BPH 322 Lecture Notes - Lecture 3: The Dartmouth, Health Technology, Essential Health Benefits
BPH 322: PPACA Intro
●Patient Protection and Affordable Care Act 2010
○PPACA ensures access to quality, affordable insurance
○Health plans must offer the essential health benefits
■Essential health benefits=Statutory requirements
1. Ambulatory patient services (outpatient services)
2. Emergency services
3. Hospitalization
4. Maternity and newborn care
5. Mental health and substance use disorder services,
including behavioral health treatment
6. Prescription drugs
7. Rehabilitative and habilitative services (those that help
patients acquire, maintain, or improve skills necessary for
daily functioning) and devices
8. Laboratory services
9. Preventive and wellness services and chronic disease
management
10. Pediatric services, including oral and vision care
●Pre PPACA
○62%=no maternity services
○34%=no substance abuse coverage
○Overall millions of people without fundamental care
●Important websites
○Kff.org
■Use especially for health insurance/ppaca info
BPH 322 : Financing Healthcare/Health Care Delivery Systems
find more resources at oneclass.com
find more resources at oneclass.com