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Author: Publisher: ISBN: Category : Languages : en Pages : 7
Book Description
Introduction: State high-risk pools fill a gap in the availability of coverage for people who do not have access to affordable employer-sponsored insurance, do not qualify for public assistance, and have not been able to secure affordable coverage in the individual market due to their health status, such as a pre-existing condition. The national health reform bill, the Patient Protection and Affordable Care Act (PPACA) of 2010, established a temporary high-risk pool that will exist until 2014, when access to private health insurance coverage will be required without regard to pre-existing conditions. Coverage without regard to preexisting conditions is called guaranteed issue, meanmeaning no one can be turned down for health insurance coverage.
Author: Publisher: ISBN: Category : Languages : en Pages : 7
Book Description
Introduction: State high-risk pools fill a gap in the availability of coverage for people who do not have access to affordable employer-sponsored insurance, do not qualify for public assistance, and have not been able to secure affordable coverage in the individual market due to their health status, such as a pre-existing condition. The national health reform bill, the Patient Protection and Affordable Care Act (PPACA) of 2010, established a temporary high-risk pool that will exist until 2014, when access to private health insurance coverage will be required without regard to pre-existing conditions. Coverage without regard to preexisting conditions is called guaranteed issue, meanmeaning no one can be turned down for health insurance coverage.
Author: Tanya Schwartz Publisher: ISBN: Category : Languages : en Pages : 10
Book Description
State high-risk pools are state programs that offer health insurance to residents who, because of pre-existing medical conditions, are unable to purchase affordable coverage in the individual market. High-risk pools operate in 34 states and provide health insurance to nearly 200,000 U.S. residents. Although high-risk pools have existed since 1976, they have received little national attention until recently. Health reform legislation passed in the House of Representatives and in the Senate creates a temporary national high-risk pool program to provide health coverage to people prior to the implementation of other coverage expansions included in the bills. As the national health reform debate continues, high-risk pools represent one strategy for providing coverage to people with pre-existing medical conditions.
Author: National Academies of Sciences, Engineering, and Medicine Publisher: National Academies Press ISBN: 030946921X Category : Medical Languages : en Pages : 161
Book Description
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.
Author: Publisher: DIANE Publishing ISBN: 9781568063270 Category : Medical Languages : en Pages : 164
Book Description
Reviews state initiatives to expand access to health insurance and control rising health care costs. Describes comprehensive plans to provide universal access to coverage, programs to extend access to specific groups, and efforts to control costs by reforming payment mechanisms. Maps and graphs.
Author: David P. Bernstein Publisher: ISBN: Category : Languages : en Pages : 0
Book Description
Current high-risk pools insure around 190,000 high-risk individuals at a total cost of around $9,400 per enrollee. Expanding high risk pools so they insure a total of one million individuals would necessitate raising an additional $7.6 billion in revenue through premiums, allocations on insurance firms, through government subsidies and other sources. A proposal under consideration by Congress would insure around 60,000 additional individuals. There are around 3.5 million people who are uninsured the entire year and cannot obtain private insurance because of health considerations. Health insurance plans offered by high-risk pools are generally too expensive for lower-income individuals. Efforts to reach lower-income individuals through high-risk pools would require larger subsidies, which would involve either more public funds or a reduction in the number of people insured. Current high-risk pools do not serve individuals who have offers of employer sponsored insurance (ESI) and will therefore not impact the price or availability of ESI from small firms.
Author: Terry F. Buss Publisher: Routledge ISBN: 1317470834 Category : Business & Economics Languages : en Pages : 470
Book Description
The U.S. health care system faces well-known problems: 47 million people without health insurance, rapidly rising costs that consume 16 percent of the country's economic output, and widely uneven quality of care. Even many people with coverage are experiencing serious problems paying for the rapidly rising costs of health care and insurance.This book - a joint product of the National Academy of Public Administration and the National Academy of Social Science - undertakes a sweeping analysis of the management and administrative issues that arise in expanding health care coverage. The book identifies the core administrative functions that need to be performed in assuring access to health coverage, describes how these functions are performed at present and under proposed alternatives, draws lessons from experience in the U.S. and abroad, and assesses suggested administrative approaches designed to facilitate the improvement and expansion of health care coverage.Adequate health care is one of today's most crucial domestic policy concerns. "Expanding Access to Health Care" is designed to bring together in one place some of the best thinking on the subject, not as an exercise in advocacy, but rather to lay out the issues in a balanced way so that policymakers, researchers, and citizens can better understand the complex details of health care reform.
Author: Institute of Medicine Publisher: National Academies Press ISBN: 0309083435 Category : Medical Languages : en Pages : 213
Book Description
Many Americans believe that people who lack health insurance somehow get the care they really need. Care Without Coverage examines the real consequences for adults who lack health insurance. The study presents findings in the areas of prevention and screening, cancer, chronic illness, hospital-based care, and general health status. The committee looked at the consequences of being uninsured for people suffering from cancer, diabetes, HIV infection and AIDS, heart and kidney disease, mental illness, traumatic injuries, and heart attacks. It focused on the roughly 30 million-one in seven-working-age Americans without health insurance. This group does not include the population over 65 that is covered by Medicare or the nearly 10 million children who are uninsured in this country. The main findings of the report are that working-age Americans without health insurance are more likely to receive too little medical care and receive it too late; be sicker and die sooner; and receive poorer care when they are in the hospital, even for acute situations like a motor vehicle crash.
Author: United States. Congress. House. Committee on Energy and Commerce. Subcommittee on Oversight and Investigations Publisher: ISBN: Category : Business & Economics Languages : en Pages : 232
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Author: Tanya Schwartz
Author: National Academies of Sciences, Engineering, and Medicine
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Author: David P. Bernstein
Author: White House Task Force on Health Risk Pooling (U.S.)
Author: Terry F. Buss
Author: Institute of Medicine
Author: United States. Congress. House. Committee on Energy and Commerce
Author: United States. Congress. House. Committee on Energy and Commerce. Subcommittee on Oversight and Investigations