8.1.12 Affordable Care Act

Title The Affordable Care Act
Subtitle: an interview with Margaret Stapleton by
Margaret Stapleton
August 1, 2012
Q#1-Just what is the ACA?
• Public Law 11-148; The Patient Protection and
Affordable Care Act (3/23/2010).
• Public Law 11-151; The Health Care and Education
Reconciliation Act of 2010 (3/30/2010)
• Amends hundreds of sections of the USC
Q#2—Big deal?
• Most important piece of American social
justice legislation of the last 50 years.
• In 2008, health care was the top issue among
American voters, until the financial meltdown
of the fall 2008 crowded out all other
• 100 years coming.
Q#3—What’s the big picture?
• America’s health care system was broken—but lots
of good ideas from smart people were ready and
waiting for use.
• ACA addresses all the issues that need fixing,
Uninsured and underinsured Americans
Cost of care and affordability of coverage
– UninsuUnr
Q#4—Uninsured and underinsured?
• Amended Medicaid to fill the gap in
categories—”the newly eligible.”
• Reformed private health insurance for
individuals and groups.
• Created affordable insurance for people with
pre-existing conditions.
• Created marketplaces for purchasing
insurance-- Affordable Insurance Exchanges.
• Defined benefits (“essential health benefits”)
Q#5—How does ACA address cost and affordability?
• Cost of care—dozens of reforms, including:
electronic medical records; coordinated care
entities; preventive care (without copayments); See
Title III—Improving the Quality and Efficiency of
Health Care.
• Affordability of coverage—community rating; medical
loss ratios; insurance affordability programs for
people under 400% FPL. See Title I—Quality,
Affordable health Care for All Americans.
Q#6—Capacity? Are there enough docs?
• Important question.
• Answer is “no,” , but not a problem caused by
the ACA.
• ACA part of the solution—See Title V—Health
Care Workforce
Q#7—How is ACA improving quality?
• Dozens of good ideas.
• See Title III—Improving the Quality and
Efficiency of Health Care.
• See Title IV—Prevention of Chronic Disease
and Improving public Health
• Post NFIB v. Sebelius—Medicaid coverage
for the “newly eligible” group;
• Affordable Insurance Exchanges—Illinois will
be a “state-partnership” exchange in year 1;
• 2012 election.
• www.healthcare.gov
• www.illinois.gov/healthcarereform
• www.kff.org
• www.povertylaw.org

similar documents