What is covered under ACA?

A set of 10 categories of services health insurance plans must cover under the Affordable Care Act. These include doctors’ services, inpatient and outpatient hospital care, prescription drug coverage, pregnancy and childbirth, mental health services, and more. Some plans cover more services.

How does the Care Act work?

The Act expanded Medicaid eligibility, created a Health Insurance Marketplace, prevented insurance companies from denying coverage due to pre-existing conditions, and required plans to cover a list of essential health benefits. Lower-income families qualify for subsidies for coverage purchased through the Marketplace.

How the Affordable Care Act transformed our health care system?

Since then, the law has transformed the American health care system by expanding health coverage to 20 million Americans and saving thousands of lives. The ACA codified protections for people with preexisting conditions and eliminated patient cost sharing for high-value preventive services.

What is the main goal of the Affordable Care Act?

The law has 3 primary goals: Make affordable health insurance available to more people. The law provides consumers with subsidies (“premium tax credits”) that lower costs for households with incomes between 100% and 400% of the federal poverty level (FPL).

What is health care reforms?

Health care reform is for the most part governmental policy that affects health care delivery in a given place. Health care reform typically attempts to: Expand the array of health care providers consumers may choose among. Improve the access to health care specialists. Improve the quality of health care.

How will health reform impact the health care workforce?

Health reform may accelerate the trend toward health care becoming a dominant employment sector in the economy. Reform may require greater increases in administrative and health care support personnel rather than in physicians and nurses.

Is Obamacare still mandatory?

As of 2019 the Obamacare Individual mandate – which requires you to have health insurance –no longer applies at the federal level. However, 5 states and the District of Columbia have an individual mandate at the state level.

Why is the ACA important?

Before the ACA, insurance companies could, and often did, deny coverage for a pre-existing condition, such as cancer. Medicaid expansion: The ACA has improved health outcomes for many Americans by enabling states to expand Medicaid, the source of health care serving low-income populations.

What are the most important elements of the Affordable Care Act in relation to community and public health?

Key provisions of the ACA that intend to address rising health costs include providing more oversight of health insurance premiums and practices; emphasizing prevention, primary care and effective treatments; reducing health care fraud and abuse; reducing uncompensated care to prevent a shift onto insurance premium …

What procedures and benefits are involved in the Affordable Care Act?

ACA Emphasizes Prevention

  • Preventive and wellness visits, including chronic disease management.
  • Maternity and newborn care.
  • Mental and behavioral health treatment.
  • Services and devices to help people with injuries, disabilities, or chronic conditions.
  • Diagnostic lab tests.
  • Pediatric dental and vision care.
  • Prescription drugs.

What are examples of health benefits?

These essential health benefits fall into 10 categories:

  • Ambulatory patient services (outpatient services)
  • Emergency services.
  • Hospitalization.
  • Maternity and newborn care.
  • Mental health and substance use disorder services, including behavioral health treatment.
  • Prescription drugs.