Medicaid And Health Insurance Exchanges

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Medicaid and Health Insurance Exchanges

Author : Scott Ahearn
Publisher : Nova Science Publishers
ISBN 13 : 9781628084375
Total Pages : 0 pages
Book Rating : 4.0/5 (843 download)

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Book Synopsis Medicaid and Health Insurance Exchanges by : Scott Ahearn

Download or read book Medicaid and Health Insurance Exchanges written by Scott Ahearn and published by Nova Science Publishers. This book was released on 2013 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Patient Protection and Affordable Care Act (ACA) expands health insurance coverage primarily through two mechanisms: by expanding the existing Medicaid program and by establishing new health insurance exchanges where certain individuals and businesses can purchase private health insurance. Under ACA, Medicaid and exchanges are envisioned to work in tandem, with the potential to provide a continuous source of subsidised coverage for lower-income individuals and families, beginning in 2014. This book provides an analysis of some of the key similarities and differences between Medicaid and insurance plan structure in plans offered through exchanges. Because Medicaid services vary by population covered and by state, and exchange plans can also vary by state, this book provides insight into the complexities and issues when comparing beneficiary benefits and costs to individuals for Medicaid and the exchanges. The inherent variations in Medicaid and the uncertainty about exactly how the exchanges will operate are just two of the factors that complicate this comparison.

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.

Medicaid and Health Insurance Exchanges

Author : Scott Ahearn
Publisher :
ISBN 13 : 9781628084399
Total Pages : 198 pages
Book Rating : 4.0/5 (843 download)

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Book Synopsis Medicaid and Health Insurance Exchanges by : Scott Ahearn

Download or read book Medicaid and Health Insurance Exchanges written by Scott Ahearn and published by . This book was released on 2013 with total page 198 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Patient Protection and Affordable Care Act (ACA) expands health insurance coverage primarily through two mechanisms: by expanding the existing Medicaid program and by establishing new health insurance exchanges where certain individuals and businesses can purchase private health insurance. Under ACA, Medicaid and exchanges are envisioned to work in tandem, with the potential to provide a continuous source of subsidized coverage for lower-income individuals and families, beginning in 2014. This book provides an analysis of some of the key similarities and differences between Medicaid and insurance plan structure in plans offered through exchanges. Because Medicaid services vary by population covered and by state, and exchange plans can also vary by state, this book provides insight into the complexities and issues when comparing beneficiary benefits and costs to individuals for Medicaid and the exchanges. The inherent variations in Medicaid and the uncertainty about exactly how the exchanges will operate are just two of the factors that complicate this comparison.

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.

Health Insurance is a Family Matter

Author : Institute of Medicine
Publisher : National Academies Press
ISBN 13 : 0309169054
Total Pages : 296 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis Health Insurance is a Family Matter by : Institute of Medicine

Download or read book Health Insurance is a Family Matter written by Institute of Medicine and published by National Academies Press. This book was released on 2002-09-18 with total page 296 pages. Available in PDF, EPUB and Kindle. Book excerpt: Health Insurance is a Family Matter is the third of a series of six reports on the problems of uninsurance in the United Sates and addresses the impact on the family of not having health insurance. The book demonstrates that having one or more uninsured members in a family can have adverse consequences for everyone in the household and that the financial, physical, and emotional well-being of all members of a family may be adversely affected if any family member lacks coverage. It concludes with the finding that uninsured children have worse access to and use fewer health care services than children with insurance, including important preventive services that can have beneficial long-term effects.

The Affordable Care Act and Health Insurance Markets

Author : Christine Eibner
Publisher : Rand Corporation
ISBN 13 : 0833081241
Total Pages : 117 pages
Book Rating : 4.8/5 (33 download)

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Book Synopsis The Affordable Care Act and Health Insurance Markets by : Christine Eibner

Download or read book The Affordable Care Act and Health Insurance Markets written by Christine Eibner and published by Rand Corporation. This book was released on 2013-08-29 with total page 117 pages. Available in PDF, EPUB and Kindle. Book excerpt: In this report, the authors estimate the effects of the Affordable Care Act on health insurance enrollment and premiums for ten states (Florida, Kansas, Louisiana, Minnesota, New Mexico, North Dakota, Ohio, Pennsylvania, South Carolina, and Texas) and for the nation overall, with a focus on outcomes in the nongroup and small group markets.

Medicaid and Insurance Exchanges

Author : Carolyn L. Yocom
Publisher :
ISBN 13 : 9781457870934
Total Pages : 51 pages
Book Rating : 4.8/5 (79 download)

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Book Synopsis Medicaid and Insurance Exchanges by : Carolyn L. Yocom

Download or read book Medicaid and Insurance Exchanges written by Carolyn L. Yocom and published by . This book was released on 2015-11-30 with total page 51 pages. Available in PDF, EPUB and Kindle. Book excerpt: Due to changes in income and other factors, it is likely that under the Patient Protection and Affordable Care Act (PPACA) many low-income individuals will transition between Medicaid and subsidized exchange coverage. Federal regulations require that state Medicaid agencies and exchanges coordinate to facilitate these transitions, including transferring individuals' accounts to the appropriate form of coverage when eligibility changes occur. However, challenges could arise during the transition process resulting in individuals experiencing coverage gaps or duplicate coverage. This report examines the extent to which the federal government had policies and procedures that minimize the potential for coverage gaps and duplicate coverage. Tables and figures. This is a print on demand report.

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:

Health Insurance Exchanges Under the Patient Protection and Affordable Care Act (ACA)

Author : Bernadette Fernandez
Publisher : Createspace Independent Pub
ISBN 13 : 9781480152809
Total Pages : 40 pages
Book Rating : 4.1/5 (528 download)

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Book Synopsis Health Insurance Exchanges Under the Patient Protection and Affordable Care Act (ACA) by : Bernadette Fernandez

Download or read book Health Insurance Exchanges Under the Patient Protection and Affordable Care Act (ACA) written by Bernadette Fernandez and published by Createspace Independent Pub. This book was released on 2012-10-20 with total page 40 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 (ACA, P.L. 111-148, as amended) requires health insurance exchanges to be established in every state by January 1, 2014. 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 ACA. While the fundamental purpose of the exchanges will be to facilitate the offer and purchase of health insurance, nothing in the law prohibits qualified individuals, qualified employers, and insurance carriers from participating in the health insurance market outside of exchanges. Moreover, ACA explicitly states that enrollment in exchanges is voluntary and no individual may be compelled to enroll in exchange coverage. Exchanges may be established either by the state itself as a “state exchange” or by the Secretary of Health and Human Services (HHS) as a “federally facilitated exchange.” All exchanges are required to carry out many of the same functions and adhere to many of the same standards, although there are important differences between the types of exchanges. States will need to declare their intentions to establish their own exchanges by no later than November 16, 2012. ACA and regulations require exchanges to carry out a number of different functions. The primary functions relate to determining eligibility and enrolling individuals in appropriate plans, plan management, consumer assistance and accountability, and financial management. ACA gives various federal agencies, primarily HHS, responsibilities relating to the general operation of exchanges. Federal agencies are generally responsible for promulgating regulations, creating criteria and systems, and awarding grants to states to help them create and implement exchanges. A state that is approved to operate its own exchange has a number of operational decisions to make, including decisions related to organizational structure (governmental agency or a nonprofit entity); types of exchanges (separate individual and Small Business Health Options Program (SHOP) exchanges, or a merged exchange); collaboration (a state may independently operate an exchange or enter into contracts with other states); service area (a state may establish one or more subsidiary exchanges in the state if each exchange serves a geographically distinct area and meets certain size requirements); contracted services (an exchange may contract with certain entities to carry out one or more responsibilities of the exchange); and governance (governing board and standards of conduct). In general, health plans offered through exchanges will provide comprehensive coverage and meet all applicable private market reforms specified in ACA. Most exchange plans will provide coverage for “essential health benefits,” at minimum; be subject to certain limits on cost-sharing, including out-of-pocket costs; and meet one of four levels of plan generosity based on actuarial value. To make exchange coverage more affordable, certain individuals will receive premium assistance in the form of federal tax credits. Moreover, some recipients of premium credits may also receive subsidies toward cost-sharing expenses.

Health Insurance Exchanges

Author : Suzanne M. Kirchhoff
Publisher : CreateSpace
ISBN 13 : 9781508723165
Total Pages : 36 pages
Book Rating : 4.7/5 (231 download)

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Book Synopsis Health Insurance Exchanges by : Suzanne M. Kirchhoff

Download or read book Health Insurance Exchanges written by Suzanne M. Kirchhoff and published by CreateSpace. This book was released on 2015-06-26 with total page 36 pages. Available in PDF, EPUB and Kindle. Book excerpt: The 2010 Patient Protection and Affordable Care Act (ACA, P.L. 111-148) allows certain individuals and small businesses to buy qualified health insurance through state exchanges. The exchanges are not themselves insurers, but rather are special marketplaces where insurance firms may sell health policies that meet set, federal guidelines. As of July 2014, 14 states and the District of Columbia had secured HHS approval to create and run their own exchanges, 7 to enter into partnership exchanges, 29 to have federally facilitated exchanges, and two to have state-based SHOP/federally facilitated individual exchanges. An estimated 25 million individuals are expected to secure coverage through the exchanges by 2024.

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.

The Medicare Handbook

Author :
Publisher :
ISBN 13 :
Total Pages : 48 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis The Medicare Handbook by :

Download or read book The Medicare Handbook written by and published by . This book was released on 1989 with total page 48 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Health Insurance Exchanges 36 Success Secrets - 36 Most Asked Questions on Health Insurance Exchanges - What You Need to Know

Author : Melissa Gregory
Publisher : Emereo Publishing
ISBN 13 : 9781488862649
Total Pages : 58 pages
Book Rating : 4.8/5 (626 download)

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Book Synopsis Health Insurance Exchanges 36 Success Secrets - 36 Most Asked Questions on Health Insurance Exchanges - What You Need to Know by : Melissa Gregory

Download or read book Health Insurance Exchanges 36 Success Secrets - 36 Most Asked Questions on Health Insurance Exchanges - What You Need to Know written by Melissa Gregory and published by Emereo Publishing. This book was released on 2014-10-25 with total page 58 pages. Available in PDF, EPUB and Kindle. Book excerpt: Infused with fresh, new Health Insurance Exchanges energy. There has never been a Health Insurance Exchanges Guide like this. It contains 36 answers, much more than you can imagine; comprehensive answers and extensive details and references, with insights that have never before been offered in print. Get the information you need--fast! This all-embracing guide offers a thorough view of key knowledge and detailed insight. This Guide introduces what you want to know about Health Insurance Exchanges. A quick look inside of some of the subjects covered: Affordable Care Act - Insurance exchanges and the individual mandate, Illinois Health Benefits Exchange - Background, Health insurance exchange - First week of operation, Romneycare, Health insurance coverage in the United States, Health insurance exchange - History, Health insurance exchange - Subsidies, Health insurance coverage in the United States - Estimates of the number uninsured, Patient Protection and Affordable Care Act - Insurance exchanges and the individual mandate, New Mexico Health Insurance Exchange - Background, Health care in the United States - Reform, Medicaid expansion - Overview of provisions, United States federal government shutdown of 2013 - End of shutdown and temporary debt limit suspension, Military Health System - Coverage gaps, Patient Protection and Affordable Care Act - Overview of provisions, Annual enrollment, Medicaid expansion - Change in number of uninsured, Provisions of the Patient Protection and Affordable Care Act - Effective January 1, 2014, Public health insurance option - History, HealthSource RI - Background, US government shutdown of 2013, Health insurance in the United States - Reform, Health care reform - United States, Provisions of the Patient Protection and Affordable Care Act - Effective January 1, 2017, Cover Oregon - Background, Public health insurance option - Alternative plans, and much more...

Facilitating State Health Exchange Communication Through the Use of Health Literate Practices

Author : Institute of Medicine
Publisher : National Academies Press
ISBN 13 : 0309220327
Total Pages : 116 pages
Book Rating : 4.3/5 (92 download)

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Book Synopsis Facilitating State Health Exchange Communication Through the Use of Health Literate Practices by : Institute of Medicine

Download or read book Facilitating State Health Exchange Communication Through the Use of Health Literate Practices written by Institute of Medicine and published by National Academies Press. This book was released on 2012-02-10 with total page 116 pages. Available in PDF, EPUB and Kindle. Book excerpt: Implementation of the Affordable Care Act (ACA) of 2010 will result in significant changes to the U.S. health care system. Among its many provisions, the ACA will extend access to health care coverage to millions of Americans who have been previously uninsured. Many of the newly eligible health insurance consumers will be individuals of low health literacy, some speakers of English and others more comfortable using languages other than English. Health insurance terms such as "deductible," "co-insurance," and "out-of-pocket limit" are difficult to communicate even to those with moderate-to-high levels of health literacy and so health exchanges will face challenges as they attempt to communicate to the broader community. In addition to having to convey some of these basic, and yet complex, principles of insurance, state exchanges will be attempting to adapt to the many changes to enrollment and eligibility brought about by ACA. The Institute of Medicine (IOM) convened the Roundtable on Health Literacy that brings together leaders from the federal government, foundations, health plans, associations, and private companies to discuss challenges facing health literacy practice and research and to identify approaches to promote health literacy in both the public and private sectors. The roundtable sponsored a workshop in Washington, DC, on July 19, 2011, that focused on ways in which health literacy can facilitate state health insurance exchange communication with potential enrollees. The roundtable's workshop focused on four topics: (1) lessons learned from existing state insurance exchanges; (2) the impact of state insurance exchanges on consumers; (3) the relevance of health literacy to health insurance exchanges; and (4) current best practices in developing materials and communicating with consumers. Facilitating State Health Exchange Communication Through the Use of Health Literate Practices summarizes the presentations and discussion that occurred during the workshop. The report provides an overview of health insurance exchanges, presents evidence on the extent to which consumers understand underlying health insurance concepts, and describes the relevancy of health literacy to health insurance reform and how health literacy interventions can facilitate the implementation of health insurance reforms. The report also provides a review of best practices in developing materials and communicating with consumers, and concludes with reflections on the workshop presentations and discussions by members of the roundtable and its chair. Further information is provided in the appendixes, the workshop agenda (Appendix A), workshop speaker biosketches (Appendix B), and testimony provided by the organization America's Health Insurance Plans (AHIP) (Appendix C).

Health Insurance and Managed Care

Author : Peter Reid Kongstvedt
Publisher : Jones & Bartlett Publishers
ISBN 13 : 1284087115
Total Pages : 418 pages
Book Rating : 4.2/5 (84 download)

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Book Synopsis Health Insurance and Managed Care by : Peter Reid Kongstvedt

Download or read book Health Insurance and Managed Care written by Peter Reid Kongstvedt and published by Jones & Bartlett Publishers. This book was released on 2016 with total page 418 pages. Available in PDF, EPUB and Kindle. Book excerpt:

States' Establishment of Health Insurance Exchanges

Author : Fredrik C. Lewis
Publisher : Nova Science Publishers
ISBN 13 : 9781628085754
Total Pages : 0 pages
Book Rating : 4.0/5 (857 download)

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Book Synopsis States' Establishment of Health Insurance Exchanges by : Fredrik C. Lewis

Download or read book States' Establishment of Health Insurance Exchanges written by Fredrik C. Lewis and published by Nova Science Publishers. This book was released on 2013 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: A central provision of The Patient Protection and Affordable Care Act (PPACA) requires the establishment of exchanges in each state, on-line marketplaces through which eligible individuals and small business employers can compare and select health insurance coverage from participating health plans. Exchanges are to begin enrolment by 1 October 2013, with coverage to commence 1 January 2014. States have some flexibility with respect to exchanges by choosing to establish and operate an exchange themselves (ie: state-based), or by ceding this authority to HHS (ie: federally facilitated). States may also choose to enter into a partnership with HHS whereby HHS establishes the exchange and the state assists with operating various functions. According to HHS, 18 states will establish a state-based exchange, while 25 will have a federally facilitated exchange. Seven states will partner with HHS. This book examines the states' responsibilities for establishing exchanges, the actions selected states have taken, and the challenges they have encountered.

Building a Relationship Between Medicaid, the Exchange and the Individual Insurance Market

Author : Sara Rosenbaum
Publisher :
ISBN 13 :
Total Pages : 32 pages
Book Rating : 4.:/5 (13 download)

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Book Synopsis Building a Relationship Between Medicaid, the Exchange and the Individual Insurance Market by : Sara Rosenbaum

Download or read book Building a Relationship Between Medicaid, the Exchange and the Individual Insurance Market written by Sara Rosenbaum and published by . This book was released on 2014 with total page 32 pages. Available in PDF, EPUB and Kindle. Book excerpt: The alignment of Medicaid and State Health Insurance Exchange (Exchange) policy and practice is a basic tenet of the Patient Protection and Affordable Care Act (ACA). Through both legislative provisions and implementing regulations, the ACA addresses this relationship.1 At the same time, the federal framework provides states with considerable discretion to flesh out the fuller dimensions of system interaction.Even as the federal framework is still evolving, this report examines the practical and conceptual factors that underlie the federal/state relationship. It describes dimensions of collaboration that could help establish a seamless continuum of coverage for those who may move between eligibility for Medicaid or for tax subsidies in the Exchange. Proposed regulations outlining eligibility determination obligations of state Medicaid agencies and Exchanges have been issued. Still to appear are regulations defining essential health benefits, but sub-regulatory policies were issued in a special federal bulletin on December 16, 2011. These will define the scope of essential health benefits to be offered by Qualified Health Plans (QHPs)2, which in turn also will define the coverage obligations of Medicaid “benchmark” coverage for newly eligible persons.