The Affordable Care Act - PHA 4723 Intro to Public Health in Pharmacy

The Affordable Care Act - PHA 4723 Intro to Public Health in Pharmacy What is the Affordable Care Act (ACA)? - a law consisting of two pieces of legislation that are collectively referred to as "Healthcare Reform" or "Obamacare" What are the individual laws that make up the ACA? - 1. The Patient Protection and Affordable Care Act (PPACA), enacted on March 23, 2010 2. The Health Care and Education Reconciliation Act (HCERA), enacted on March 30, 2010 What is the main objective of the ACA? - to expand health insurance coverage to an estimated 32 million uninsured Americans and strengthen existing coverage What does the ACA do? - - increase benefits and lower costs for consumers - provide new funding for public health and prevention - bolster health care and public health workforce and infrastructure - foster innovation and quality in our system What points encompass the Patient's Bill of Rights? - - Coverage - Costs - Care What are the main ideals of Coverage? - - ends preexisting condition exclusions for children - keeps young adults covered - ends arbitrary withdrawals of insurance coverage - guarantees the patient's right to appeal What are the main ideals of Costs? - - ends lifetime limits on Coverage - reviews premium increases - helps patients get the most from their premium dollars What are the main ideals of Care? - - covers preventive care at no cost to patients - protects the patient's choice of doctors - removes insurance company barriers to emergency services What are the 10 essential health benefits? - 1. Ambulatory Patient Services 2. Emergency Services 3. Hospitalization 4. Maternity and Newborn Care 5. Mental Health and Substance Use Disorder Services 6. Prescription Drugs 7. Rehabilitative and Habilitative Services 8. Laboratory Services 9. Preventive and Wellness Services and Chronic Disease Management 10. Pediatric Services As of April, 2014, how many individuals were eligible to enroll in a Marketplace Plan in the U.S.? Florida? - U.S. = 13,547,592 Florida = 1,603,575 As of April, 2014, how many individuals had selected a Marketplace Plan in the U.S.? Florida? - U.S. = 8,019,763 Florida = 983,775 As of April, 2014, how many individuals could potentially enroll in Marketplace Coverage in the U.S.? Florida? - U.S. = 28,605,000 Florida = 2,545,000 As of April, 2014, how many uninsured individuals were eligible for Medicaid under the ACA in the U.S.? Florida? - U.S. = 8,748,000 adults & 5,220,000 children Florida = 94,000 adults & 362,000 children As of April, 2014, how many adults