Community Rating Health Care Reform

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What is community rating? healthinsurance.org

(8 days ago) WEBCommunity rating refers to a health insurance pricing system where health insurers can’t charge people within a geographic area higher premiums based on their age, gender, health status, or claims history. Since 2014, the Affordable Care Act has required …

https://www.healthinsurance.org/glossary/community-rating/

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Summary of the Affordable Care Act KFF

(6 days ago) WEBThis document summarizes the comprehensive 2010 health reform law, often called the Affordable Care Act or ACA, including changes made to it by subsequent legislation, with a focus on provisions

https://www.kff.org/affordable-care-act/fact-sheet/summary-of-the-affordable-care-act/

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HHS Announces New Policy to Make Coverage More Accessible …

(3 days ago) WEBNew measures will help consumers compare health insurance plan choices. Today, the Department of Health and Human Services (HHS), through the Centers for Medicare & Medicaid Services (CMS), announced new measures that will allow consumers to more easily find the right form of quality, affordable health care coverage on …

https://www.hhs.gov/about/news/2022/04/28/hhs-announces-new-policy-make-coverage-more-accessible-affordable-for-millions-americans-in-2023.html

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Explaining Health Care Reform: Risk Adjustment, Reinsurance, and …

(9 days ago) WEBThe ACA set national levels for reinsurance funds at $10 billion in 2014, $6 billion in 2015, and $4 billion in 2016. Based on estimates of the number of enrollees, HHS set a uniform reinsurance

https://www.kff.org/affordable-care-act/issue-brief/explaining-health-care-reform-risk-adjustment-reinsurance-and-risk-corridors/

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REFORM: The Edwards Health Plan and the Return of Community …

(2 days ago) WEBCommunity rating, once the hallmark of health insurance in the United States, has been in accelerated decline since the 1980s. For the past few years, a fundamentally opposite notion of insurance

https://www.healthaffairs.org/content/forefront/reform-edwards-health-plan-and-return-community-rating

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A field guide to U.S. healthcare reform: The evolution to

(3 days ago) WEB1. INTRODUCTION. In the United States (U.S.) between 1960 and 2019, healthcare spending as a percentage of U.S. Gross Domestic Product (GDP) grew from 5% to 17.7%, reaching $3.8 trillion dollars in 2019 (Figure 1). 1 Payment reform models have emerged to both control this growing expense and realign how quality, as a return …

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8223464/

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Community rating - Glossary HealthCare.gov

(3 days ago) WEBCommunity rating. A rule that prevents health insurers from varying premiums within a geographic area based on age, gender, health status or other factors. We take your privacy seriously. You can change the settings for each category to choose how we collect and use information while you’re on HealthCare.gov.

https://www.healthcare.gov/glossary/community-rating/

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Community rating - Wikipedia

(6 days ago) WEBCommunity rating. Community rating is a concept usually associated with health insurance, which requires health insurance providers to offer health insurance policies within a given territory at the same price to all persons without medical underwriting, regardless of their health status. Pure community rating prohibits insurance rate

https://en.wikipedia.org/wiki/Community_rating

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Community Rating and Guaranteed Issue in the Individual Health …

(Just Now) WEBCommunity rating prohibits differential premiums based on health status, effectively lowering premiums for individuals in poorer health and increasing them for healthier individuals. Guaranteed issue allows people to purchase coverage when they get sick, decreasing the need to maintain insurance coverage. Healthy individuals respond by …

https://nihcm.org/publications/community-rating-and-guaranteed-issue-in-the-individual-health-insurance-market

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Health Care Reform: Considerations for Risk Adjustment Under …

(Just Now) WEBHealth Care Reform: Considerations for Risk Adjustment Under Community Rating (Letter Report, 09/22/94, GAO/HEHS-94-173). As part of the debate over health care reform, some have

https://www.govinfo.gov/content/pkg/GAOREPORTS-HEHS-94-173/html/GAOREPORTS-HEHS-94-173.htm

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Community Health Centers in an Era of Health Reform: An …

(3 days ago) WEBKFF Headquarters: 185 Berry St., Suite 2000, San Francisco, CA 94107 Phone 650-854-9400 Washington Offices and Barbara Jordan Conference Center: 1330 G Street, NW, Washington, DC 20005 Phone

https://www.kff.org/affordable-care-act/issue-brief/community-health-centers-in-an-era-of-health-reform-overview/

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Age Rating Under Comprehensive Health Care Reform

(1 days ago) WEBand sizes. They compare 5:1 and 2:1 age rating rating to pure community rating and base their simulations on the structure of subsidies and insurance reforms outlined in the House Tri-Committee health care reform bill (H.R. 3200). The analysis focuses largely on those with incomes above 133 percent of the federal poverty level …

https://www.urban.org/sites/default/files/publication/30701/411970-Age-Rating-Under-Comprehensive-Health-Care-Reform-.PDF

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Community Rating And Sustainable Individual Health - Health …

(8 days ago) WEBThe New Jersey Individual Health Coverage Program (IHCP) was implemented in 1993; key provisions included pure community rating and guaranteed issue/renewal of coverage. Despite positive early

https://www.healthaffairs.org/doi/10.1377/hlthaff.23.4.167

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What is “community rating” in healthcare? - Low Cost Health …

(6 days ago) WEBCommunity rating in healthcare is the practice of offering insurance to all members of a class or group on the same terms without discrimination based on individual differences. Community rating spreads risk evenly across the group or class so that all members pay the same premium. The Affordable Care Act uses a form of community …

https://www.lowcosthealthinsurance.com/what-are-community-ratings-in-health-insurance/

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Health Care Reform: Considerations for Risk Adjustment Under …

(Just Now) WEBPursuant to a congressional request, GAO reviewed various issues regarding risk adjustment under health care reform, Considerations for Risk Adjustment Under Community Rating. HEHS-94-173 Published: Sep 22, 1994. Publicly Released: Oct 25, 1994. Jump To: Jump To. Elder Abuse. Services for Older Adults

https://www.gao.gov/products/hehs-94-173

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Missouri's health care reform: the impact of community ratings …

(3 days ago) WEBOne of the hallmarks of Governor Mel Carnahan's state-wide health care reform bill currently before the state legislature is a "community rating" system. The Committee on Science, Technology, and Critical Issues in the House and Representatives voted to send the bill (HB 1622) to the full House for floor debate the first week in April.

https://www.thefreelibrary.com/Missouri's+health+care+reform%3a+the+impact+of+community+ratings+and...-a015443809

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AAMC study examines the impact of health care consolidation in …

(4 days ago) WEBThe top three large-group insurers control an average of 82.2% of the market share in each state, nearly twice the combined average market share of each state’s largest health systems, according to a study about consolidation in health care released May 1 by the Association of American Medical Colleges. "When the market share of an insurer far …

https://www.aha.org/news/headline/2024-05-01-aamc-study-examines-impact-health-care-consolidation-states

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What's health care like in rural America? We're taking a close-up …

(8 days ago) WEBFrom North Dakota, a look at how health care professionals are turning to telemedicine and community education to cope with health care challenges. From Kansas, a look at the Iowa Tribe of Kansas and Nebraska's efforts to improve healthy food access and cultivate food sovereignty to help feed residents of their community, which …

https://www.heart.org/en/news/2024/04/30/whats-health-care-like-in-rural-america-were-taking-a-close-up-look

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Pascrell, NJ Delegation Members, Send Letter to New Jersey

(7 days ago) WEBAs Congress works diligently to pass comprehensive health reform this year, U.S. Rep. Bill Pascrell, Jr. (D-NJ-08) released an open letter he led to New Jersey’s biopharmaceutical and medical technology industry for their commitment to quality health care and for their earnest contributions to reform efforts.

https://pascrell.house.gov/news/documentsingle.aspx?DocumentID=3534

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Health Insurance Market Reforms: Rate Restrictions KFF

(1 days ago) WEBKFF Headquarters: 185 Berry St., Suite 2000, San Francisco, CA 94107 Phone 650-854-9400 Washington Offices and Barbara Jordan Conference Center: 1330 G Street, NW, Washington, DC 20005 Phone

https://www.kff.org/affordable-care-act/fact-sheet/health-insurance-market-reforms-rate-restrictions/

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Health Care Reform: Where Are We Now? Chatham, NJ Patch

(2 days ago) WEBThe author of Don't Buy that Health Insurance: Become an Educated Health Care Consumer, Katherine Woodfield Hermes, will discuss the impact of the Patient Protection and Affordable Care Act on

https://patch.com/new-jersey/chatham/health-care-reform-where-are-we-now

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Healthcare Reform and How It Impacts You - Patch

(2 days ago) WEBCommunity Corner Healthcare Reform and How It Impacts You. Robert P. Baker, Neighbor. Posted Sun, Nov 3, 2013 at 1:49 pm ET. “Healthcare Reform and How It Impacts You.”

https://patch.com/new-jersey/hillsborough/healthcare-reform-and-how-it-impacts-you

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