In 2010, the Patient Protection and Affordable Care Act (ACA) revolutionized healthcare delivery. It expanded coverage and made it more affordable through reforms to the private insurance market, expanded Medicaid access, and created a new system of consumer-driven health care that is driven by consumers.
The ACA also abolished discrimination against people with pre-existing conditions and prohibited lifetime limits on coverage and annual caps on payouts. Furthermore, insurers were required to cover essential health benefits and preventive services without cost sharing from them.
Health Insurance
Health insurance is a contract between you and an insurer in which the latter agrees to cover some or all of your medical, surgical, or preventative care expenses. In exchange for paying a monthly premium payment, this type of coverage becomes available.
Research has indicated that healthcare costs can be a major source of financial strain for low-income individuals and families. Studies have demonstrated that expanding health coverage to these adults helps reduce healthcare expenses and enhance access to care (Collins et al. 2015b).
Health insurance plans are overseen by both state and federal governments. Certain coverage, such as Medicare or self-insured group health coverage, falls under federal jurisdiction while Medicaid falls under state control. There is a wide range of plans available; some being more costly than others; for instance, platinum plans usually have the highest premium but may offer lower out-of-pocket expenses than bronze ones do. Plus, some offer tax credits or subsidies too!
Taxes
Taxes are a way for governments to collect payments from individuals and businesses and use them for government operations and public service programs. Taxes may be direct or indirect.
Income taxes: Income taxes are the most widespread type of taxes paid by individuals and businesses. They’re collected at all levels – federal, state and local – for various reasons.
Corporate taxes: Corporate taxes are a form of direct tax paid by companies and assessed on the firm’s profits.
Sales Taxes: Sales taxes are a type of consumption tax levied on the sale of goods and services. Usually collected at either the state or local level, these fees constitute a portion of each sale.
Other types of taxes include capital gains, property, inheritance and sales. These are levied against individual and corporate transactions and typically taken the form of tax returns filed by taxpayers with the government that administers them. Some are ad valorem while others depend on a certain number, weight or volume being taxed.
Marketplaces
The Patient Protection and Affordable Care Act (PPACA) required all Americans to have health insurance or pay a fine. It also enabled the sale of health insurance through marketplaces (exchanges), where individuals could compare qualified plans and apply for tax credits to reduce their monthly premiums.
Under the Affordable Care Act (ACA), qualifying health plans must limit out-of-pocket costs, provide essential health benefits and cover people without discriminating based on health status. They must also abide by other ACA requirements like marketing and provider network rules.
Some marketplaces are operated by the federal government, while others by states. The government’s goal is to use Marketplaces to assist millions of consumers in shopping for and enrolling in insurance plans. Unfortunately, Marketplaces can face challenges such as low enrollment numbers, technical issues, and an absence of coverage options for some patients.
Eligibility
In some states, Medicaid coverage is available to low-income adults with incomes below 133% of the federal poverty level (FPL). Check if your state has expanded Medicaid eligibility!
Eligibility for Medicaid is determined by income, with some exemptions for children and people with blindness or disability. Furthermore, some states have created “medically needy” programs to cover individuals who have significant healthcare needs whose income exceeds that of other eligible groups within Medicaid eligibility.
The Patient Protection and Affordable Care Act (ACA) sought to increase access to health insurance by creating marketplaces, expanding Medicaid coverage, eliminating exclusions, and encouraging affordability. Early evidence indicates these reforms have significantly decreased the number of uninsured Americans.
However, the implementation of the Affordable Care Act (ACA) is still relatively new and it is important to assess its success in meeting its goals. To do this, better data collection, longer follow-up periods, and rigorous analyses of large and representative datasets are needed.