Achieving a Deeper Understanding of the Implemented Provisions of the Affordable Care Act

2014 ◽  
pp. e472-e477 ◽  
Author(s):  
Shuang Qin Zhang ◽  
Blase N. Polite
Keyword(s):  
Health Care ◽  
Affordable Care Act ◽  
Medicare Part D ◽  
Payment Reform ◽  
Part D ◽  
Patient Protection ◽  
Current Implementation ◽  
Donut Hole ◽  
Insurance Exchanges ◽  
Review Current

The Patient Protection and Affordable Care Act (ACA) was signed into law by President Barack Obama on March 23, 2010. Since that time, numerous regulations have been promulgated, legal battles continue to be fought and the major provisions of the law are being implemented. In the following article, we outline components of the ACA that are relevant to cancer health care, review current implementation of the new health care reform law, and identify challenges that may lie ahead in the post-ACA era. Specifically, among the things we explore are Medicaid expansion, health insurance exchanges, essential health benefits and preventive services, subsidies, access to clinical trials, the Medicare Part D donut hole, and physician quality payment reform.

The Medicare Part D Coverage Gap, Prescription Use, and Expenditures

2018 ◽  
Vol 77 (5) ◽  
pp. 442-450 ◽  
Author(s):  
Aig Unuigbe
Keyword(s):  
Affordable Care Act ◽  
Financial Risk ◽  
Medicare Part D ◽  
Medicare Part ◽  
General Increase ◽  
Part D ◽  
Coverage Gap ◽  
Heterogeneous Effects ◽  
Drug Expenditures ◽  
Donut Hole

The Affordable Care Act has put in place policies to gradually close the Medicare Part D coverage gap (donut hole). I examine the effect of this gradual closure on total and out-of-pocket prescription drug expenditures, as well as the number of prescriptions filled. The analysis shows a general increase in prescription use. There are also heterogeneous effects, with higher total expenditure groups seeing a decrease in their out-of-pocket prescription expenditures. This suggests that closure of the “donut hole” has led to an increase in prescription use that was previously curtailed and had an impact on the financial risk faced by Medicare recipients. This has implications for trends in prescription use and Medicare expenditures in the future, as the coverage gap is closed further.

Time to Fill the Doughnuts — Health Care Reform and Medicare Part D

2011 ◽  
Vol 364 (7) ◽  
pp. 598-601 ◽  
Author(s):  
William H. Shrank ◽  
Niteesh K. Choudhry
Keyword(s):  
Health Care ◽  
Health Care Reform ◽  
Medicare Part D ◽  
Medicare Part ◽  
Part D

scholarly journals Impact of the Patient Protection and Affordable Care Act on dermatologic health care utilization

2019 ◽  
Vol 81 (2) ◽  
pp. 631-634 ◽  
Author(s):  
Raghav Tripathi ◽  
Konrad D. Knusel ◽  
Harib H. Ezaldein ◽  
Jeremy S. Bordeaux ◽  
Jeffrey F. Scott
Keyword(s):  
Health Care ◽  
Health Care Utilization ◽  
Affordable Care Act ◽  
Care Utilization ◽  
Patient Protection

Medicare Part D is Associated With Reducing the Financial Burden of Health Care Services in Medicare Beneficiaries With Diagnosed Diabetes

Medical Care ◽  
2013 ◽  
Vol 51 (10) ◽  
pp. 888-893 ◽  
Author(s):  
Rui Li ◽  
Edward W. Gregg ◽  
Lawrence E. Barker ◽  
Ping Zhang ◽  
Fang Zhang ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Services ◽  
Financial Burden ◽  
Medicare Part D ◽  
Medicare Part ◽  
Medicare Beneficiaries ◽  
Part D ◽  
Care Services ◽  
Diagnosed Diabetes

scholarly journals What Can We Expect from the “Cadillac Tax” in 2018 and Beyond?

2011 ◽  
Vol 48 (4) ◽  
pp. 322-337 ◽  
Author(s):  
Bradley Herring ◽  
Lisa Korin Lentz
Keyword(s):  
Health Care ◽  
Affordable Care Act ◽  
Price Index ◽  
Consumer Price Index ◽  
Private Health Care ◽  
Kaiser Family Foundation ◽  
Insurance Benefits ◽  
Excise Tax ◽  
Patient Protection ◽  
Controversial Aspect

One controversial aspect of the Patient Protection and Affordable Care Act is the provision to impose a 40% excise tax on insurance benefits above a certain threshold, commonly referred to as the “Cadillac tax.” We use the Employer Health Benefits Survey, sponsored by the Kaiser Family Foundation and Health Research and Educational Trust, to examine the number and characteristics of plans that likely will be affected. We estimate that about 16% of plans will incur the tax upon implementation in 2018, while about 75% of plans will incur the tax a decade later due to the indexing of the tax thresholds with the Consumer Price Index. If the Cadillac tax is ultimately implemented as written, we find that it will likely reduce private health care benefits by .7% in 2018 and 3.1% in 2029, and will likely raise about $931 billion in revenue over the ensuing 10-year budget window from 2020 to 2029.

scholarly journals ME4 THE IMPACT OF MEDICARE PART D ON HEALTH CARE UTILIZATION AND HEALTH OF THE MEDICARE BENEFICIARIES

2010 ◽  
Vol 13 (3) ◽  
pp. A7
Author(s):  
FX Liu ◽  
GC Alexander ◽  
SY Crawford ◽  
AS Pickard ◽  
DR Hedeker ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Utilization ◽  
Medicare Part D ◽  
Medicare Part ◽  
Care Utilization ◽  
Medicare Beneficiaries ◽  
Part D ◽  
The Impact

scholarly journals The Patient Protection and Affordable Care Act and Utilization of Preventive Health Care Services

SAGE Open ◽  
2016 ◽  
Vol 6 (1) ◽  
pp. 215824401663618
Author(s):  
Victor Eno ◽  
Senthilkumar Mehalingam ◽  
Thomas I. Nathaniel
Keyword(s):  
Health Care ◽  
Affordable Care Act ◽  
Health Care Services ◽  
Preventive Health Care ◽  
Preventive Health ◽  
Care Services ◽  
Patient Protection
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