Patient Protection and Affordable Care Act;
community rating;
risk classification;
adverse selection;
risk classification by design;
risk-based redistribution;
medical loss ratios;
health insurance exchanges;
essential medical benefits;
subsidies and mandates;
RISK;
SELECTION;
REFORM;
WILL;
D O I:
10.1016/j.jacr.2012.09.008
中图分类号:
R8 [特种医学];
R445 [影像诊断学];
学科分类号:
1002 ;
100207 ;
1009 ;
摘要:
The Patient Protection and Affordable Care Act is a comprehensive and multipronged reform of the US health care system. The legislation makes incremental changes to Medicare, Medicaid, and the market for employer-sponsored health insurance. However, it makes substantial changes to the market for individual and small-group health insurance. The purpose of this article is to introduce the key regulatory reforms in the market for individual and small-group health insurance and explain how these reforms tackle adverse selection and risk classification and improve access to health care for the hitherto uninsured or underinsured population.
机构:
Oregon Hlth & Sci Univ, Dept Radiat Med, Portland, OR 97201 USA
St Charles Hlth Syst, Cent Oregon, Qual Dept, Bend, OR 97701 USAOregon Hlth & Sci Univ, Dept Radiat Med, Portland, OR 97201 USA
Bleyer, Archie
Ulrich, Corinne
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h-index: 0
机构:
Univ Rochester, Div Gen Pediat, Rochester, NY USAOregon Hlth & Sci Univ, Dept Radiat Med, Portland, OR 97201 USA
机构:
No Arizona Univ, WA Franke Coll Business, Finance, Flagstaff, AZ 86011 USANo Arizona Univ, WA Franke Coll Business, Finance, Flagstaff, AZ 86011 USA
Hilliard, James I.
Liebenberg, Andre P.
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机构:
Univ Mississippi, Finance, Oxford, MS USA
Univ Mississippi, Insurance, Oxford, MS USANo Arizona Univ, WA Franke Coll Business, Finance, Flagstaff, AZ 86011 USA
Liebenberg, Andre P.
Liebenberg, Ivonne A.
论文数: 0引用数: 0
h-index: 0
机构:
Univ Mississippi, Finance, Oxford, MS USANo Arizona Univ, WA Franke Coll Business, Finance, Flagstaff, AZ 86011 USA
Liebenberg, Ivonne A.
Ruhland, Joseph
论文数: 0引用数: 0
h-index: 0
机构:
Georgia Southern Univ, Risk Management & Insurance, Statesboro, GA USANo Arizona Univ, WA Franke Coll Business, Finance, Flagstaff, AZ 86011 USA