigators and non-Navigator assistance personnel in Federally-facilitated Exchanges, including State Partnership Exchanges, and to non-Navigator assistance personnel in State Exchanges that are funded through federal Exchange Establishment grants. It finalizes the requirement that Exchanges must have a certified application counselor program. It creates conflict-of-interest, training and certification, and meaningful access standards; clarifies that any licensing, certification, or other standards prescribed by a state or Exchange must not prevent application of the provisions of title I of the Affordable Care Act; adds entities with relationships to issuers of stop loss insurance to the list of entities that are ineligible to become Navigators; and clarifies that the same ineligibility criteria that apply to Navigators apply to certain non-Navigator assistance personnel. This book contains: - The complete text of the Patient Protection and Affordable Care Act - Exchange Functions - Standards for Navigators and Non-Navigator Assistance Personnel (US Centers for Medicare and Medicaid Services Regulation) (CMS) (2018 Edition) - A table of contents with the page number of each section
Author :United States. Congress. House. Committee on Oversight and Government Reform Publisher : ISBN 13 : Total Pages :160 pages Book Rating :4.F/5 ( download)
Book Synopsis Obamacare Implementation by : United States. Congress. House. Committee on Oversight and Government Reform
Download or read book Obamacare Implementation written by United States. Congress. House. Committee on Oversight and Government Reform and published by . This book was released on 2014 with total page 160 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Federal Register written by and published by . This book was released on 2013-04 with total page 396 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis Unequal Treatment by : Institute of Medicine
Download or read book Unequal Treatment written by Institute of Medicine and published by National Academies Press. This book was released on 2009-02-06 with total page 781 pages. Available in PDF, EPUB and Kindle. Book excerpt: Racial and ethnic disparities in health care are known to reflect access to care and other issues that arise from differing socioeconomic conditions. There is, however, increasing evidence that even after such differences are accounted for, race and ethnicity remain significant predictors of the quality of health care received. In Unequal Treatment, a panel of experts documents this evidence and explores how persons of color experience the health care environment. The book examines how disparities in treatment may arise in health care systems and looks at aspects of the clinical encounter that may contribute to such disparities. Patients' and providers' attitudes, expectations, and behavior are analyzed. How to intervene? Unequal Treatment offers recommendations for improvements in medical care financing, allocation of care, availability of language translation, community-based care, and other arenas. The committee highlights the potential of cross-cultural education to improve provider-patient communication and offers a detailed look at how to integrate cross-cultural learning within the health professions. The book concludes with recommendations for data collection and research initiatives. Unequal Treatment will be vitally important to health care policymakers, administrators, providers, educators, and students as well as advocates for people of color.
Book Synopsis Basics of the U.S. Health Care System by : Nancy J. Niles
Download or read book Basics of the U.S. Health Care System written by Nancy J. Niles and published by Jones & Bartlett Learning. This book was released on 2023-09-14 with total page 964 pages. Available in PDF, EPUB and Kindle. Book excerpt: Basics of the U.S. Health Care System provides a broad introduction to the workings of the healthcare industry. Engaging and activities-oriented, the text offers an accessible overview of the major concepts of healthcare operations; the role of government and public health; inpatient, outpatient, and long-term care services; payors and financing; careers; and legal and ethical issues. Updated with new data throughout, the Fifth Edition also includes coverage of the COVID-19 pandemic, including the global impact of the pandemic and global vaccination rates; the impact of socioeconomic factors on COVID outcomes; the disease’s impact on mental health; the U.S. government role in managing the pandemic, and more.
Download or read book Social Workers' Desk Reference written by and published by Oxford University Press. This book was released on 2015-01-13 with total page 1480 pages. Available in PDF, EPUB and Kindle. Book excerpt: People all over the world are confronted by issues such as poverty, a lack of access to quality education, unaffordable and or inadequate housing, and a lack of needed health and mental services on a daily basis. Due to these issues, there is a need for social workers who have access to relevant and timely scholarly materials in order to meet the needs of those facing these issues. The social, psychological, and biological factors resulting from these issues determine the level of a person's mental health at any given point in time and it is necessary for social workers to continue to evolve and develop to the new faces and challenges of the times in order to adequately understand the effects of these issues. In the first and second editions of the Social Workers' Desk Reference, the changes that were occurring in social work practice, education, and research were highlighted and focused upon. This third edition continues in the same tradition and continues to respond to the changes occurring in society and how they are impacting the education, research, and practice of social work as a whole. With 159 chapters collaboratively written by luminaries in the profession, this third edition serves as a comprehensive guide to social work practice by providing the most recent conceptual knowledge and empirical evidence to aid in the understanding of the rapidly changing field of social work. Each chapter is short and contains practical information in addition to websites and updated references. Social work practitioners, educators, students, and other allied professionals can utilize the Social Workers' Desk Reference to gain interdisciplinary and interprofessional education, practice, and research.
Book Synopsis Principles of Health Navigation by : Karen (Kay) M. Perrin
Download or read book Principles of Health Navigation written by Karen (Kay) M. Perrin and published by Jones & Bartlett Learning. This book was released on 2016-09-08 with total page 286 pages. Available in PDF, EPUB and Kindle. Book excerpt: This text provides an overview of the content and knowledge competencies expected as part of health navigation education including health services delivery and health insurance, care of the individual, and accessing and analyzing health information competencies.
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.
Book Synopsis The Job Search Navigator by : Matt Durfee
Download or read book The Job Search Navigator written by Matt Durfee and published by Agate Publishing. This book was released on 2015-12-21 with total page 281 pages. Available in PDF, EPUB and Kindle. Book excerpt: “A no-holds-barred view of career management in a turbulent world . . . provides a reality-based perspective that should be of value to all who read [it].” —Len Schlesinger, president emeritus at Babson College, Baker Foundation professor, Harvard Business School In these uncertain times, The Job Search Navigator is a reliable guide to every step of the twenty-first–century job hunt, whether readers are laid off, wanting to change careers after surviving cutbacks, or seeking a better full-time gig in a stagnant marketplace. Author Matt Durfee writes from the perspective of someone who has both recruited for some of America’s biggest companies and navigated his way through nine of his own job losses. The book combines practical real-world perspectives with the technical knowledge job seekers need in order to excel at every aspect of their searches. Drawing on the knowledge Durfee accumulated through his own experiences, searches, and big-brand corporate hiring responsibilities, The Job Search Navigator abandons the “clinical approach” of many other career-advice books. Instead, Durfee gives easy-to-follow strategies and, perhaps more importantly, recounts in illuminating detail the kinds of mistakes that led him to develop these strategies. “From the strategic to the emotional to the tactical—this is one of the most practical and useful books on career management I’ve read in a very, very long time.” —L. Kevin Cox, chief human resources officer, American Express Company “Matt’s expertise in this space is unmatched. We live in a world where constant reinvention is the rule and The Job Search Navigator is essential reading for those who want to take control of their career trajectory.” —Scott Westerman, executive director & associate vice president for alumni relations, Michigan State University
Book Synopsis Navigator Resource Guide by : JoAnn Volk
Download or read book Navigator Resource Guide written by JoAnn Volk and published by . This book was released on 2014 with total page 114 pages. Available in PDF, EPUB and Kindle. Book excerpt: Prepared by Georgetown University's Center on Health Insurance Reforms, this guide is intended to supplement the Navigator training available from HHS and help answer questions people may have about the private insurance reforms in the Affordable Care Act. This comprehensive resource addresses more than 230 enrollment questions about everything from tax credits and cost standards to enrollment periods, and more.
Author :Congressional Service Publisher :Createspace Independent Publishing Platform ISBN 13 :9781722362843 Total Pages :26 pages Book Rating :4.3/5 (628 download)
Book Synopsis Overview of Health Insurance Exchanges by : Congressional Service
Download or read book Overview of Health Insurance Exchanges written by Congressional Service and published by Createspace Independent Publishing Platform. This book was released on 2018-07-04 with total page 26 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Patient Protection and Affordable Care Act (ACA; P.L. 111-148, as amended) requires health insurance exchanges to be established in every state. Exchanges are marketplaces in which consumers and small businesses can shop for and purchase private health insurance coverage. In general, states must have two types of exchanges: an individual exchange and a small business health options program (SHOP) exchange. Exchanges may be established either by the state itself as a state-based exchange (SBE) or by the Secretary of Health and Human Services (HHS) as a federally facilitated exchange (FFE). Some states have SBE-FPs: they have SBEs but use the federal information technology platform, including the federal exchange website www.Healthcare.gov. In states with FFEs, the exchange may be operated by the federal government alone or in conjunction with the state. States may have different structures for their individual and SHOP exchanges. Consumers who obtain coverage through the individual exchange may be eligible for financial assistance from the federal government. Financial assistance in the individual exchanges is available in two forms: premium tax credits and cost-sharing reductions. Small businesses that use the SHOP exchange may be eligible for small business health insurance tax credits. The tax credits assist small businesses with the cost of providing health insurance coverage to employees. The ACA generally requires that health insurance plans offered through an exchange are qualified health plans (QHPs). To be a certified as a QHP, a plan must be offered by a state-licensed issuer and must meet specified requirements, including covering the essential health benefits (EHB). QHPs sold in the individual and SHOP exchanges must comply with the same state and federal requirements that apply to QHPs and other health plans offered outside of the exchanges in the individual and small-group markets, respectively. Exchanges also may offer variations of QHPs, such as child-only or catastrophic plans, and non-QHP dental-only plans. This report provides an overview of the various components of the health insurance exchanges. It begins with summary information about how exchanges are structured and then discusses both individual and SHOP exchanges in terms of eligibility and enrollment, financial assistance for certain exchange consumers and small businesses, and enrollment assistance entities. The report also describes exchanges' role in certifying plans as qualified to be sold in their marketplaces and outlines the range of plans offered through exchanges. Finally, the report briefly addresses funding for the exchanges.
Author :National Academies of Sciences, Engineering, and Medicine Publisher :National Academies Press ISBN 13 :0309474299 Total Pages :171 pages Book Rating :4.3/5 (94 download)
Book Synopsis Building the Case for Health Literacy by : National Academies of Sciences, Engineering, and Medicine
Download or read book Building the Case for Health Literacy written by National Academies of Sciences, Engineering, and Medicine and published by National Academies Press. This book was released on 2018-08-26 with total page 171 pages. Available in PDF, EPUB and Kindle. Book excerpt: The field of health literacy has evolved from one focused on individuals to one that recognizes that health literacy is multidimensional. While communicating in a health literate manner is important for everyone, it is particularly important when communicating with those with limited health literacy who also experience more serious medication errors, higher rates of hospitalization and use of the emergency room, poor health outcomes, and increased mortality. Over the past decade, research has shown that health literacy interventions can significantly impact various areas including health care costs, outcomes, and health disparities. To understand the extent to which health literacy has been shown to be effective at contributing to the Quadruple Aim of improving the health of communities, providing better care, providing affordable care, and improving the experience of the health care team, the National Academies of Sciences, Engineering, and Medicine convened a public workshop on building the case for health literacy. This publication summarizes the presentations and discussions from the workshop, and highlights important lessons about the role of health literacy in meeting the Quadruple Aim, case studies of organizations that have adopted health literacy, and discussions among the different stakeholders involved in making the case for health literacy.
Author :National Academies of Sciences, Engineering, and Medicine Publisher :National Academies Press ISBN 13 :0309493439 Total Pages :195 pages Book Rating :4.3/5 (94 download)
Book Synopsis Integrating Social Care into the Delivery of Health Care by : National Academies of Sciences, Engineering, and Medicine
Download or read book Integrating Social Care into the Delivery of Health Care written by National Academies of Sciences, Engineering, and Medicine and published by National Academies Press. This book was released on 2020-01-30 with total page 195 pages. Available in PDF, EPUB and Kindle. Book excerpt: Integrating Social Care into the Delivery of Health Care: Moving Upstream to Improve the Nation's Health was released in September 2019, before the World Health Organization declared COVID-19 a global pandemic in March 2020. Improving social conditions remains critical to improving health outcomes, and integrating social care into health care delivery is more relevant than ever in the context of the pandemic and increased strains placed on the U.S. health care system. The report and its related products ultimately aim to help improve health and health equity, during COVID-19 and beyond. The consistent and compelling evidence on how social determinants shape health has led to a growing recognition throughout the health care sector that improving health and health equity is likely to depend â€" at least in part â€" on mitigating adverse social determinants. This recognition has been bolstered by a shift in the health care sector towards value-based payment, which incentivizes improved health outcomes for persons and populations rather than service delivery alone. The combined result of these changes has been a growing emphasis on health care systems addressing patients' social risk factors and social needs with the aim of improving health outcomes. This may involve health care systems linking individual patients with government and community social services, but important questions need to be answered about when and how health care systems should integrate social care into their practices and what kinds of infrastructure are required to facilitate such activities. Integrating Social Care into the Delivery of Health Care: Moving Upstream to Improve the Nation's Health examines the potential for integrating services addressing social needs and the social determinants of health into the delivery of health care to achieve better health outcomes. This report assesses approaches to social care integration currently being taken by health care providers and systems, and new or emerging approaches and opportunities; current roles in such integration by different disciplines and organizations, and new or emerging roles and types of providers; and current and emerging efforts to design health care systems to improve the nation's health and reduce health inequities.
Book Synopsis Health Literacy and Numeracy by : Institute of Medicine
Download or read book Health Literacy and Numeracy written by Institute of Medicine and published by National Academies Press. This book was released on 2014-07-17 with total page 222 pages. Available in PDF, EPUB and Kindle. Book excerpt: Although health literacy is commonly defined as an individual trait, it does not depend on the skills of individuals alone. Health literacy is the product of the interaction between individuals' capacities and the health literacy-related demands and complexities of the health care system. Specifically, the ability to understand, evaluate, and use numbers is important to making informed health care choices. Health Literacy and Numeracy is the summary of a workshop convened by The Institute of Medicine Roundtable on Health Literacy in July 2013 to discuss topics related to numeracy, including the effects of ill health on cognitive capacity, issues with communication of health information to the public, and communicating numeric information for decision making. This report includes a paper commissioned by the Roundtable, "Numeracy and the Affordable Care Act: Opportunities and Challenges," that discusses research findings about people's numeracy skill levels; the kinds of numeracy skills that are needed to select a health plan, choose treatments, and understand medication instructions; and how providers should communicate with those with low numeracy skills. The paper was featured in the workshop and served as the basis of discussion.
