A Personal Review of the Patient Protection and Affordable Care Act (P.P.A.C.A.)
My personal quest is to become better informed about the Affordable Care Act as it is the primary reason I am on furlough from my job.
Information is being presented in multiple posts.
Information is being presented in multiple posts.
Sec 1322 Competition is not impaired. "Nothing in this section shall be construed as authorizing the Secretary to interfere with the
competitive nature of providing health benefits through qualified nonprofit health insurance issuers."
Funding of the Bill - appropriates $6B for the states health care exchanges. (It does not discuss what it currently costs the taxpayers for the uninsured). Comptroller General will monitor markets and number of qualified plans in the markets and will make recommendations for increased competitions within the healthcare markets.
Provider Participation - no healthcare provider will be required to participate in a community healthcare option.
Funding of the Bill - appropriates $6B for the states health care exchanges. (It does not discuss what it currently costs the taxpayers for the uninsured). Comptroller General will monitor markets and number of qualified plans in the markets and will make recommendations for increased competitions within the healthcare markets.
Provider Participation - no healthcare provider will be required to participate in a community healthcare option.
"State may elect to prohibit Exchanges in such State from offering a community health
insurance option if such State enacts a law to provide
for such prohibition. " States may provide additional insurance options but will defray costs for the individuals.
Nothing prohibits a healthcare provider from taking an out of pocket payment for services.
Protection for access to end of life care - community healthcare options cannot prohibit access to end of life care.
Consumer protections laws of the state apply.
The states have flexibility to offer health care coverage alternatives to low income individuals not eligible for medicaid. Healthcare exchange options to be provided to individuals 133% -200% over the federal poverty line and persons 65 and older.
Sec 1333 Two or more states can provide one healthcare exchange. Healthcare plan providers may offer plans in more than one state.
Sec 1341 Discusses use of third party administrators.
Sec 1342 Discusses risk adjustments which you would need to be a risk adjuster to understand. I defer to the subject matter experts.
Sec 1401 Discusses premium assistance and tax credits for the individual.
Sec 1411 Discusses eligibility to participate in healthcare exchanges. If Employers do not provide affordable coverage they may be liable for a portion of the premiums made for individuals in the healthcare exchange.
Sec 1413 Streamlines procedures for enrollment.
Sec 1414 Disclosures. Social Security numbers and names will be used to administer the provisions of the act and will only be used to establish eligibility for the health care exchange.
Sec 1415 Any refund at the end of the plan year is not considered taxable income.
Sec 1421 Small Business Tax Credit - Employers are eligible for tax credits based on the formula identified in this section. See your tax accountant for more information.
I took some time off from reading the A.C.A. yesterday to play with my three year old grandson. I tried to remain present (not reading my iPhone, logging into email or reading the news) and participated in the play yard with him. We rolled in the leaves, played rake monster, took pictures, and we giggled a lot. We had a great time during some very precious moments. For a time it lifted up my worries of getting back to my job and paying bills. I challenge you to find a moment to be present and count your blessings!
Nothing prohibits a healthcare provider from taking an out of pocket payment for services.
Protection for access to end of life care - community healthcare options cannot prohibit access to end of life care.
Consumer protections laws of the state apply.
The states have flexibility to offer health care coverage alternatives to low income individuals not eligible for medicaid. Healthcare exchange options to be provided to individuals 133% -200% over the federal poverty line and persons 65 and older.
Sec 1333 Two or more states can provide one healthcare exchange. Healthcare plan providers may offer plans in more than one state.
Sec 1341 Discusses use of third party administrators.
Sec 1342 Discusses risk adjustments which you would need to be a risk adjuster to understand. I defer to the subject matter experts.
Sec 1401 Discusses premium assistance and tax credits for the individual.
Sec 1411 Discusses eligibility to participate in healthcare exchanges. If Employers do not provide affordable coverage they may be liable for a portion of the premiums made for individuals in the healthcare exchange.
Sec 1413 Streamlines procedures for enrollment.
Sec 1414 Disclosures. Social Security numbers and names will be used to administer the provisions of the act and will only be used to establish eligibility for the health care exchange.
Sec 1415 Any refund at the end of the plan year is not considered taxable income.
Sec 1421 Small Business Tax Credit - Employers are eligible for tax credits based on the formula identified in this section. See your tax accountant for more information.
I took some time off from reading the A.C.A. yesterday to play with my three year old grandson. I tried to remain present (not reading my iPhone, logging into email or reading the news) and participated in the play yard with him. We rolled in the leaves, played rake monster, took pictures, and we giggled a lot. We had a great time during some very precious moments. For a time it lifted up my worries of getting back to my job and paying bills. I challenge you to find a moment to be present and count your blessings!
No comments:
Post a Comment