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In the 1980s, as Medicaid managed care expanded across the county, safety net providers, such as Community Health Centers (CHCs) and public hospitals, feared that managed care would reduce reimbursements for Medicaid-eligible services, making it more difficult for them to provide care to the un- and under-insured, and result in a loss of Medicaid volume, as beneficiaries would choose to see ...
Community rating, as a basis for premium calculation, is fundamentally different from the usual method of determining insurance premiums, i.e. risk rating. In a risk rated insurance market, an insurer calculates the premium payable by a potential policy holder in order to enter into an insurance contract on the basis of various factors particular to that individual, such as the risk of a claim ...
The Affordable Care Act (ACA) established the health insurance rate review program in order to protect consumers from unreasonable rate increases. [1] Through this program, proposed premium increases in the small group and individual markets that are above a threshold amount (ten percent or more, as of February 2014) are reviewed by states or the federal government to determine whether the ...
In 1965, CHAP was the first to recognize the need and value for accreditation in community-based care. The organization was created as a joint venture between the American Public Health Association and the National League for Nursing (NLN). CHAP became a separately incorporated, non-profit subsidiary of the NLN in 1988, under the CHAP name.
Health insurance coverage is provided by several public and private sources in the United States. Analyzing these statistics is challenging due to multiple survey methods [13] and persons with multiple sources of insurance, such as those with coverage under both an employer plan and Medicaid. [1]
Health Care Choice Act of 2013 H.R. 762: February 15, 2013 Marsha Blackburn (R-TN) 23 Died in committee 114th Congress: Health Care Choice Act of 2015 H.R. 543: January 27, 2015 Marsha Blackburn (R-TN) 18 Died in committee S. 647: March 3, 2015 Ted Cruz (R-TX) 5 Died in committee 115th Congress: Health Care Choice Act of 2017 H.R. 314: January ...