The Patient Protection and Affordable Care Act (ACA) was designed to increase health insurance quality and affordability, lower the uninsured rate by expanding insurance coverage, and reduce the costs of healthcare overall. Along with sweeping change came sweeping criticisms and issues. This book explores the pros and cons of the Affordable Care Act, and explains who benefits from the ACA. Readers will learn how the economy is affected by the ACA, and the impact of the ACA rollout.
The Affordable Care Act is now a reality, and it holds implications for all Americans. If you don't obtain minimum essential coverage, you'll find yourself penalized when you file a tax return, and there are other rules you need to follow regarding income tax. In this guidebook to understanding the ACA--also known as Obamacare--certified public accountant and insurance agent Joseph A. Gabra walks you through what you need to know to make an informed decision about the costs and benefits of obtaining insurance coverage. There's important information for people trying to make decisions about health care, for insurance agents seeking to provide wise counsel to clients, and for those who are self prepare their own tax return. Learn how to: understand the tax penalty calculation and its exemption; calculate the true cost of health insurance; keep more money in your pocket without breaking any laws. With a glossary of key terms, practical case studies in a question-and-answer format, and key insights about a misunderstood law, this guidebook helps you make critical decisions about some of the most important things in life: your health, the health of your loved ones, and your money.
The Subcommittee on Oversight of the Committee on Ways and Means has reviewed the implementation of the tax and tax-related revenue provisions of the Patient Protection and Affordable Care Act (ACA). The Affordable Care Act has made broad-based changes to the law with respect to health insurance coverage in the individual and group markets and the law with respect to group health plans as well as laws that apply to Medicare and Medicaid. The ACA also includes a significant number of changes to the Code, including the addition of new Code sections and the amendment of previously existing Code sections. The ACA also includes off-Code revenue provisions that impose certain industry fees. This book provides a summary of health insurance changes made by the ACA and a description of the present law rules with respect to ACA revenue provisions and their implementation.
The Subcommittee on Oversight of the Committee on Ways and Means has reviewed the implementation of the tax and tax-related revenue provisions of the Patient Protection and Affordable Care Act (ACA). The Affordable Care Act has made broad-based changes to the law with respect to health insurance coverage in the individual and group markets and the law with respect to group health plans as well as laws that apply to Medicare and Medicaid. The ACA also includes a significant number of changes to the Code, including the addition of new Code sections and the amendment of previously existing Code sections. The ACA also includes off-Code revenue provisions that impose certain industry fees. This book provides a summary of health insurance changes made by the ACA and a description of the present law rules with respect to ACA revenue provisions and their implementation.
The Social Security Administration (SSA) administers two programs that provide benefits based on disability: the Social Security Disability Insurance (SSDI) program and the Supplemental Security Income (SSI) program. This report analyzes health care utilizations as they relate to impairment severity and SSA's definition of disability. Health Care Utilization as a Proxy in Disability Determination identifies types of utilizations that might be good proxies for "listing-level" severity; that is, what represents an impairment, or combination of impairments, that are severe enough to prevent a person from doing any gainful activity, regardless of age, education, or work experience.
Many of the elements of the Affordable Care Act (ACA) went into effect in 2014, and with the establishment of many new rules and regulations, there will continue to be significant changes to the United States health care system. It is not clear what impact these changes will have on medical and public health preparedness programs around the country. Although there has been tremendous progress since 2005 and Hurricane Katrina, there is still a long way to go to ensure the health security of the Country. There is a commonly held notion that preparedness is separate and distinct from everyday operations, and that it only affects emergency departments. But time and time again, catastrophic events challenge the entire health care system, from acute care and emergency medical services down to the public health and community clinic level, and the lack of preparedness of one part of the system places preventable stress on other components. The implementation of the ACA provides the opportunity to consider how to incorporate preparedness into all aspects of the health care system. The Impacts of the Affordable Care Act on Preparedness Resources and Programs is the summary of a workshop convened by the Institute of Medicine's Forum on Medical and Public Health Preparedness for Catastrophic Events in November 2013 to discuss how changes to the health system as a result of the ACA might impact medical and public health preparedness programs across the nation. This report discusses challenges and benefits of the Affordable Care Act to disaster preparedness and response efforts around the country and considers how changes to payment and reimbursement models will present opportunities and challenges to strengthen disaster preparedness and response capacities.
Since 2014, the Patient Protection and Affordable Care Act (PPACA) has required most individuals to maintain health insurance coverage or potentially to pay a penalty for noncompliance. Specifically, most individuals are required to maintain minimum essential coverage for themselves and their dependents. Minimum essential coverage is a term defined in the ACA and its implementing regulations and includes most private and public coverage (e.g., employer-sponsored coverage, individual coverage, Medicare, and Medicaid, among others). Some individuals are exempt from the mandate and the penalty, and others may receive financial assistance to help them pay for the cost of health insurance coverage and the costs associated with using health care services. This book describes the individual mandate as established under the Patient Protection and Affordable Care Act. It also discusses the ACA reporting requirements designed, in part, to assist individuals in providing evidence of having met the mandate; describes the eligibility criteria applicable to the premium tax credits and cost-sharing subsidies, and the calculation method for the credit and subsidy amounts; highlights selected issues addressed in the final regulation and guidance on premium credits and indicates the status of implementation, where relevant data is available; examines IRS's implementation of these PPACA requirements; and IRS efforts to collaborate with key external stakeholders.
