Daily Archives: October 7, 2017

Health Care: Prompt One

In my opinion, the Affordable Car Act is extremely important for a large majority of people. There were three goals that the law put its primary focus into. Those goals were:

  1. 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. (ACA, 2017)
  2. Expand the Medicaid program to cover all adults with income below 138% of the federal poverty level. (Not all states have expanded their Medicaid programs.) (ACA, 2017)
  3. Support innovative medical care delivery methods designed to lower the costs of health care generally. (ACA, 2017)

Health care in the United States has been less than perfect for many years. The ACA was very controversial because many people do not accept change well and the policy is extremely complicated. It can be very difficult to understand all the different aspects of the law. I think the very most important thing for people to understand when discussing the Affordable Care Act is that the main goal was to “move closer to the one objective almost everyone agrees upon: making health care more affordable and more accessible to all people” (Wanamaker, 2017).

Because of the ACA, millions of Americans are given the ability to receive health care. This policy, “eliminates the ability for insurance companies to reject a patient due to pre-existing conditions, allowing children to remain on their parents’ health insurance until age 26 and expanding the eligibility of Medicaid for millions of Americans” (Goldberg, 2012). There is a lot more that the health care act entails. It is extremely detailed and very complicated for most to understand. One of the most difficult things to understand is how or who is paying for the ACA. There are many resources online that explain in detail what the law is about and all it entails. USA Today and CNN have plenty of articles regarding the subject and are very useful tools to use wen educating yourself on our nation’s current health care bill.

The very best aspect of this law is that it was helped a huge majority of Americans. Before we implemented the Affordable Car Act, “about 16 percent of Americans had no health insurance of any kind. Now, that’s down to less than 9 percent — a record low” (Haynes, 2016). Millions of Americans have been helped drastically in the recent years that this law became effective. There were rapid and tremendous improvements since Obamacare. Of course, the law is not perfect and there is much that could be changed. If I had one recommendation, I would suggest that the qualifications of subsidies be decreased. If a family does not qualify, then purchasing insurance through exchanges can be extremely expensive (Cassidy, 2017). “Until policy-holders have covered their deductibles, they have to pay for the full cost of most of the medical services” which are often highly expensive (Cassidy, 2017). The fact of the matter is that this law was created because prices are an issue. The best way to help people afford health care would be to spend more money so that it would bring down the costs that many people face. Nothing will be a quick fix, but my belief is that the ACA was a step in the right direction for the United States.



Works Cited


Affordable Care Act (ACA) – HealthCare.gov Glossary. (n.d.). Retrieved October 07, 2017, from https://www.healthcare.gov/glossary/affordable-care-act/


Cassidy, J. (2017, June 19). Three Ways to Fix Obamacare. Retrieved October 07, 2017, from https://www.newyorker.com/news/john-cassidy/three-ways-to-fix-obamacare


Goldberg, L. (2012, March 19). Discuss: Share in Our Policy Ideas. Retrieved October 07, 2017, from https://www.nasi.org/discuss/2012/03/affordable-care-act-turns-two?gclid=Cj0KCQjw9uHOBRDtARIsALtCa95bg0snF_S0QNQQL91fanr_o3ujnA-msmHbfGawvKW3_VMT26sUeTUaAscOEALw_wcB


Haynes, C. T. (2016, November 04). Even With Its Faults, Obamacare Has Helped Millions. Retrieved October 07, 2017, from http://www.nationalmemo.com/obamacare-helped-millions/


Wanamaker, B. (2017, February). Seize the ACA: The innovator’s guide to the Affordable Care Act. Retrieved October 07, 2017, from https://www.christenseninstitute.org/publications/aca/?gclid=Cj0KCQjw9uHOBRDtARIsALtCa96Lkw4RnTSg0BIZwlDs7pWUEkC2sSMrpN-4nhuFjvcgIiL-0rNm0dcaAiuCEALw_wcB

Glossary post 1

Since I have interest in healthcare as far as knowing enough information at least to be aware of and though I’m not on Medicare or Medicaid, I found the following terms to be interesting.   CMS(centers for Medicare & Medicaid services) so I am not sure if other insurance companies use the same terms.

I found Actuarial Value to be interesting and definition follows:

The percentage of total average costs for covered benefits that a plan will cover. For
example, if a plan has an actuarial value of 70 percent, on average, the consumer would
be responsible for 30 percent of the costs of all covered benefits. However, the
consumer could be responsible for a higher or lower percentage of the total costs of
covered services for the year depending on their actual health care needs and the terms
of the consumer’s insurance policy.    It is important to know this information when you get services.
Here’s my second term under this same category:  Affordable Care Act; these three words were referred to quite a bit on the CBO report.  I learned it is more than just affordability.  The comprehensive health care reform law was enacted in March 2010. The law was enactedin 2 parts: The Patient Protection and Affordable Care Act was signed into law on March 23, 2010 and was amended by the Health Care and Education ReconciliationAct on March 30, 2010. The name “Affordable Care Act” is used to refer to the final,amended version of the law.
And my final glossary word under the marketplace for health insurance is:  Eligibility Determination; I did not realize that one’s eligibility is based on number of factors and there are two federal agencies involved to be a federal funded insurance.
Eligibility Determination:  The Department of Health & Human Services and the Department of Treasury are the two main federal agencies that help determine consumers’ eligibility for health coverage through the Marketplace and insurance affordability programs. The Internal Revenue Service (IRS) makes tax decisions related to the premium tax credit and determines eligibility for some exemptions from the individual shared responsibility payment. The Marketplace compares information provided by consumers, like household income and family size, to IRS data to help determine eligibility for advance payments of the premium tax credit and
cost-sharing reductions.
This is a huge article where just the glossary has terms for almost every letter of the alphabet so checked it out if you are interested in writing about other terminology.

Source:    https://marketplace.cms.gov/technical-assistance-resources/training-materials/glossary-assister-training.pdf



Health Care Prompt #2

I have never heard of a CBO, let alone read one. To be honest, reading the article Better Care Reconciliation Act of 2017 really confused me. I had to read it a few times, and even at that, I don’t think I fully understood it. From what I did understand from it, more people are going to be uninsured by 2020 because they are removing the penalty for not having insurance, and they are not requiring employers to provide insurance. The penalty with that is being removed as well. While reading this, it kept referring to “nongroup market”. That was really throwing off my understanding while reading, so I had to google what it was. Essentially what a nongroup market is a place to buy insurance when your employer or government doesn’t provide insurance for purchase. It is mostly expected that nongroup health insurance is expected to get more expensive before 2020 because of the changes to come if this new act. Young, healthy people are less likely to purchase health care because it’s easy to have the mindset of “why do I need what I don’t have?”, meaning, if I’m not sick, why do I need to purchase something just in case I get sick. I won’t get sick. Especially since the out of pocket cost is expected to rise until 2020.
I want to know more, but I feel like it would be more beneficial for me to talk to someone than to read about this. Simply because I do not have a good foundation of what everything means. I hope that I actually did understand what I read, and am interpreting it correctly. I would like to talk to those who sell the insurance, and those that agree and disagree with the insurance bill. I feel like talking to someone from all the different views would give me an entire 360 view of the topic, and better help me understand what it really is all about. Then I feel like I could establish a better understanding of reading about these articles and understanding exactly what is going to happen, or what is hoped to happen.