PHP 0310 Lecture Notes - Lecture 12: Employee Retirement Income Security Act, Working Poor, Medicaid Managed Care

• School: Brown University
• Department: Public Health
• Course: PHP 0310
• Professor: Ira Wilson

Document Summary

Medicare: entitled 2 main groups: 65+, disabled for 2+ years (and kidney dialysis and als, aca added benefits (free visits for preventive care), but no changes in medicare were aimed at reducing rates of uninsurance. Esi: rates of esi coverage are declining. Most firms are small firms, only ~60% of all firms offer esi: also, only 63% of employees are actually covered. Promoted coverage in small firms (<50 people): small business health options programs (shop) where small businesses can purchase coverage. Penalties for businesses with >50 employees who don"t offer affordable insurance. Extending coverage to dependents up to age 26: market reforms. Single risk pool for individuals in the exchanges. Medical loss ratio: requirement that 80% of premium dollars in individual market must be spent on care and quality improvement. Individual market (non-group, not esi: pre-aca: individual market only for the healthy.