The exchanges are regulated, largely online marketplaces, administered by either federal or state government, where individuals and small business can purchase private insurance plans.
Under the law as written, all U. This program penalizes hospitals with higher than expected readmission rates by decreasing their Medicare reimbursement rate. Sebelius that this provision of the ACA was coercive, and that the federal government must allow states to continue at pre-ACA levels of funding and eligibility if they chose.
The concept goes back to at leastwhen the conservative The Heritage Foundation proposed an individual mandate as an alternative to single-payer health care. An excise tax of 2. They receive bonus payments from the government for minimizing costs while achieving quality benchmarks that emphasize prevention and mitigation of chronic disease.
Risk adjustment attempts to spread risk among insurers to prevent purchasers with good knowledge of their medical needs from using insurance to cover their costs adverse selection. They can impose higher or state-specific coverage requirements—including whether plans offered in the state can cover abortion.
In addition, the Medicare Part D coverage gap commonly called the "donut hole" was to shrink incrementally, closing completely by January 1, Consider transferring direct quotations to Wikiquote. If you purchased coverage from the Health Insurance Marketplace, you may be eligible for the premium tax credit.
These include Medicare payment changes to discourage hospital-acquired conditions and readmissionsbundled payment initiatives, the Center for Medicare and Medicaid Innovationthe Independent Payment Advisory Boardand the creation of Accountable care organizations. Specifically, because the Emergency Medical Treatment and Active Labor Act EMTALA requires any hospital participating in Medicare nearly all do to provide emergency care to anyone who needs it, the government often indirectly bore the cost of those without the ability to pay.
The law also contains benefits and responsibilities for other organizations and employers. You can choose to have all, some, or none of your estimated credit paid directly to your insurance company throughout the year. If they fail to do so, they are subject to penalties.
The Affordable Care Act contains comprehensive health insurance reforms and includes tax provisions that affect individuals, families, businesses, insurers, tax-exempt organizations and government entities.
The size and structure of your workforce determines your responsibility. Employers The law requires you and your dependents to have health care coverage, an exemption, or make a payment with your return. ACOs were allowed to continue using a fee for service billing approach.
The Affordable Care Act includes requirements for employers regarding heath care coverage. Wheeler stated, "the Government made a promise in the risk corridors program that it has yet to fulfill. Bundled Payments The Medicare payment system switched from fee-for-service to bundled payments. These tax provisions contain important changes, including how individuals and families file their taxes.Get Affordable Care Act info for individuals, families today.
Affordable quality health insurance coverage. Aug 20, · Read the latest articles and commentary on the Affordable Care Act at US News. Official site of Affordable Care Act. Enroll now for coverage. See health coverage choices, ways to save today, how law affects you. "legislative counsel!
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The Affordable Care Act contains comprehensive health insurance reforms and includes tax provisions that affect individuals, families, businesses, insurers, tax-exempt organizations and government entities.Download