Preview

1. Summarize and discuss the proposed benefits under the PPACA

Better Essays
Open Document
Open Document
1508 Words
Grammar
Grammar
Plagiarism
Plagiarism
Writing
Writing
Score
Score
1. Summarize and discuss the proposed benefits under the PPACA
Research Paper
September 27, 2013
BA 206 Fall A1 – Microeconomics

1.1. Summarize and discuss the proposed benefits under the PPACA (i.e. “Obamacare”). How will the federal government pay for any health insurance subsidies under the PPACA?
The Patient Protection and Affordable Care Act (PPACA) provides essential health benefits for people seeking health care treatments and or services based on each state. According to Giddings and Waidmann (2012), the health insurance issuer must automatically provide the summary of benefits and coverage (“SBC”) to a group health plan for health coverage. In 2012, Patterson, Fleischmann, and Mugel concluded, SBC Regulations require group health plans and health insurers to provide each participant or enrollee with a written summary that accurately describes the plan’s benefits and coverage and that complies with the detailed requirements stated in the regulations. The PPACA authorizes states to offer a basic health plan in lieu of exchange coverage to certain moderate-income individuals but these basic health plans, too, must cover the essential health benefits (Touschner and Corlette, n.d.). This new law which was effective October 1, 2013 requires individuals to be covered but does not require their employers to offer them the health insurance packages. However, Fallon (n.d.) states that large employers (50 or more FTE’s), the law imposes a nondeductible penalty if any of their full-time employees quality for and receive federal subsidies.

1.2. Discuss any potential negative unintended consequences under the PPACA. How might small businesses and individuals respond to the mandates under the PPACA?
Personally I think that there can be many negative consequences under the PPACA. This new law will affect many individuals that will have to pay for other peoples penalties. People will have to make trade-offs according to what is more important to them especially if they cannot afford the insurance.



References: Fallon, N. (n.d.). PPACA: Breaking Down the Insurance Requirements in Health Care Reform: LarsonAllen LLP. LarsonAllen LLP: CPAs, Consultants & Advisors. Retrieved October 3, 2013, from http://www.larsonallen.com/EFFECT/Breaking_Down_the_Insurance_Requirements_in_Health_Care_Reform.aspx Giddings, T., & Waidmann, B. A. (2012, February 14). PPACA summary of benefits and coverage.PwC: Audit and assurance, consulting and tax services. Retrieved September 30, 2013, from http://www.pwc.com/us/en/hr-management/newsletters/hrs-insights/ppaca-summary-benefits-coverage.jhtml Jaensch, C. (n.d.). How can I live and work in the United States?. JAENSCH IMMIGRATION Law Firm!. Retrieved October 3, 2013, from http://www.visaamerica.com/our_services_overview/ McConnell, C. R., Brue, S. L., & Flynn, S. M. (2011). Economics (19th ed.). New York: McGraw-Hill Higher Education. Patterson, R. W., Fleischmann, J., & Mugel. (2012, July). The "Summary of Benefits and Coverage" Requirement Under PPACA. American Bar Association. Retrieved October 3, 2013, from http://www.americanbar.org/newsletter/publications/aba_health_esource_home/aba_health_law_esource_0712_patterson.html Touschner, J., & Corlette, S. (n.d.). Essential Health Benefits.American Cancer Society Cancer Action Network. Retrieved September 30, 2013, from www.acscan.org/pdf/healthcare/implementation/background/EssentialHealthBenefits.pdf Types of Nonimmigrant (Temporary) Visas: Who Qualifies? | Nolo.com. (n.d.). Lawyers, Legal Forms, Law Books & Software, Free Legal Information - Nolo.com. Retrieved October 3, 2013, from http://www.nolo.com/legal-encyclopedia/qualify-nonimmigrant-temporary-visa-29727.html Typical Fees and Costs of an Immigration Lawyer in NYC. (n.d.). Bretz & Coven, LLP.. Retrieved October 3, 2013, from http://www.bretzlaw.com/aop/us-immigration-law/costs-fees/#top

You May Also Find These Documents Helpful

  • Best Essays

    PPACA And Amcs: A Case Study

    • 3439 Words
    • 14 Pages

    10. Hermer, L. (2013, September 1). PRIVATE HEALTH INSURANCE IN THE UNITED STATES: A PROPOSAL FOR A MORE FUNCTIONAL SYSTEM. law.uh.edu. Retrieved September 1, 2013, from www.law.uh.edu/hjhlp/Issues%5CVol_61%5CHermer.pdf…

    • 3439 Words
    • 14 Pages
    Best Essays
  • Best Essays

    On March 23, 2010, President Barack Obama signed into law the Patient Protection and Affordable Care Act (PPACA) and on March 30, 2010 the Health Care and Education Reconciliation Act provided provisions to the PPACA. The laws focus on reform of the private health insurance market, provide better coverage for those with pre-existing conditions, improve prescription drug coverage in Medicare and extend the life of the Medicare Trust fund by at least 12 years (Washington). There are a number of provisions in the PPACA Act that will impact the accounting for many companies. Among those provisions are the following (US):…

    • 1925 Words
    • 8 Pages
    Best Essays
  • Good Essays

    Levitt's Cases

    • 554 Words
    • 3 Pages

    As to accessibility the individuals who beforehand couldn't get to protection because of segregation can now get to the administration. Patients with prior clutters can without a doubt get to protection with indistinguishable premiums as those healthy. A standout amongst the most well known PPACA arrangements was the direction that resolved to not denying patients with prior conditions protection scope. This…

    • 554 Words
    • 3 Pages
    Good Essays
  • Satisfactory Essays

    The PPACA, also known as The Patient Protection and Affordable Care Act was signed in March 2010. This law enacts several measures that change the heart of the health care system here in the U.S. This new law encompasses different aspects of the health care industry and will take effect over the next four years. Some provisions of this act are as follows:…

    • 467 Words
    • 2 Pages
    Satisfactory Essays
  • Best Essays

    this more than $600 billion (31%) is never seen by recipients. It goes for administration. On a per capita basis, it is roughly $280 billion more than is spent for the administration in other twenty-one countries whose life expectancies exceed those in the U.S., all of whom have some taxpayer-financed; single-payer system (socialized medicine).2 Yet, the current system leaves more than 40 million Americans without health insurance. Because many are not employed or have very low incomes, programs that provide incentives through employers and tax relief don 't help them.…

    • 2692 Words
    • 11 Pages
    Best Essays
  • Satisfactory Essays

    Amadeo informs the reader about the main advantage of the Affordable Care Act. It lowers health care costs overall by making insurance affordable for more people. That’s because insurance will be extended to two uninsured groups. She also writes about the main disadvantage. That the Act could actually increase health care costs over the short term. That’s because many people will receive preventive care for the first time in their lives. (Amadeo2013)…

    • 438 Words
    • 2 Pages
    Satisfactory Essays
  • Better Essays

    Millions of uninsured people will have access to affordable health insurance through the marketplace. This lowers the amount of unpaid medical bills seen by Emergency and Express Care settings across the contry. More than half of those uninsured can get no cost or low cost health insurance using the State 's Health Insurance Marketplace. State programs such as Medicaid and CHIP will expand their benefits to a greater amount os people in the community that need help. Before in some instances such as cancer if you got ill you were either dropped or your premiums increased to a level that most could not afford. ObamaCare will prohibit insurance companies from these actions. As with filling out of insurance applications perhaps you forgot to add that you were injured in a car accident at the age of 5 because you were so young you didn’t remember or that you had an illness. It used to stand that insurance companies could drop you without a second thought. This plan takes the power to do that away from them (ObamaCare Facts: Dispelling the Myths 2013). If you honestly forgot to put something you will not be dropped. Obamacare goes on to take away pre-existing conditions, meaning that you cannot be denied coverage no matter what your illness is. A lot of insurance companies thought it relevant to charge you more simply based on gender and women would pay a higher premium than men. ObamaCare puts a stop to this egregious act as well. Small…

    • 1408 Words
    • 6 Pages
    Better Essays
  • Powerful Essays

    This paper explorers the economic effects of the Affordable Care Act on healthcare, specifically small business. The sources vary from academic, peer-review articles to journalism pieces. Statistics and charts have been done on this subject and spread across a wide array of subjects in correlation with the Affordable Care Act. This paper looks at the effects on insurance companies and in turn, the insurance companies effects on small healthcare businesses.…

    • 3286 Words
    • 14 Pages
    Powerful Essays
  • Good Essays

    Obamacare is a act that is very controversial to this day. This paper is going to examine the pros and cons of the affordable healthcare act.…

    • 860 Words
    • 4 Pages
    Good Essays
  • Powerful Essays

    President Obama’s Patient Protection and Affordability of Care Act (PPACA) was a sweeping reform of healthcare that has not been without controversy. While the legal battles over the mandate to purchase individual health coverage have caught public attention, that measure is not the only part of PPACA that is courting controversy and garnering challenges as to whether or not it is constitutional.…

    • 1349 Words
    • 6 Pages
    Powerful Essays
  • Best Essays

    This is Assignment 3 for the Affordable Care Act. This paper contains the corrected Assignment 1 and 2 as well as Assignment 3 which is the Position Paper. The Affordable Care Act is a frequently discussed topic today by Americans. The Affordable Care Act is supposed to allow all Americans to have affordable health care. This Act was introduced and signed under President Obama’s Administration. It has received positive and negative feedback.…

    • 4789 Words
    • 20 Pages
    Best Essays
  • Powerful Essays

    Pros And Cons Of Obamacare

    • 1384 Words
    • 6 Pages

    Before the law you could be denied coverage or treatment because you had been sick in the past, be charged more because you were a woman, be dropped mid-treatment for making a simple mistake on your application, and had little or no way to fight insurance company appeals. Today all Americans have access to a large number of unprecedented new benefits, rights and protections. The major ones outlined by the healthcare reform are there are many of uninsured persons who will get access to affordable quality health insurance through the marketplace, thus 82% of uninsured adults will qualify for free or low cost insurance. Insurance companies are not allowed to dismiss you when you are sick or if you make a mistake on your application. Neither can you be denied coverage or charged more for pre-existing conditions such as being sick. Another benefit is that young adults are able to stay on their parent 's plan until the age of 26. Also there is better care and protections for seniors and “essential health benefits like emergency care, hospitalization,prescription drugs, and maternity and newborn care must be included on all non-grandfathered plans at no out-of-pocket limit” (ObamaCare Facts n.d). Additionally, you cannot be charged more based on health or gender. ObamaCare helps to curb the growth in healthcare spending with reforms to the health industry to cut wasteful spending. Seeing all of these benefits,…

    • 1384 Words
    • 6 Pages
    Powerful Essays
  • Good Essays

    The policy to be analysis is The Affordable Care Act (Obama Care) that was implemented in 2010. The Affordable Care Act is a very comprehensive and now complexed health care system that is being changed. Over centuries there has been many reforms, discussions and controversies surrounding the debate over affordable health care for Americans and their families. And Obama Care is proposed to be what Americans can benefit from and afford. However, there is a downside to this insurance. The individual or family will get the medical help they need but, they still have to pay a co-payment monthly even if they are not sick. With that being said, there is a loss for insurance companies as well. If a person have a pre-existing condition, the…

    • 911 Words
    • 4 Pages
    Good Essays
  • Powerful Essays

    Understanding Change

    • 1779 Words
    • 6 Pages

    In March of 2010, President Barack Obama signed into law The Patient Protection and Affordable Care Act (PPACA); legislation which has since become more commonly known as The Affordable Care Act (ACA) to industry professionals, and more colloquially as ‘Obamacare’ to the American people. However, many of the required changes necessary for healthcare organizations to remain compliant to the federal mandates have yet to take place. The implementation of industry changes on a magnitude as those facing American health providers is both incredibly difficult and complex.…

    • 1779 Words
    • 6 Pages
    Powerful Essays
  • Satisfactory Essays

    Topic: Health Reform - Affordability of Private Health Insurance under the Affordable Care Act (ACA).…

    • 215 Words
    • 1 Page
    Satisfactory Essays