The Aca Requirements For Insurers - 1320 Words

The ACA requirements for insurers to cover mammogram Policy background Breast cancer is the second most common cancer among women in the US. About 40,000 women die from breast cancer each year, making it â€Å"the second leading cause of cancer death among women† (Centers for Disease Control and Prevention, n.d.). The Patient Protection and Affordable Care Act (2010) requires insurers to â€Å"provide coverage for and shall not impose any cost sharing requirements for† preventive services which are â€Å"in the current recommendation of the United States Preventive Services Task Force† (USPSTF). Nevertheless, the ACA makes an exception for breast cancer screening by stating that the USPSTF’s recommendation regarding mammogram â€Å"shall be considered the most current other than those issued in or around November 2009†. By using this legislative tool, the federal government mandates health insurers to provide coverage for annual or biennial mammograms in women aged 40 and older (US Preventive Services Task Force, 2013). While the ACA regulates the age limit, frequency, and cost-sharing rule of mammogram at federal level, preceding state policies regarding reimbursement for breast cancer screening dates back to the 1980s. Before the implementation of the ACA, the District of Columbia and all states except Utah required health insurance to cover mammogram. Laws vary slightly from state to state, but most of them mandate coverage for biennial mammograms for women aged 40 to 49 and annualShow MoreRelatedThe President Of The United States1243 Words   |  5 PagesPolicy Advisor Date: June 9, 2015 RE: Mandate recipients of government subsidy health care utilize ACA annual preventative care benefit before annual renewal There is no denying The Patient Protection and Affordable Care Act (more commonly known as ACA) is the largest health care reform in America’s history. ACA has provided affordable health care to millions of uninsured Americans nationwide. The ACA health care plans on the exchange (Marketplace) have to meet certain criteria, including provideRead MoreThe On Health Care Reform1290 Words   |  6 Pagesexpand health care coverage, however, in order to do so, many changes must be implemented in order to fulfill the ACA s promises. The first of which is allowing all individuals to acquire health insurance no matter the age, pre-existing conditions, or other unfair practices. Statistics show that â€Å"half of Americas† have a preexisting medical condition in which with the passage of the ACA, it allows individuals to acquire health insurance without the worry of having to pay high insurance bills (MoisseRead MoreUse Of Medical Loss Ratios1408 Words   |  6 Pagesthe Medic al Loss Ratio (MLR). The MLR was designed to regulate insurance providers and ensure the majority of customer premiums were being used to support customer outcomes surrounding the provision of health care. This Affordable Health Care Act (ACA) requires insurance providers to spend minimally 80 percent of premium dollars on medical care, with the review provisions imposing tighter limits on health insurance rate increases (CMS.gov, n.d.). In the event they fail to meet these standards, theRead MoreThe Implementation Of The Affordable Care Act Essay1542 Words   |  7 Pagesimplementation of the Affordable Care Act (ACA), popularly known as â€Å"Obamacare†, has drastically altered healthcare in America. The goal of this act was to give Americans access to affordable, high quality insurance while simultaneously decreasing overall healthcare spending. The ACA had intended to maximize health care coverage throughout the United States, but this lofty ambition resulted in staggeringly huge financi al and human costs. The ACA requires insurers to accept all applicants, cover certainRead MoreA Brief Note On The Affordable Care Act1667 Words   |  7 PagesAffordable Care Act (ACA) provides us with the opportunity to advance health equity and social justice through expansion of Medicaid, establishment of state health exchanges and changes to private insurance to increase access. However, this opportunity has not been fully realized since the inception of the ACA because it was not implemented as a federal mandate, but rather allowed flexibility in Medicaid expansion by individual states. Other weaknesses result from the fact that ACA provisions have oftenRead MoreRationale Of Health Insurance Expansion1025 Words   |  5 PagesHealth Insurance Expansion Rationale of Health Insurance Expansion. In 2010, President Obama signed the Patient Protection and Affordable Care Act (ACA) (HHS, 2014). This law placed health insurance reforms put consumers in charge of their health care choices (HHS, 2014). The Affordable Care Act has been working to make health care more affordable, accessible with high quality for families, seniors, businesses and more (HHS, 2014). This law also was intended to change the Medicaid programs by providingRead MoreThe Pros And Cons Of Mediciciana Plan1319 Words   |  6 PagesMedicaid programs beyond what is available under current law. 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Moreover, of the individuals who had health insurance, thirty-one (31.7) million individuals spentRead MoreThe Provisions Of The Affordable Care Act1319 Words   |  6 Pages3.0 PROVISIONS OF THE AFFORDABLE CARE ACT To Expand Health Care Coverage (a.) Expansion of Public Health Insurance Programs In order to decrease the amount of uninsured individuals one of the provisions of the ACA centered on expanding public health insurance programs namely Medicaid and Children’s Health Insurance Program(CHIP). Medicaid was expanded to include children, pregnant women, parents, and adults without dependent children up to 133% of the Federal Poverty Level (FPL). Medicaid expansionRead MoreThe Patient Protection And Affordable Care Act1057 Words   |  5 PagesAffordable Care Act The Patient Protection and Affordable care Act also known as Affordable Care Act, Obama Care and ACA is an act signed into law by the current president of the United States, Barack Obama in March 23, 2010. Beginning in 2014, any failure to purchase minimum coverage will result in a person being fined. Also included in the Act are individual mandate requirements, expanding public programs, health insurance exchanges, transition to private insurance, what is required of employers