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Exam (elaborations)

EHR EXAM 2 HIGH-YIELD CLINICAL DATA MANAGEMENT AND INTEROPERABILITY SUMMARY 2026

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EHR EXAM 2 HIGH-YIELD CLINICAL DATA MANAGEMENT AND INTEROPERABILITY SUMMARY 2026

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EHR EXAM 2 HIGH-YIELD CLINICAL DATA
MANAGEMENT AND INTEROPERABILITY
SUMMARY 2026

◉ The ACA was implemented in phases beginning in 2010 and
ending in 2018.
Answer: • Parts of the ACA started in 2010.
• Additional parts of the ACA were implemented each successive
year.
• All parts of the ACA completed by 2018.


◉ The federal and state governments established...
Answer: the Marketplace during 2010 and 2012, and underinsured
people were able to obtain health insurance through expanded
Medicaid and the Marketplace beginning January 2014


◉ Reference slide 10 for...
Answer: the yearly breakdown of them implementing parts of the
ACA


◉ Increasing Access to Healthcare
Answer: • Americans with pre-existing diseases previously denied
health insurance were now eligible.

,• Young adults meeting certain criteria remain on their parents'
health plan.
• Expansion of the primary care workforce—physicians, nurse
practitioners, and physician assistants—through scholarships and
loan repayment programs.
• Expanding the federally qualified health centers (FQHC).


◉ In 2015, a total of 15 million people obtained health insurance
through...
Answer: the Marketplace and another 12 million people were newly
enrolled in Medicaid or CHIP


◉ The ACA requires health insurance policies to include minimum
essential benefits for all applicants, and individuals with...
Answer: pre-existing health conditions such as diabetes were no
longer denied access to health insurance.


◉ Controlling Cost While Improving the Quality of Health Care
Answer: • Essential health benefits in all health plans
•Clinical preventive services such as Ambulatory patient services,
emergency services, hospitalization, maternity & newborn care,
mental health & substance use disorder services including behavior
treatment, prescription drugs, rehabilitative services & devices,
laboratory services, preventive & wellness services, chronic disease
management, pediatric services and oral & vision care

, ◉ Programs Established to Control Costs and Improve the Quality of
Health Care
Answer: • Incentives for healthcare providers to improve outcomes
• Goal—lower hospital readmissions and lower costs
• The Hospital Readmission Reduction Program (HRRP)
• New payment reforms, such as bundling payments for episodes of
care


◉ The Data Service Hub was designed to determine eligibility for
enrolling in Medicaid, CHIP, or subsidized Marketplace based on
citizenship and income.
Answer: Initially, there were problems with enrollment because of
incorrect or incomplete applications and inadequate information
technology systems to meet high demand


◉ Unpopular Parts of the ACA
Answer: • The ACA of 2010 required all states to expand Medicaid to
nonpregnant adults less than 65 years of age with incomes 138% of
the federal poverty level (FPL).
• Beginning in 2014, all American citizens and permanent residents
were required to have minimum essential coverage or pay a fine.

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