PUBHLTH 122 Lecture 19: 3/8/17 Lecture Notes
9 Mar 2017
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Bills reported out of committees: do not repeal aca except for, affordability provisions. Individual and employer mandates: taxes, medicaid reform. Cap out-of-pocket expenses: and prohibitions against: Health status underwriting (means that insurance companies that charge more for people who are in worse health) Discrimination by race, nationality, disability, age, sex. There is shift in cost from the young to the old. The old will pay more: eliminates the only 4 coinsurance tiers allowed under aca (aca really wanted to simplify the way health insurance worked. The coinsurance levels had to be at these levels. Now each health insurer can offer different coinsurance levels. The ease to compare health insurance is gone. : repealing cost sharing, but probably not before 2019 (cover insurance costs for low income people. This might hurt a lot of low income people: create a patient and state stability fund for (states can use money for these things below) Assistance in premiums out of pocket costs.
