By tfbuser on July 28, Listed under Heathcare Reform Leave a comment Two documents with some good information on the changes coming due to Health Care Reform law arrived in my email. I would like to share this with my clients and others in Texas. This information came to me from the good people at Humana Health Insurance.
Abstract Even after full implementation of the Affordable Care Act ACAtens of millions of Americans will remain uninsured or only partially insured, and costs will continue to rise faster than the background inflation rate.
We propose to replace the ACA with a publicly financed National Health Program NHP that would fully cover medical care for all Americans, while lowering costs by eliminating the profit-driven private insurance industry with its massive overhead.
Hospitals, nursing homes, and other provider facilities would be nonprofit, and paid global operating budgets rather than fees for each service. Physicians could opt to be paid on a fee-for-service basis, but with fees adjusted to better reward primary care providers, or by salaries in facilities paid by global budgets.
The initial increase in government costs would be offset by savings in premiums and out-of-pocket costs, and the rate of medical inflation would slow, freeing up resources for unmet medical and public health needs.
Click on each section to see text. Paul, MN Martin F. S continues to spend strikingly more on health care than other industrialized nations,1 while our health outcomes lag behind. Even with the ACA fully implemented, an estimated twenty-seven million will remain uninsured,2 while many more face rising copayments and deductibles that compromise access to care and leave them vulnerable to ruinous medical bills.
The design of such a program has been previously described,10,11 but intervening developments — notably the proliferation of large integrated delivery systems — require revisions. By dramatically reducing administrative costs and other inefficiencies, the NHP could eliminate both uninsurance and underinsurance without any increase in overall health care expenditures.
Although the system we envision would be publicly financed, it would rely largely on existing private hospitals, clinics and practitioners to provide care. However, because investor ownership of health care providers is known to compromise quality and divert funds from clinical care to overhead and profits, the NHP would not include such providers.
Following are the essential features of the proposed system. Coverage A single-payer NHP would cover every American for all medically necessary services, including mental health, rehabilitation and dental care, without copayments or deductibles.
Covered services would be determined by boards of experts and patient advocates; ineffective services would be excluded from coverage. Patient cost sharing blocks access to vital care e. The NHP would, like Medicare, ban private insurance that duplicates the public coverage to forestall the emergence of a two-tiered health care system, in which insurers would compete by lobbying to underfund the public part of the system.
Moreover, in the NHP, as in Medicare, inclusion of the affluent would serve as an important guarantor of adequate coverage. Global budgets would cover operating expenses, but could not be used for expansion or modernization, which the NHP would fund separately through explicit capital allocations.
Nor could operating funds be used for advertising, profit, or bonuses. For-profit hospitals would be converted to nonprofit governance and their owners compensated for past investments. In some instances, the NHP might fold hospital budgets into global operating budgets paid to non-profit or public integrated systems that provide primary through tertiary care.Health Care Reform: What It Is, Why It's Necessary, How It Works [Jonathan Gruber, Nathan Schreiber] on regardbouddhiste.com *FREE* shipping on qualifying offers.
You won't have to worry about going broke if you get sick. We will start to bring the costs of health care under control. And we will do all this while reducing the federal deficit. That is the promise of the Affordable Care Act. The Patient Protection and Affordable Care Act (PPACA) was signed into law on March 23, That law, along with the Health Care and Education Reconciliation Act of and related measures is being implemented by Federal agencies to reform certain aspects of the private health insurance.
Health Care Reform Info.
Understanding the constantly evolving health care reform landscape can be daunting and confusing. How do you manage all the regulations and changes? Dear colleague, We invite you to add your name to the list of endorsers of “Beyond the Affordable Care Act: A Physicians’ Proposal for Single-Payer Health Care Reform,” which is displayed below.
What does health care reform mean for you? How does it affect coverage of pre-existing conditions? Learn more about the Patient Protection and Affordable Care Act here. Health care reform is a general rubric used for discussing major health policy creation or changes—for the most part, governmental policy that affects health care delivery in a given place. Health care reform typically attempts to: Broaden the population that receives health care coverage through either public sector insurance programs or private sector insurance companies. The Patient Protection and Affordable Care Act signed by President Obama in March is a landmark in U.S. social legislation, and the Supreme Court's recent decision upholding the Act has ensured that it will remain the law of the land.
(To view a PDF of the proposal and other, supplemental materials, click regardbouddhiste.com read and view media coverage of the proposal, click regardbouddhiste.com access content from the May 5, news conference.
Stay informed on health care reform with Cigna. Learn about reform topics, find useful resources, view FAQs and read news on the Affordable Care Act. Stay informed on health care reform with Cigna: reform news and latest developments, useful resources, fees and taxes, FAQs, timeline and more.
Health care reform is a general rubric used for discussing major health policy creation or changes—for the most part, governmental policy that affects health care delivery in a given place. Health care reform typically attempts to: Broaden the population that receives health care coverage through either public sector insurance programs or private sector insurance companies.