Posts Tagged ‘patient’
(Have you been looking for a version of the law that contains decent TABLE OF CONTAIN? then this is the one for you) The PATIENT PROTECTION AND AFFORDABLE CARE ACT (PPACA), commonly called Obamacare is a United States federal statute signed into law by President Barack Obama on March 23, 2010. Together with the Health Care and Education Reconciliation Act, it represents the most significant regulatory overhaul of the U.S. healthcare system since the passage of Medicare and Medicaid in 1965. The Patient Protection and Affordable Care Act has been the center of continuous debate, not only in Congress, but in the public forum, on the campaign trail, and in the courts. Now you can learn what the text of the law actually says to enable yourself to create an informed opinion concerning this controversial law.
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The ObamaCare Handbook: Understanding the Basics of the Patient Protection and Affordable Care Act of 2010
“What exactly is Obamacare? How will it affect me and my healthcare situation, my finances, my family? The Obamacare Handbook begins to answer these daunting questions, giving readers a path forward. It provides a sound starting point for what is certain to be a critical issue for all Americans in the coming months.” — Roberta Sanchez
“In this concise volume, William Dhiel clears away the clutter that clings to this topic, giving us clear understanding of The Affordable Care Act’s basic elements, and positions us to proactively prepare ourselves for its effects.” — S.M. Hennings
The Obamacare Handbook has been on the Amazon Kindle Best Sellers List since its publication earlier this year. Why? Because it takes the complicated issue and makes it simple to understand. No politics, no opinions, just facts.
The past few years have been dominated with passionate arguments for and against what has come to be known as ObamaCare. With the passing of the Patient Protection and Affordable Care Act of 2010 and the Supreme Court ruling and the election results of 2012, ObamaCare is now officially America’s new health program.
So now what?
At the publication of this book, much of the details of ObamaCare have yet to be decided and explained. There are several different groups with specific interests and responsibilities all trying to figure out how to successfully integrate these new laws into a cohesive, understandable and effective program.
The purpose of this book is to lay the foundation and provide you with the basic facts so that as more decisions are made and more information becomes available, you will have the necessary understanding to make the most informed and beneficial decisions for yourself, your family and your business.
In this book you will learn:
What are the basic details of the new law?
How does this affect me as an employee, self-employer or employer?
What options do I have?
How do I assess what is best for me and my family?
What steps do I need to take?
If you are unsure of what the future of your health insurance looks like, this book is for you. If you are confused by all the different things you have been hearing and reading, this book is for you. If you need a clear and concise explanation of the basic law and health reform strategy, this book is for you. And if you want to take a proactive approach to your health care situation, this book is for you.
Buy this Amazon Kindle Best Seller now!
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The complete unedited text of the The Patient Protection and Affordable Care Act (PPACA). As passed by the One Hundred Eleventh Congress and signed into law by President Barrack Obama. ObamaCare in its original full text.
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The fundamental purpose of a health insurance exchange is to provide a structured marketplace for the sale and purchase of health insurance. The authority and responsibilities of an exchange may vary, depending on statutory or other requirements for its establishment and structure. The Patient Protection and Affordable Care Act (ACA, P.L. 111-148, as amended) requires health insurance exchanges to be established in every state by January 1, 2014. ACA provides certain requirements for the establishment of exchanges, while leaving other choices to be made by the states.
Qualified individuals and small businesses will be able to purchase private health insurance through exchanges. Issuers selling health insurance plans through an exchange will have to follow certain rules, such as meeting the private market reform requirements in ACA. While the fundamental purpose of the exchanges will be to facilitate the offer and purchase of health insurance, nothing in the law prohibits qualified individuals, qualified employers, and insurance carriers from participating in the health insurance market outside of exchanges. Moreover, ACA explicitly states that enrollment in exchanges is voluntary and no individual may be compelled to enroll in exchange coverage.
Exchanges may be established either by the state itself as a “state exchange” or by the Secretary of Health and Human Services (HHS) as a “federally-facilitated exchange.” A federally-facilitated exchange may be operated solely by the federal government, or it may be operated by the federal government in conjunction with the state, as a “partnership” exchange. All exchanges are required to carry out many of the same functions and adhere to many of the same standards, although there are important differences between the types of exchanges. States had to declare their intentions to establish their own exchange no later than December 14, 2012; to date, 17 states and D.C. have received conditional approval from HHS to operate a state exchange. States interested in pursuing a partnership exchange must declare their intentions no later than February 15, 2013.
ACA and regulations require exchanges to carry out a number of different functions. The primary functions relate to determining eligibility and enrolling individuals in appropriate plans, plan management, consumer assistance and accountability, and financial management. ACA gives various federal agencies, primarily HHS, responsibilities relating to the general operation of exchanges. Federal agencies are generally responsible for promulgating regulations, creating criteria and systems, and awarding grants to states to help them create and implement exchanges.
A state that is approved to operate its own exchange has a number of operational decisions to make, including decisions related to organizational structure (governmental agency or a nonprofit entity); types of exchanges (separate individual and Small Business Health Options Program (SHOP) exchanges, or a merged exchange); collaboration (a state may independently operate an exchange or enter into contracts with other states); service area (a state may establish one or more subsidiary exchanges in the state if each exchange serves a geographically distinct area and meets certain size requirements); contracted services (an exchange may contract with certain entities to carry out one or more responsibilities of the exchange); and governance (governing board and standards of conduct).
In general, health plans offered through exchanges will provide comprehensive coverage and meet all applicable private market reforms specified in ACA. Most exchange plans will provide coverage for “essential health benefits,” at minimum; be subject to certain limits on cost-sharing, including out-of-pocket costs; and meet one of four levels of plan generosity based on actuarial value. To make exchange coverage more affordable, certain individuals will receive premium assistance [...]
New federal tax credits were authorized in the Patient Protection and Affordable Care Act (ACA, P.L. 111-148, as amended), to help certain individuals pay for health insurance coverage, beginning in 2014.
ACA requires “American Health Benefit Exchanges” to be established in every state by January 1, 2014, either by the state itself or by the Secretary of Health and Human Services (HHS). Exchanges will not be insurers, but will provide eligible individuals and small businesses with access to private health insurance plans. Generally, the plans offered through the exchanges will provide comprehensive coverage and meet all ACA market reforms, as applicable. One of the requirements that most exchange plans must meet is to provide a certain level of coverage generosity based on actuarial value. Each level of coverage generosity is designated according to a precious metal and corresponds to a specific actuarial value: Bronze (actuarial value of 60%), Silver (70%), Gold (80%), and Platinum (90%).
To make exchange coverage more affordable, certain individuals will receive premium assistance in the form of federal tax credits. The premium credit will be an advanceable, refundable tax credit, meaning taxpayers need not wait until the end of the tax year in order to benefit from the credit, and may claim the full credit amount even if they have little or no federal income tax liability. Although the premium credits will not be available until 2014, the illustrations provided in this report are based on current federal poverty levels, to reflect how the estimated premium credit amounts compare to current income levels.
Under ACA, the amount received in premium credits is based on income tax returns. These amounts are reconciled in the next year and can result in overpayment of premium credits if income increases, which must be repaid to the federal government. ACA limited the amount of required repayments. Since the enactment of ACA, these limits have been increased in order to raise revenues for other legislative initiatives (e.g., P.L. 111-309 and P.L. 112-9). Most recently, on June 7, 2012, the House passed H.R. 436, the Health Care Cost Reduction Act of 2012, which includes a measure that would remove all limits on repayment, making individuals fully liable for the full amount of any premium credit overpayment.
Relative affordability of health insurance premiums individuals and families might face within health insurance exchanges will likely vary from exchange to exchange based on a host of factors, including enrollees’ age, the varying prices paid by plans for medical goods and services, the breadth of the provider network, the provisions regarding how out-of-network care is paid for (or not), and the use of tools by the plan to reduce health care utilization (e.g., prior authorization for certain tests). Examples provided in the Appendix of this report depict a range by which premiums might reasonably be expected to vary based on enrollees’ age, and variation in medical costs across geographic areas, for purposes of illustration only. Actual premiums will likely vary among health insurance exchanges based on a wide range of factors other than those depicted in this report.
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Tucson, Ariz. (PRWEB) September 27, 2012
SynCardia Systems, Inc., manufacturer of the worlds first and only FDA, Health Canada and CE (Europe) approved Total Artificial Heart, announced today that Advocate Christ Medical Center in Oak Lawn, Illinois, has discharged its first patient to receive the SynCardia temporary Total Artificial Heart. Leroy Haynes, 64, left the hospital using the Freedom
Woburn, MA (PRWEB) September 05, 2012
What do hospital infections, sinusitis, periodontal disease, middle ear infections, tonsillitis, COPD, diabetic foot wounds, osteomyelitis and cystic fibrosis have in common? The persistence of these chronic conditions originate from slimy bacterial biofilms that encase bacteria and microbes of many types, exploit the immune system and resist antibiotic treatment.
While the existence of bacterial biofilm was first documented in 1683 and rediscovered in the late 1970s, molecular diagnostics have demonstrated the omnipresence of biofilms in medical conditions affecting more than 17,000,000 people annually. The film Why Am I Still Sick? identifies the multifaceted roles of biofilms in causing persistent disease and offers startling revelations through interviews with medical experts and patients:
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Consider this, “If you live in Fort Myers FL., you’re two or three times more likely to get your knee replaced than if you live in Miami…” the reason has nothing to do with knees. The healthcare consumer in the USA has a “43% chance of undergoing an unnecessary test” How do you prevent that? How does this happen that “more people now die from the misuse of prescription drugs purchased legally in pharmacies than from illicit drugs bought on the street.” All of this can be reduced by one person; you. You need to know how to get the best out of one of the costliest and most fragmented medical systems in the developed world. This book is a must read for anyone who wants to be a more informed and smarter consumer. Everything you need, facts, statistics, the questions to ask your doctors, the resources on the Internet, and the law to back you up.
Consider this, “If you live in Fort Myers FL., you’re two or three times more likely to get your knee replaced than if you live in Miami…” the reason has nothing to do with knees.
The healthcare consumer in the USA has a “43% chance of undergoing an unnecessary test” How do you prevent that?
How does this happen that “more people now die from the misuse of prescription drugs purchased legally in pharmacies than from illicit drugs bought on the street.” All of this can be reduced by one person; you.
You need to know how to get the best out of one of the costliest and most fragmented medical systems in the developed world. This book is a must read for anyone who wants to be a more informed and smarter consumer. Everything you need, facts, statistics, the questions to ask your doctors, the resources on the Internet, and the law to back you up.
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