Answer both questions fully and separately 1. Review your Indivi.docx

Answer both questions fully and separately
1. Review your Individual Development Plan from Topic 3 and
the coaching and mentoring techniques you are considering for
your mentee. How does your plan or your proposed techniques
align with Christian values and principles? Be sure to
specifically define two Christian values or principles in your
response.
2. As a mentor, how will you help to identify key elements you
want your mentee to include in the Individual Development
Plan? Is there a difference between coaching and mentoring
activities? Describe the importance of agreed-upon goals in an
Individual Development Plan. In what ways will you go about
achieving these goals?
Chapter 21
Health Care Reform: The Dismantling of the Affordable Care
Act
Copyright © 2016 Wolters Kluwer Health | Lippincott Williams
& Wilkins
Copyright © 2020 Wolters Kluwer • All Rights Reserved
1
Patient Protection and Affordable Care Act (PPACA)
Commonly known as the Affordable Care Act (ACA) or

Obamacare
The relatively swift passage of the ACA came as a surprise to
many
Over first six years of its implementation, partisan efforts to
revoke it were almost constant
2016 election of Donald Trump as president placed efforts to
repeal and replace ACA became front and center
Why Is Health Care Reform Necessary
Costs are uncontrolled
Access is unequal
Quality health care rankings are poor
Medical errors permeate the system
The Affordable Care Act: Successes #1
Provided the first real hope for Americans of significant
reductions in numbers of uninsured
Provided great access to coverage for those with preexisting
conditions
Mandated health-care insurance provision by employers
Critical strategies for ACA included bundled payments,
accountable care organizations, value-based purchasing, and
medical homes

Businesses with more than 50 employees were required to
provide health insurance or pay a fine
The individual mandate clause of the ACA required individuals
to buy insurance or pay a penalty at tax time
Exemptions to this penalty were implemented in early 2018 (See
Table 21.1)
With repeal of individual insurance mandate, the incentive for
people to purchase health care insurance goes away in 2019
New health insurance marketplaces (exchanges) were created as
part of the ACA
Small businesses became eligible to buy affordable qualified
health benefit plans in this marketplace
All exchange plans were required to provide 10 essential health
benefits (see Box 21.1)
See Box 21.2 for a recap of the successes of the ACA
Question #1
Is the following statement true or false
Under the mandates of the Affordable Care Act, all employers
were required to provide health care coverage to their
employees.

Answer to Question #1
False
Only businesses with more than 50 employees were required to
provide health insurance or pay a fine.
The Affordable Care Act: Failures #1
The ACA was shrouded in confusion and misinformation
Broken promise that people who were satisfied with their
previous coverage could remain on their plan
Consumers felt enrollment periods were too limited and the
website was too complicated
Costs were often prohibitive for both the government and
consumers
Despite the implementation of the ACA, the cost of health care
insurance was out of reach for many
The Affordable Care Act: Failures #2
The staggering cost of federal subsidies to insurers, and uneven
allocation of their use was a concern
More Americans opposed the law than favored it by 2016
See Box 21.3 for a summary of ACA failures

Legislative Efforts to Reform a Broken Health care System #1
Multiple bills to repeal and replace the ACA were introduced
into the House or Senate in 2017 without legislative consensus
(see Table 21.1)
Common theme was a reduction in mandates for individuals and
businesses to buy or provide health insurance and defunding of
government subsidies for vulnerable populations like the elderly
or poor.
Every stakeholder organization weighed in to oppose repeal
Legislative Efforts to Reform a Broken Health care System #2
The outcome of legislative efforts were highly partisan
Republicans tried to pass legislation to repeal portions of the
ACA
Democrats unanimously held the line in opposition
The Medicaid program will be a prime target for reform in 2018
Deficit concerns created by the 2017 tax plan are influencing
reform efforts
Question #2
Which of the following agencies will be a prime target for
reform in 2018?
A. Medicare
B. Medicaid
C. CHIP
D. Social Security Administration

B
The Medicaid program, which is projected to account for
approximately $385 billion of federal spending in 2017, will be
a prime target for reform in 2018.
President Trump’s Incremental Dismantling of the ACA #1
President Trump has been successful in undermining what is left
of the ACA by:
Cutting the 2018 open-enrollment period to half that of 2017
Cutting advertising by 90%
Reducing navigator funding by 40%
Closing the federal marketplace for maintenance several hours
each week during open enrollment
Barring regional office staff members from cooperating in
enrollment efforts
of the ACA by:
Issuing an executive order endorsing approaches to siphoning
off health individuals from the ACA market

Cutting of reimbursements to insurers to cover cost-sharing
reductions for low-income individuals
Expanding access to association health plans
Easing restrictions on short-term health plans
Limiting consolidation within the insurance and hospital
industries
of the ACA by:
Increasing competition and choices in health care
Making cuts to the 340B Medicare drug discount program in
2017
Signing into law the Tax Cuts and Jobs Act passed by Congress
What’s Ahead? #1
It appears that some things will stay the same:
Every county will have an insurer in their ACA marketplace in
2018
Health care consumers will still be able to sign up on the
federal exchange or their state marketplaces
Subsidies will be available to help lower premiums or reduce
deductibles and copays
If qualified consumers will be able to shop and compare
coverage options
As of May 1, 2018, the uninsured rate remained at 9.1%

What’s Ahead? #2
It appears that some things will change:
Young, healthy individuals should mean lower costs and the
elimination of the individual mandate penalty
Healthy individuals would be eligible to purchase short-term
association plans that would cost less but not guarantee
unlimited annual or lifetime benefits
Health costs will rise for consumers with chronic illnesses
Cost will skyrocket for seniors who lose Medicaid coverage
What’s Ahead? #3
It appears that some things will change:
Fewer people will be enrolled in the health care exchanges in
2018
Premiums for the benchmark silver health exchange plan in
2018 will soar 37% on average
Increases will occur in the gold plan as well though at a lower
level
Question #3
Is the following statement true or false?
Under Trump’s health care reform plan, if you have a chronic
illness, you will most likely pay more for health care insurance.

True
Under Trump’s health care reform plan, if you have a chronic
illness, your costs will rise because you will have to rely on the
ACA plans on the exchanges. As health customers leave those
plans, the companies will raise prices to remain profitable,
resulting in rising health care cost nationally.
End of Presentation

Answer both questions fully and separately 1. Review your Indivi.docx

More Related Content

Similar to Answer both questions fully and separately 1. Review your Indivi.docx (19)

More from festockton (20)

Recently uploaded (20)

Answer both questions fully and separately 1. Review your Indivi.docx