The document provides an overview and analysis of recent developments related to US health care reform following the 2010 elections. It discusses the impact of the elections on Congress and state legislatures, including implications for redistricting, governors, insurance commissioners, and the implementation of the Affordable Care Act. It also examines options for how Congress may attempt to combat the health reform law going forward and the need for brokers and agents to demonstrate their value in the changing system.
Health Care Legislative Roundup: February 2017ConnectYourCare
This presentation from ConnectYourCare spotlights recent legislative news and regulations impacting health benefits. This presentation covers:
- Legislation to Repeal HSA, FSA Restrictions on OTC Drug Purchases Introduced in Congress
- Confirmation of Rep. Tom Price (R-GA) as Secretary of Health and Human Services
- Republicans Targeting March or April to Advance Affordable Care Act (ACA) Replacement Measure
- ACA Repeal Bill Options
- President Trump and the Fiduciary Rule
- Executive Orders Impacting Regulations
Please Note: ConnectYourCare does not provide tax or legal advice. This information is not intended and should not be taken as tax or legal advice. Any tax or legal information in this notice is merely a summary of ConnectYourCare's understanding and interpretation of some of the current regulations and is not exhaustive. You should consult your tax advisor or legal counsel for advice and information concerning your particular situation before making any decisions.
1) Several state attorneys general, led by New York's Schneiderman, oppose an HHS rule expanding religious exemptions to contraceptive coverage, arguing it violates civil rights laws and will burden states financially.
2) Republican governors met with Pence to express concerns over proposed NAFTA changes that could affect manufacturing jobs in their states.
3) States are looking for ways to address workforce skills gaps and the lack of qualified job applicants, such as through apprenticeship programs and improving K-12 education.
The health care bill taking shape in the House carries a price tag of at least $1 trillion over 10 years, higher than President Obama's target of $900 billion. While Democrats cite a CBO estimate of $871 billion, officials acknowledge the true cost is over $150 billion more. The bill would reduce deficits by at least $50 billion according to CBO estimates. Both the House and Senate are struggling with the contentious issue of a public health insurance option, with the House uncertain if it can pass the liberal preferred nationwide government-run plan and the Senate assessing support for a national option that allows states to opt out.
The document discusses the second anniversary of the Affordable Care Act and analyzes both its achievements and challenges. It notes that while the law expanded coverage to millions, the final version passed was reduced in scope from initial plans. Additionally, Republicans strongly oppose the law and have launched legal challenges against it. The Supreme Court will hear arguments on these challenges next week in a key case that could impact the presidential election. For Latinos who have high uninsured rates, parts of the law already in place provide important new protections.
Health Insurance in Fort Worth May Be Expendable As Senate Bill Fails to Passjthorn4
The report states total cost of these expansions is roughly $600 billion, which has prompted several who are against the bill to suggest pausing the legislation until possibly 2022. This would directly impact those with health insurance in Fort Worth.http://insurance4dallas.com/fort-worth-health-insurancehttp://insurance4dallas.com/health-insurance-fort-worthhttp://insurance4dallas.com/fort-worth-health-insurance-agenthttp://insurance4dallas.com/group-health-insurance-fort-worthhttps://insurance4dallas.com/affordable-health-insurance-fort-worth-tx/
The document summarizes the economic and medical benefits of the Affordable Care Act (ACA) on the American population. It discusses how the ACA aims to provide more Americans with affordable, quality health insurance while also curbing the growth of healthcare spending. Specifically, it highlights two main benefits - the improvement to the US healthcare system's economic aspects through increased employment and demand for goods/services, and the medical benefits such as improved access to care and health outcomes for Americans.
Medical Malpractice Reform Resurrected in Congress By Floyd Arthur (PPT)Floyd Arthur
The 114th Congress has introduced the HEALTH Act to reform medical malpractice laws by imposing damages caps, limiting attorney contingency fees, and restricting punitive damages. This is similar to past bills introduced in 2005 and 2011 but never passed. Supporters argue it will reduce healthcare costs by limiting frivolous lawsuits, while opponents argue it will limit patient access to the courts and there is little evidence damages caps reduce costs. States currently regulate their own medical malpractice laws, with around half imposing some limits on damages.
US Healthcare Reform Landscape - Addendum to June 2018 Presentation to the Ch...Dan Wellisch
This is an addendum to the June 2018 presentation (to the Chicago Technology For Value-Based Healthcare Meetup https://www.meetup.com/Chicago-Technology-For-Value-Based-Healthcare-Meetup/) containing interesting info. about what may replace the Affordable Care Act
Health Care Legislative Roundup: February 2017ConnectYourCare
This presentation from ConnectYourCare spotlights recent legislative news and regulations impacting health benefits. This presentation covers:
- Legislation to Repeal HSA, FSA Restrictions on OTC Drug Purchases Introduced in Congress
- Confirmation of Rep. Tom Price (R-GA) as Secretary of Health and Human Services
- Republicans Targeting March or April to Advance Affordable Care Act (ACA) Replacement Measure
- ACA Repeal Bill Options
- President Trump and the Fiduciary Rule
- Executive Orders Impacting Regulations
Please Note: ConnectYourCare does not provide tax or legal advice. This information is not intended and should not be taken as tax or legal advice. Any tax or legal information in this notice is merely a summary of ConnectYourCare's understanding and interpretation of some of the current regulations and is not exhaustive. You should consult your tax advisor or legal counsel for advice and information concerning your particular situation before making any decisions.
1) Several state attorneys general, led by New York's Schneiderman, oppose an HHS rule expanding religious exemptions to contraceptive coverage, arguing it violates civil rights laws and will burden states financially.
2) Republican governors met with Pence to express concerns over proposed NAFTA changes that could affect manufacturing jobs in their states.
3) States are looking for ways to address workforce skills gaps and the lack of qualified job applicants, such as through apprenticeship programs and improving K-12 education.
The health care bill taking shape in the House carries a price tag of at least $1 trillion over 10 years, higher than President Obama's target of $900 billion. While Democrats cite a CBO estimate of $871 billion, officials acknowledge the true cost is over $150 billion more. The bill would reduce deficits by at least $50 billion according to CBO estimates. Both the House and Senate are struggling with the contentious issue of a public health insurance option, with the House uncertain if it can pass the liberal preferred nationwide government-run plan and the Senate assessing support for a national option that allows states to opt out.
The document discusses the second anniversary of the Affordable Care Act and analyzes both its achievements and challenges. It notes that while the law expanded coverage to millions, the final version passed was reduced in scope from initial plans. Additionally, Republicans strongly oppose the law and have launched legal challenges against it. The Supreme Court will hear arguments on these challenges next week in a key case that could impact the presidential election. For Latinos who have high uninsured rates, parts of the law already in place provide important new protections.
Health Insurance in Fort Worth May Be Expendable As Senate Bill Fails to Passjthorn4
The report states total cost of these expansions is roughly $600 billion, which has prompted several who are against the bill to suggest pausing the legislation until possibly 2022. This would directly impact those with health insurance in Fort Worth.http://insurance4dallas.com/fort-worth-health-insurancehttp://insurance4dallas.com/health-insurance-fort-worthhttp://insurance4dallas.com/fort-worth-health-insurance-agenthttp://insurance4dallas.com/group-health-insurance-fort-worthhttps://insurance4dallas.com/affordable-health-insurance-fort-worth-tx/
The document summarizes the economic and medical benefits of the Affordable Care Act (ACA) on the American population. It discusses how the ACA aims to provide more Americans with affordable, quality health insurance while also curbing the growth of healthcare spending. Specifically, it highlights two main benefits - the improvement to the US healthcare system's economic aspects through increased employment and demand for goods/services, and the medical benefits such as improved access to care and health outcomes for Americans.
Medical Malpractice Reform Resurrected in Congress By Floyd Arthur (PPT)Floyd Arthur
The 114th Congress has introduced the HEALTH Act to reform medical malpractice laws by imposing damages caps, limiting attorney contingency fees, and restricting punitive damages. This is similar to past bills introduced in 2005 and 2011 but never passed. Supporters argue it will reduce healthcare costs by limiting frivolous lawsuits, while opponents argue it will limit patient access to the courts and there is little evidence damages caps reduce costs. States currently regulate their own medical malpractice laws, with around half imposing some limits on damages.
US Healthcare Reform Landscape - Addendum to June 2018 Presentation to the Ch...Dan Wellisch
This is an addendum to the June 2018 presentation (to the Chicago Technology For Value-Based Healthcare Meetup https://www.meetup.com/Chicago-Technology-For-Value-Based-Healthcare-Meetup/) containing interesting info. about what may replace the Affordable Care Act
This document provides an analysis of the Patient Protection and Affordable Care Act (ACA). It discusses the goals and implementation of the ACA, including expanding health insurance coverage and controlling costs. It also examines the impacts of the ACA on various stakeholders in the healthcare system, such as hospitals, long-term care facilities, doctors, and patients. Challenges in implementing the ACA are also assessed, like increasing access to care and addressing shortages of primary care physicians.
Analysis of the Patient Protection and Affordable Care ActKaryssa Costagliola
This document provides an analysis of the Patient Protection and Affordable Care Act (ACA). It summarizes the goals of the ACA to increase availability of healthcare and reduce costs. It also discusses some of the challenges in implementing the ACA, such as people losing subsidies due to lack of documentation, narrow networks limiting choice of providers, and effects on jobs from the employer mandate. The document also compares the US healthcare system to Canada's single-payer system and their differences in achieving universal coverage, cost containment, and other factors.
Obamacare markets debut as early hurdles may slow signups hCentive newsAlisha North
The Affordable Care Act's health insurance exchanges opened amid logistical delays and a U.S. government shutdown. Some states delayed their exchange openings by hours or days to avoid overwhelming their websites and call centers. While the federal exchanges in 36 states opened as scheduled, states were encouraging people to wait before signing up to allow time to work out issues. The exchanges aim to provide medical coverage to most of the nation's 48 million uninsured, though the Obama administration is seeking 7 million signups in the initial enrollment period running through March.
One Kentucky Senator is Blocking Medical Marijuana for the Whole StateEvergreen Buzz
Why do Kentucky senators not like cannabis, read this https://cannabis.net/blog/news/why-do-kentucky-senators-hate-weed-medical-marijuana-blocked-at-the-state-level-by-one-senator
Analysis of the patient protection and affordable care act paper, hcs410, hea...Paige Catizone
This document provides an analysis of the Patient Protection and Affordable Care Act (ACA). It discusses key goals and provisions of the ACA, including expanding health insurance coverage and controlling costs. It also examines the impact of the ACA on various stakeholders, such as individuals, employers, healthcare providers and facilities. Implementation challenges are outlined, such as difficulties insuring some individuals, narrow provider networks, cuts to employee hours by some employers to avoid mandates, and shortages of primary care physicians. Overall effects on the healthcare system are assessed, including changes to payment models focusing on quality rather than quantity of services.
The document discusses public opinion on health care reform in the United States. It summarizes polls finding that while a majority of Americans disapprove of the Affordable Care Act overall, most support keeping popular provisions like coverage for pre-existing conditions and allowing young adults to stay on their parents' plans. The document also notes divisions in Congress and among states on strategies to repeal or limit the federal health care law.
The Oregon Medical Association's 2015 Legislative Report summarizes key bills addressed by the Oregon legislature during the 2015 session that were of importance to physicians and healthcare in Oregon. Some highlights include:
- Bills passed to provide physicians timely notice from insurers about patients' premium payment status and increase transparency around virtual credit card payments from insurers.
- A bill addressing healthcare provider incentive programs for underserved areas passed but with reductions in funding for a related study and potential sunsetting of programs.
- Legislation passed requiring individual schools and daycares to post immunization rates to improve parents' access to information.
- The report outlines other bills that passed and failed relating to issues like rural healthcare access, insurance
Obamacare markets debut as early hurdles may slow signups - hCentive newsAlisha North
The three-year effort to open the Obamacare health-insurance exchanges culminates today, beset by logistical delays and a U.S. government shutdown borne of Republican opposition to the Affordable Care Act.
The document discusses the history and implementation of the Affordable Care Act (ACA) in the United States. It passed in 2010 with the goals of increasing access to healthcare and reducing costs. While it helped reduce the uninsured rate, there have been ongoing issues with the healthcare exchanges and limited provider networks. The execution of the ACA has contributed to a shortage of primary care doctors due to compensation rates and impacted jobs and small businesses with its coverage mandates. Educating new doctors and nurses will take years to address the increased demand caused by the ACA.
Case analysis of the affordable care act power point, hcs410, hcs organizatio...Paige Catizone
The document discusses the history and implementation of the Affordable Care Act (ACA) in the United States. It passed in 2010 with the goals of expanding access to health insurance and reducing costs. While it helped reduce the uninsured rate, challenges remain around ensuring access to care, containing costs, and addressing shortages in healthcare providers and resources. Ongoing debates surround the impacts of the ACA on jobs and religious freedom. Solutions proposed include expanding provider networks, addressing compensation imbalances, and increasing incentives and funding for medical education.
Re finance-8e - 3 - government influence on lendingalliedccd
This document discusses the various ways the US government has influenced and regulated the lending industry over time. It outlines landmark legislation from the New Deal era through the 2008 financial crisis and Dodd-Frank Act. It also describes the roles of key agencies like HUD, USDA, and the CFPB. Finally, it examines specific regulations like TILA, RESPA, and laws regarding fair lending and housing practices.
The Affordable Care Act touches the lives of most Americans. In fact, nearly 21 million will be at risk if Obamacare is struck down, and may even lose health insurance completely if the law is ruled unconstitutional. This webinar will discuss what the outcome may be if ACA is repealed.
Health care or health scare chc 2 22-11 finalSE2Laura
The document discusses public opinion on health care reform in the United States. It finds that while most Americans support universal health care coverage, they have concerns about costs and quality of care. Polls show the public disapproves of plans to defund reforms but also disapproves of the original legislation. There is divided opinion on whether reforms will improve or worsen the system. While many dislike the law, components like pre-existing condition coverage remain popular. Legal challenges question the constitutionality of the individual mandate provision. Moving forward will require navigating these complex and divided public views.
National Voter Registration Act: A Fact Sheetcoryhelene
While the United States has come a long way in expanding the franchise over the past 220 years, barriers to participation still exist and these barriers disproportionately impact low-income citizens. In 2008, over 11 million low-income adult citizens remained unregistered to vote and the registration between low-income and high-income citizens was over 19 percentage points.
Research by Demos and its partners demonstrates that the compliance gaps found in states such as Missouri, North Carolina and Virginia reflect a nationwide problem.
The document discusses healthcare issues facing Congress in the lame duck session and priorities for 2017. In the lame duck session, Congress needs to pass appropriations bills by December 9th and will likely hold hearings on prescription drug prices and ACA insurance issues but take no real action. For 2017, repealing and replacing the ACA will be a top priority, with the House potentially passing a full repeal and the Senate pursuing replacement options using reconciliation. Key replacement concepts include expanding HSAs and allowing interstate insurance sales.
The document discusses health care policy and the legislative process in New York State. It begins by outlining the three branches of government in NYS and how bills are formulated. It then describes key stages of the NYS budget process and how an idea becomes law, from bill drafting to gubernatorial approval. The document also discusses the New York Health Act, which would establish a single-payer health care system, and perspectives both for and against the Act. It concludes by noting criticisms of the dysfunctional NYS legislative process and questions around whether the Health Act should become law.
Maine's Governor Has a Hard Shell - WSJ.com - March 6, 2012Critical Insights
Governor Paul LePage of Maine has enacted significant conservative policies in his first year in office despite initial doubts, including the largest tax cut in Maine's history, cuts to pensions, and reductions to Medicaid. While his blunt style and controversial comments have drawn criticism, he has avoided major backlash and his approval rating increased from 31% to 47%. However, some Republicans worry his aggressive agenda could hurt their chances of maintaining control of the legislature in upcoming elections.
The document summarizes discussions from a House-Senate conference on the Comprehensive Addiction and Recovery Act (CARA) legislation to address the opioid epidemic. Democrats pushed for funding to be included but Republicans highlighted recent funding increases. Amendments were considered and some passed both chambers while others only passed the Senate. Democrats' amendments to add funding were not accepted. The final conference report was signed by Republican conferees and will address efforts to curb the growing opioid crisis.
These legal challenges argue that aspects of the Affordable Care Act are unconstitutional. Specifically, they argue that the individual mandate exceeds Congress's power under the Commerce Clause and violates states' rights. Two key cases discussed are Commonwealth of Virginia v. Sebelius and State of Florida v. U.S. Department of Health and Human Services. The judges in these cases ruled differently on the constitutionality of the individual mandate.
This document provides a summary of key points from a presentation on health reform given by Grace-Marie Turner of the Galen Institute. The presentation discusses Americans' mixed views on the Supreme Court decision on the ACA, criticisms of the individual mandate, projections that the law will increase costs and the number of uninsured, and concerns of physicians and the impact on Medicare. It also covers next steps in legislation, regulation, and the legal and political environment in 2012.
This document provides an analysis of the Patient Protection and Affordable Care Act (ACA). It discusses the goals and implementation of the ACA, including expanding health insurance coverage and controlling costs. It also examines the impacts of the ACA on various stakeholders in the healthcare system, such as hospitals, long-term care facilities, doctors, and patients. Challenges in implementing the ACA are also assessed, like increasing access to care and addressing shortages of primary care physicians.
Analysis of the Patient Protection and Affordable Care ActKaryssa Costagliola
This document provides an analysis of the Patient Protection and Affordable Care Act (ACA). It summarizes the goals of the ACA to increase availability of healthcare and reduce costs. It also discusses some of the challenges in implementing the ACA, such as people losing subsidies due to lack of documentation, narrow networks limiting choice of providers, and effects on jobs from the employer mandate. The document also compares the US healthcare system to Canada's single-payer system and their differences in achieving universal coverage, cost containment, and other factors.
Obamacare markets debut as early hurdles may slow signups hCentive newsAlisha North
The Affordable Care Act's health insurance exchanges opened amid logistical delays and a U.S. government shutdown. Some states delayed their exchange openings by hours or days to avoid overwhelming their websites and call centers. While the federal exchanges in 36 states opened as scheduled, states were encouraging people to wait before signing up to allow time to work out issues. The exchanges aim to provide medical coverage to most of the nation's 48 million uninsured, though the Obama administration is seeking 7 million signups in the initial enrollment period running through March.
One Kentucky Senator is Blocking Medical Marijuana for the Whole StateEvergreen Buzz
Why do Kentucky senators not like cannabis, read this https://cannabis.net/blog/news/why-do-kentucky-senators-hate-weed-medical-marijuana-blocked-at-the-state-level-by-one-senator
Analysis of the patient protection and affordable care act paper, hcs410, hea...Paige Catizone
This document provides an analysis of the Patient Protection and Affordable Care Act (ACA). It discusses key goals and provisions of the ACA, including expanding health insurance coverage and controlling costs. It also examines the impact of the ACA on various stakeholders, such as individuals, employers, healthcare providers and facilities. Implementation challenges are outlined, such as difficulties insuring some individuals, narrow provider networks, cuts to employee hours by some employers to avoid mandates, and shortages of primary care physicians. Overall effects on the healthcare system are assessed, including changes to payment models focusing on quality rather than quantity of services.
The document discusses public opinion on health care reform in the United States. It summarizes polls finding that while a majority of Americans disapprove of the Affordable Care Act overall, most support keeping popular provisions like coverage for pre-existing conditions and allowing young adults to stay on their parents' plans. The document also notes divisions in Congress and among states on strategies to repeal or limit the federal health care law.
The Oregon Medical Association's 2015 Legislative Report summarizes key bills addressed by the Oregon legislature during the 2015 session that were of importance to physicians and healthcare in Oregon. Some highlights include:
- Bills passed to provide physicians timely notice from insurers about patients' premium payment status and increase transparency around virtual credit card payments from insurers.
- A bill addressing healthcare provider incentive programs for underserved areas passed but with reductions in funding for a related study and potential sunsetting of programs.
- Legislation passed requiring individual schools and daycares to post immunization rates to improve parents' access to information.
- The report outlines other bills that passed and failed relating to issues like rural healthcare access, insurance
Obamacare markets debut as early hurdles may slow signups - hCentive newsAlisha North
The three-year effort to open the Obamacare health-insurance exchanges culminates today, beset by logistical delays and a U.S. government shutdown borne of Republican opposition to the Affordable Care Act.
The document discusses the history and implementation of the Affordable Care Act (ACA) in the United States. It passed in 2010 with the goals of increasing access to healthcare and reducing costs. While it helped reduce the uninsured rate, there have been ongoing issues with the healthcare exchanges and limited provider networks. The execution of the ACA has contributed to a shortage of primary care doctors due to compensation rates and impacted jobs and small businesses with its coverage mandates. Educating new doctors and nurses will take years to address the increased demand caused by the ACA.
Case analysis of the affordable care act power point, hcs410, hcs organizatio...Paige Catizone
The document discusses the history and implementation of the Affordable Care Act (ACA) in the United States. It passed in 2010 with the goals of expanding access to health insurance and reducing costs. While it helped reduce the uninsured rate, challenges remain around ensuring access to care, containing costs, and addressing shortages in healthcare providers and resources. Ongoing debates surround the impacts of the ACA on jobs and religious freedom. Solutions proposed include expanding provider networks, addressing compensation imbalances, and increasing incentives and funding for medical education.
Re finance-8e - 3 - government influence on lendingalliedccd
This document discusses the various ways the US government has influenced and regulated the lending industry over time. It outlines landmark legislation from the New Deal era through the 2008 financial crisis and Dodd-Frank Act. It also describes the roles of key agencies like HUD, USDA, and the CFPB. Finally, it examines specific regulations like TILA, RESPA, and laws regarding fair lending and housing practices.
The Affordable Care Act touches the lives of most Americans. In fact, nearly 21 million will be at risk if Obamacare is struck down, and may even lose health insurance completely if the law is ruled unconstitutional. This webinar will discuss what the outcome may be if ACA is repealed.
Health care or health scare chc 2 22-11 finalSE2Laura
The document discusses public opinion on health care reform in the United States. It finds that while most Americans support universal health care coverage, they have concerns about costs and quality of care. Polls show the public disapproves of plans to defund reforms but also disapproves of the original legislation. There is divided opinion on whether reforms will improve or worsen the system. While many dislike the law, components like pre-existing condition coverage remain popular. Legal challenges question the constitutionality of the individual mandate provision. Moving forward will require navigating these complex and divided public views.
National Voter Registration Act: A Fact Sheetcoryhelene
While the United States has come a long way in expanding the franchise over the past 220 years, barriers to participation still exist and these barriers disproportionately impact low-income citizens. In 2008, over 11 million low-income adult citizens remained unregistered to vote and the registration between low-income and high-income citizens was over 19 percentage points.
Research by Demos and its partners demonstrates that the compliance gaps found in states such as Missouri, North Carolina and Virginia reflect a nationwide problem.
The document discusses healthcare issues facing Congress in the lame duck session and priorities for 2017. In the lame duck session, Congress needs to pass appropriations bills by December 9th and will likely hold hearings on prescription drug prices and ACA insurance issues but take no real action. For 2017, repealing and replacing the ACA will be a top priority, with the House potentially passing a full repeal and the Senate pursuing replacement options using reconciliation. Key replacement concepts include expanding HSAs and allowing interstate insurance sales.
The document discusses health care policy and the legislative process in New York State. It begins by outlining the three branches of government in NYS and how bills are formulated. It then describes key stages of the NYS budget process and how an idea becomes law, from bill drafting to gubernatorial approval. The document also discusses the New York Health Act, which would establish a single-payer health care system, and perspectives both for and against the Act. It concludes by noting criticisms of the dysfunctional NYS legislative process and questions around whether the Health Act should become law.
Maine's Governor Has a Hard Shell - WSJ.com - March 6, 2012Critical Insights
Governor Paul LePage of Maine has enacted significant conservative policies in his first year in office despite initial doubts, including the largest tax cut in Maine's history, cuts to pensions, and reductions to Medicaid. While his blunt style and controversial comments have drawn criticism, he has avoided major backlash and his approval rating increased from 31% to 47%. However, some Republicans worry his aggressive agenda could hurt their chances of maintaining control of the legislature in upcoming elections.
The document summarizes discussions from a House-Senate conference on the Comprehensive Addiction and Recovery Act (CARA) legislation to address the opioid epidemic. Democrats pushed for funding to be included but Republicans highlighted recent funding increases. Amendments were considered and some passed both chambers while others only passed the Senate. Democrats' amendments to add funding were not accepted. The final conference report was signed by Republican conferees and will address efforts to curb the growing opioid crisis.
These legal challenges argue that aspects of the Affordable Care Act are unconstitutional. Specifically, they argue that the individual mandate exceeds Congress's power under the Commerce Clause and violates states' rights. Two key cases discussed are Commonwealth of Virginia v. Sebelius and State of Florida v. U.S. Department of Health and Human Services. The judges in these cases ruled differently on the constitutionality of the individual mandate.
This document provides a summary of key points from a presentation on health reform given by Grace-Marie Turner of the Galen Institute. The presentation discusses Americans' mixed views on the Supreme Court decision on the ACA, criticisms of the individual mandate, projections that the law will increase costs and the number of uninsured, and concerns of physicians and the impact on Medicare. It also covers next steps in legislation, regulation, and the legal and political environment in 2012.
The Affordable Care Act has significantly reduced the uninsured rate in the United States and improved access to care, financial security, and health outcomes. Since the law was passed in 2010, the uninsured rate has declined by 43% due to reforms that expanded coverage. However, opportunities remain to further improve the US healthcare system by continuing to implement health insurance marketplaces and delivery system reforms, increasing subsidies, and reducing prescription drug costs. Overall experience with the ACA demonstrates that meaningful policy change is possible.
The document discusses the effects and implementation of the Affordable Care Act (ACA) in the United States. It covers several topics:
- The goals of the ACA were to expand availability of health insurance and control costs, but it has faced many challenges in implementation.
- Hospitals and healthcare providers have had to change how they operate to focus more on quality of care rather than quantity of patients.
- The ACA could help address shortages in primary care doctors and nurses by increasing funding for education incentives, but it will take time for these measures to have an effect.
- Coverage expansions under the ACA have increased demand for care while supplies of doctors and other providers remain limited
Topic Describe a public issue and how it has evolved through the.docxturveycharlyn
The document discusses the evolution of the Affordable Care Act (ACA) as a public issue through the public issues life cycle framework. It describes how the ACA began as a major issue and has gone through different political management cycles depending on which political party controls the White House. Over time, consumer expectations for healthcare coverage have increased but performance gaps remain as many Americans remain uninsured despite the goals of the ACA. Stakeholder engagement will be important to close these gaps and achieve the overall goal of a healthier society.
This document summarizes public opinion and analysis surrounding the Affordable Care Act (ACA) or "Obamacare". [1] Most Americans believe the ACA will increase taxes, the federal deficit, health care costs and premiums while decreasing quality. [2] The ACA faces widespread pushback from states resisting implementation and individuals concerned about lost choices and higher costs. [3] Studies show the law is failing to meet its goals of expanding coverage and lowering costs. Significant changes to the law seem inevitable as public opposition grows.
The document summarizes the key political events and health policy issues in Washington D.C. for 2016. It outlines the election cycle including primary dates and the national conventions. It also discusses the agenda for the second session of the 114th Congress, focusing on appropriations and legislation around innovation, mental health, and chronic care. Top health care issues to watch include site neutral payments, MACRA implementation, health IT, and the opioid epidemic. Other policy issues include precision medicine, 340B, and the ACA. The document was presented by Julie Shroyer and Cybil Roehrenbeck of Polsinelli PC.
This document discusses the future of the Affordable Care Act (ACA) following the election of Donald Trump. It outlines that fully repealing the ACA will be challenging due to Senate rules requiring 60 votes. However, Republicans have options like budget reconciliation to defund parts of the law. The document also introduces Tom Price and Seema Verma, who have been appointed to reform healthcare as the new HHS Secretary and CMS Administrator, respectively. Both Price and Verma have histories of proposing conservative healthcare reforms. The path forward likely includes an initial repeal package and transition period, while a replacement plan is debated and passed.
National Health Care Reform: The Proposals and the Politicssoder145
Presentation by Elizabeth Lukanen at the University of Minnesota Academic Health Center's Student Leadership Summit in Minneapolis, MN, December 5, 2009.
1) Discuss what seems to be the current posture of the Trump Administration and Republican Party leadership relative to expected health care policy changes.
2) Identify key distinctions between the Affordable Care Act (ACA aka ObamaCare) and the American Health Care Act (AHCA aka TrumpCare).
3) Recognize key strategies for future success regardless of changes to US healthcare policy and law.
The document summarizes the results of the 2010 midterm elections. Republicans gained control of the House of Representatives by picking up over 60 seats. They also gained seats in the Senate and governorships. The elections were seen as a referendum on the policies of President Obama and Democratic leadership. Going forward, divided government will likely lead to gridlock on major issues and more incremental policy changes. Republicans will focus on reducing spending and repealing parts of healthcare reform in the new Congress. Many issues were left unfinished in the last session and will carry over into next year.
The document discusses health care reform in the United States, known as the Affordable Care Act or Obamacare. It was signed into law in 2010 with the main goal of ensuring affordable health insurance is available to all US citizens. Key aspects of the law include prohibiting denial of coverage due to pre-existing conditions for those under 19 and allowing coverage for children under parents' plans until age 26. The law also expanded Medicare and added new benefits while fighting fraud and improving care. Both positives and criticisms of the law are discussed.
Analysis of the Patient Protection and Affordable Care Act Paper, HCS410, hea...Paige Catizone
This document provides an analysis of the Patient Protection and Affordable Care Act (ACA). It discusses key goals and provisions of the ACA, including expanding health insurance coverage and controlling costs. It also examines the impact of the ACA on various stakeholders, such as individuals, employers, healthcare providers and facilities. Implementation challenges are outlined, such as difficulties insuring previously uninsured individuals, narrow provider networks, and workforce shortages exacerbated by the increase in insured patients. Overall effects on the US healthcare system are assessed.
MA Health Care Reform 2007-2008 Progress ReportHealthConnector
This document provides a progress report on Massachusetts' implementation of health care reform after two years. Key accomplishments include insuring nearly 440,000 additional residents, with 57% enrolled in subsidized plans and 43% in private plans. The reform has increased public support, which was already high after passage. It is helping residents afford necessary medical care, as evidenced by stories of positive outcomes. The report outlines governance and outreach efforts during the initial implementation phase and notes ongoing expansion of eligibility and requirements in subsequent years.
Running Head ROLE OF EXECUTIVE ORDER IN ACARole of Executiv.docxtodd521
Running Head: ROLE OF EXECUTIVE ORDER IN ACA
Role of Executive Order in ACA
2
Role of Executive Order in ACA
By: Ameki Lee
Dr. White
MPA6501 SU01 State and Local Government and Intergovernmental Relations
Role of Executive Order in ACA
Affordable Act Care has been a significant issue in Texas State for the past seven years. Texas governor, Greg Abbott has been on the frontline in fighting the implementation of the Act in Texas and America. The governor's office claims that the penalties related to avoiding the Act are unconstitutional and not democratic (Toussaint, 2017). Furthermore, the Governor argues that the Affordable Care Act should be put on halt while the cause is being liquidated. However, the governor does not concentrate on improving the policy rather than doing away with it. Greg Abbott believes the pre-existing conditions are the major barriers for the effectiveness of the act. The Affordable Care Act allows people to purchase the policy even with pre-existing conditions. In favor of the governor, the act should limit the purchase of the act during such conditions with the aim of reducing the cost as well as the rates of insurance. Therefore, an appeal can be made based on the governors value since most Americans are complaining about the same issue (Toussaint, 2017).
Affordable Act Care was implemented under the executive administrative policy. In America, an executive order is directed by the president on the managers of various federal governments with the aim of forcing policy to law. In 2013, former president of America Barack Hussein Obama issued a directive on the implementation of the Affordable Care Act (Rovner, 2018). The current President, Donald Trump began fighting the Act by attacking the executive committee and even dismantling it. An executive order is written, signed and published by the president's office and directed to various federal departments. The Executive order directed all agencies responsible under the Affordable Care Act provision that will provide a regulatory and fiscal burden on entities that will be reluctant on adopting a policy. Also, the Executive Order directs the same agencies to offer greater flexibilities and collaboration on implementing such healthcare policies.
Since the implementation of the Affordable Care Act in 2010, the policy has suffered various criticisms in its debate. For those who believed that the primary goal of the Act was to make insurance more affordable didn’t achieve their purpose. However, the policy has caused more Americans to have access to medical insurance hence fostering a healthy nation. Since the Act is applicable in improving the public health of all Americans, it includes various resources in healthcare like materials, funds, personnel and other things that can be utilized in the provision of healthcare service. The act is also responsible for ensuring all medical care institutions have the necessary resource for effective operations (Ba.
This document provides answers to 20 questions raised about the one-year old Affordable Care Act. It discusses provisions of the law such as the constitutionality of the individual mandate, options for obtaining affordable health insurance, elimination of pre-existing condition exclusions, and expansion of Medicaid eligibility. The document is intended to help readers better understand the structure and benefits of the landmark health reform law.
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This document provides a summary of a webcast on the Affordable Care Act:
- You are participating in an online webcast and the audio will stream through your computer, no phone dial-in is needed. Make sure your computer sound is on.
- Key topics covered include determining if an employer is applicable large employer subject to the employer mandate, how to calculate affordability and minimum value of health plans, and an overview of state health insurance exchanges.
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- Questions can be posted on Twitter using #PPACAready.
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To determine if this firm is a large employer:
1. Count full time employees (35)
2. Calculate hours worked by part time employees:
- 10 employees x 24 hours/week = 240 total hours worked
- 240 total hours / 120 = 2 full time equivalents
3. Add full time employees (35) and full time equivalents from part time
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The webinar provided an overview of key aspects of healthcare reform under the Patient Protection and Affordable Care Act (PPACA). It discussed the background and goals of PPACA, key points from the Supreme Court ruling upholding most of the law, and how brokers and employers should prepare for upcoming changes. The webinar covered topics like the individual mandate, health insurance exchanges, essential health benefits, the medical loss ratio, and penalties for non-compliance. Attendees learned how these provisions may impact brokers, clients, and small businesses going forward.
This webinar provided an overview of healthcare reform and upcoming changes. It discussed the individual mandate beginning in 2014, penalties for non-compliance, and healthcare exchanges. The webinar covered medical loss ratio requirements for insurers to spend minimum amounts on clinical services, flexible spending account limits of $2,500, and how insurers must distribute rebates to employers and employees if the MLR thresholds are not met. Looking ahead, it noted more regulations and guidance are needed to implement key parts of the Affordable Care Act as various deadlines approach.
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Recent years have seen a disturbing rise in violence, discrimination, and intolerance against Christian communities in various Islamic countries. This multifaceted challenge, deeply rooted in historical, social, and political animosities, demands urgent attention. Despite the escalating persecution, substantial support from the Western world remains lacking.
2. The Patient Protection and Affordable Care Act (P.L.111-148) Generally being referred to as PPACA or the Affordable Care Act (ACA) Signed into law by President Obama on March 23, 2010 The Health Care and Education Reconciliation Act of 2010 signed March 30, 2010 Requires a phasing-in of changes from 2010 – 2018 with key changes taking place in 2014 Health and Human Services (HHS) Secretary Sebelius and her staff central to the process
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7. Kathleen Sebelius Donald Berwick Director-designate, Centers for Medicare and Medicaid Services Secretary, Department of Health and Human Services Jay Angoff David Blumenthal Director, Office of Consumer Information and Insurance Oversight, HHS Department National Coordinator for Health Information Technology Carolyn Clancy William Corr Jeanne Lambrew Director, Health and Human Service’s Agency for Healthcare Research and Quality Deputy Health and Human Services Director Director of Health and Human Service’s Office of Health Reform
34. 2010 U.S. House of Representatives Election Results The redistricting process may result in as many as an additional 25 US House seats for the Republicans. Source: Polidata.org http://www.polidata.org/census/st009nca.pdf
35. Long Term effects of new Republican Majorities in State Houses Redistricting Republicans took control of at least 19 Democratic-controlled state legislatures, and haven't controlled as many state legislatures in general since 1928. Currently, legislatures in 44 states are responsible for redistricting. Source: ABCnews.com
36. State Governorships Before the Election Prior to the November 2, 2010 Gubernatorial elections, there were 29 Democrat Governors and 21 Republican Governors. Source: Wikipedia.org
50. The Effect of the Election On The NAIC Source: InsuranceJournal.com
51. Insurance Commissioner Turnover The Large Turnover had One Serious Implication for Brokers and General Agents: The NAIC established a task force to address potential adverse impacts on the role of licensed health insurance agents and brokers resulting from the new federal health care reform law. "With the recent issuance by HHS of the medical loss ratio (MLR) regulations to be imposed on insurers, there is a very real possibility the role of health insurance agents will be impacted in a negative way," said Florida Insurance Commissioner Kevin McCarty. "Health insurance is a complex product and experienced and licensed agents are a valuable resource for consumers. We intend to work with the agent community and our colleagues at HHS to maintain that resource." Source: InsuranceJournal.com
58. The Navigator Concept? PPACA was passed with the recommendation that states contract with “Navigators” to provide information about the available health plans.
While the President’s message was well intentioned – there was a huge difference between where the effort began and where it ended. In the words of a number of insurance executives and even members of the current administration – “You get more but you pay more”. So, what went wrong?
The two goals: 1) Expand access to coverage; and 2) to promote quality were used by the Obama Administration and the Congressional Democratic leadership to help sell the comprehensive healthcare reform law. They stated that access to coverage and higher quality would reduce costs. The amount of savings/expenses became a very contentious part of the policy debate last spring, and obviously continues today. Lets take a look at each of these 2 objectives . . .
Let’s first look at the areas of the legislation that provides increased access to coverage. READ LIST. . . . If you go back to the entire objective – it was to bend the cost curve by expanding access to affordable coverage. There is no debate about expanding access, but there are few – Democrats or Republicans – who believe that the Legislation can or will reduce costs.
There were also a number of initiatives in the legislation that specifically addressed improving health outcomes. They are . . .
With the last few slides as a summary of where we are today, it is apparent that a bill of this size will have its own bureaucracy to implement. While there are many different Departments and Divisions (including the IRS) that will play a role in implementing healthcare reform, the real heavy lifting in falls to the Department of Health and Human Services. Many of these people will become “household names” before too long.
First – let’s begin with the U.S. House of Representatives:In 2008, the Democrat Party had 257 members to the Republican 178 members
The 2010 Election changed the balance in the House. The Republicans now have 239 members to the Democrat’s 190 with 2 races still remaining to be determined. This is a net change of no less than 61 seats.(changed to 2 races)
OK – we saw a lot of blue moving to red. But, what does that really mean and what is the impact:READ LIST . . . .
Moving to the Senate – although the Republican party picked up 6 new seats, the Democrats still hold a majority. However, they did lose their “super majority” or “filibuster proof” status.The States where seats were picked up were: North Dakota, Wisconsin, Indiana,Arkansas, Pennsylvania and New Hampshire.The Democrat Party avoided greater losses by winning several very close races in Illinois, Washington, Nevada and West Virginia.As of Friday 11/12, only the Senate Race was undecided in Alaska.Map was updated 11/27 – all results are settled.
It’s not too soon to look forward to 2012 as actions and behaviors of key Senators will be influenced by whether they are running for re-election in 2 years.23 Democratic Senate seats will need to be defended as well as 2 party independents that tend to vote along Democratic lines. Republicans hold only 10 seats. If they have a net gain of 3 to 4 seats, they will gain control of the Senate.Depending on who’s asking – 2012 is either a long way away, or just around the corner. Regardless, expect quite a bit of positioning among 2012 Senate candidates between now and then with their positions with regards to healthcare reform being critical to their reelection.
The election results are further exacerbated by the upcoming redistricting process. It is estimated that 8 States will be gaining 11 US House seats via the 2010 Census: Washington, Nevada, Utah, Arizona, Texas (4), South Carolina, Georgia and Florida. Some of the States will lose House seats via the 2010 Census: Minnesota, Iowa, Louisiana, Illinois, Michigan, Ohio (2), Pennsylvania, New York, New Jersey, and Massachusetts. Note that most of these states are traditional Democrat Party states.
The challenge of implementing Healthcare reform is just one part of the puzzle. There are many sources of Government oversight. I have listed here a number of the key legislative bodies, regulatory agencies, and other entities that are all potential entry points who are involved in further defining and shaping these initiatives. While reform has played out over the past year and a half on the national stage, much of the details may now reside at the State level.
And many, many questions still remain. READ A NUMBER OF THE ABOVE QUESTIONS . . . .
READ SLIDE(changed middle copy)
Many consider exchanges to simply be a mechanism to administer subsidy’s available to individuals and members of small business’s who are below a certain means test. By HHS’s own estimates, 27 million will be in exchanges by 2017 of which, 22 million of them are without insurance today. That leaves the current private market with respect to distribution opportunities nearly as large as it is today.Another unanswered question is with greater republican control, will funding be approved that will be adequate to subsidize a population of this size.
This concept is based on the experience of Massachusetts which created the Health Connector, an independent state agency that helps citizens chose health care coverage. There are a significant number of questions surrounding these “Navigators”:Will they have to be trained and licensed like Brokers? Will they be salespeople?Will they simply be enrollers? Will they be paid commissions?
The Republicans might initially attempt to pass a bill that will repeal the entire act.…In order to prevent a complete defunding of the Act, the Democrats may agree to compromise on significant elements of the Act. Senate Majority Leader Harry Reid (D-Nev.) is already on record saying that he was "ready for some tweaking" to the reform law.
A Complete Repeal - Republicans may force a vote to repeal for political gain, but it will not even come to a vote in the Democrat controlled Senate, much less gather sufficient votes to overcome an Obama veto.An attempt to repeal specific elements of reform – Elements that are not supported by moderate Democrats such as the 1099 reporting for business transactions, mandatory requirement that people must have health care coverage, additional spending in the law, the additional bureaucratic institutions set up to run health care programs, cuts made to the Medicare Advantage program and Medicare Reimbursements may face repealAttempts to substitute elements of reform with more centrist provisions that can gain moderate democrat votes.Cut off funding for key reform activities such as the Exchanges.Hold hearings to spotlight the imperfections in reform.
So, people wanted change and they got it. Then things changed again.We just ran through the changing landscape and have some idea of what may or may not happen. What can we do now? As brokers and agents, that answer is plenty!READ SLIDE . . . . We have a long way to go but meanwhile, our customers need us now more than ever. Confusion abounds and the more value we show during these difficult and changing times, the greater the likelihood of all brokers and agents continuing to be part of the future of healthcare. BenefitMall and its 600 plus employees are ready to support you in anyway we can. You can bet on it!