AFFORDABLE CARE ACT The ACA has dramatically changed that picture. The ACA provides greater access to SUD treatment through major coverage expansions, regulatory changes requiring coverage of SUD treatments in existing insurance plans, and requirements for SUD treatments to be offered on par with medical and surgical procedures.
What are the pros and cons of the Affordable Care Act?
Dec 31, 2016 · How the Affordable Care Act Has Hurt Addiction Treatment Out-of-pocket expense – For 2017, the limit for an individual is $7150, and for a family, it is a thousand $ $14,300. Shortage of experienced service providers – The increase in the number of people with access to drug or alcohol rehab... ...
What are the future implications with the Affordable Care Act?
Aug 30, 2013 · The Affordable Care Act and Addiction Treatment The ACA has ten elements of what is considered to be essential health benefits, and substance abuse and addiction treatment is one. This means that, starting in 2014, all health insurance that is sold on Health Insurance Exchanges or as provided by Medicaid to eligible Americans must offer services for …
What are the major problems with the Affordable Care Act?
The Affordable Care Act—better known as “Obamacare”—has been controversial since it became law. But regardless of whatever your political beliefs may be, most addicts are affected by the provisions of this law. The Affordable Care Act prohibits insurance providers from denying coverage to people with pre-existing conditions.
What was the impact of the Affordable Care Act?
Sep 06, 2018 · Using data from the Behavioral Risk Factor Surveillance System, we examine the causal impact of the Affordable Care Act on health-related outcomes after 3 years. We estimate difference-in-difference-in-differences models that exploit variation in treatment intensity from 2 sources: (1) local area prereform uninsured rates from 2013 and (2) state participation in the …
How does ACA affect patient care?
How does the ACA help patients?
Does the ACA Mean Addiction Treatment is Always Affordable?
One of the biggest criticisms of the Affordable Care Act is that even though it requires insurance providers to cover all illnesses, it does not have to do so at a price point that all patients can afford.
Will the ACA be Repealed Under President Trump?
Whether you love it or hate it, the Affordable Care Act was one of President Obama’s most significant actions in office. The Republican party has long criticized the ACA, in particular the individual mandate requiring every person to have insurance or face fines.
Which states have expanded Medicaid?
Pennsylvania, Indiana, and Alaska expanded Medicaid in January, February, and September of 2015, respectively. Montana and Louisiana expanded Medicaid in January and July of 2016, respectively. States are classified as part of the Medicaid expansion treatment group beginning the month/year of their expansion.
Why is BRFSS important?
The BRFSS is a commonly used data source in the ACA literature because it includes a number of questions related to health care access and self-assessed health. In addition, it is large enough to precisely estimate the effects of state policy interventions, with over 300 000 observations per year.
How did the ACA affect mental health?
Through a survey of the literature, we investigated the impact of these reforms: 1 Coverage. People with mental health conditions were more likely to have insurance as a result of the ACA. One study found that Medicaid expansion was associated with greater coverage improvements among low-income adults with depression; another showed improvements in states that had expanded as well as those that did not (but lower uninsured rates in expansion states). Studies also have shown increased coverage for young adults with mental health conditions and increased mental health benefits in individual and small-group plans. 2 Access. Access has improved for mental health patients, with studies showing increased treatment and decreased unmet mental health needs because of cost. One study found that living in a Medicaid expansion state was associated with a greater decline in cost-related access problems for low-income adults with depression; multiple studies have shown improved overall access for lower-income adult populations in Medicaid expansion states. The dependent coverage provision has generally been associated with greater mental health access improvements for young adults.
How did the ACA address mental health issues?
The ACA addressed these problems by pairing coverage expansions with access to mental health care. Efforts to expand coverage, including allowing young people to stay on parents’ plans until age 26 and expanding the Medicaid program, led to a drop in the number of uninsured to 30.4 million by 2018.
How much money does mental health spend?
Annual U.S. mental health spending is more than $200 billion. A decade after passage, there is ample evidence the Affordable Care Act (ACA) significantly increased insurance coverage in ...
What is the MHPAEA?
Leading up to the ACA, the Mental Health Parity Act of 1996 and the Mental Health Parity and Addiction Equity Act of 2008 (MHPAEA) required all large-group employer insurance plans to cover mental health services at the same level as medical and surgical services, if they offered them.
Does Medicaid expansion affect depression?
One study found that living in a Medicaid expansion state was associated with a greater decline in cost-related access problems for low-income adults with depression; multiple studies have shown improved overall access for lower-income adult populations in Medicaid expansion states.
What is parity in mental health?
This is known as “parity,” and means that there cannot be greater cost-sharing or other limitations for mental health services. However, those parity laws did not apply to individual and small-group plans and underwriting protections through HIPAA were insufficient, as were state laws.
What does the ACA cover?
The ACA expands access to health care in general, and as part of that expansion, insurances must cover a wider variety of services. A qualified health insurance plan—that is, a plan certified to be sold on the Health Insurance Marketplace— must cover ten essential benefits.
What is the ACA?
The ACA expands access to health care in general, and as part of that expansion, insurances must cover a wider variety of services. A qualified health insurance plan—that is, a plan certified to be sold on the Health Insurance Marketplace— must cover ten essential benefits. These benefits include mental health care and substance abuse treatment as well as rehabilitation and habilitation services.
Why are OTs important?
Because most of the diseases plaguing the US are preventable (e.g., diabetes, obesity, and heart disease), the overall approach to health care is shifting toward prevention and population health improvement. Public health initiatives incorporate a broad view on what makes a population healthy. OT fits nicely into this framework, as it promotes healthy routines, prevention, and safety. Thus, OTs will play a key role in public health initiatives such as: 1 Fall prevention 2 Heart disease and stroke prevention 3 Nutrition and physical activity education aimed at obesity reduction 4 Workplace wellness programs
What is a qualified health insurance plan?
A qualified health insurance plan—that is, a plan certified to be sold on the Health Insurance Marketplace — must cover ten essential benefits. These benefits include mental health care and substance abuse treatment as well as rehabilitation and habilitation services.
How effective is OT delivery?
In the future, OT delivery will be more efficient and effective than it is under the traditional direct (i.e., one-to-one) model. The ACA promotes more team-based, collaborative care. Enter: accountable care organizations and medical homes, which are designed to reduce costs and improve care coordination. Because primary care providers and OTs share similar treatment approaches, pilot programs for these models have placed OTs in primary care physicians’ offices. To serve in these roles, some OTs will become generalists. In line with the rollout of these types of care delivery models, coaching and educational strategies for improving patient health literacy will become crucial, and OTs are well positioned to fulfill that need.
What is CMMI in healthcare?
The ACA-created Center for Medicare and Medicaid Innovation (CMMI) is piloting the Independence at Home project and lauding the importance of the once-popular house call. As part of those efforts, primary care teams are seeing people with chronic conditions in their homes as well as making early referrals to OT.
Who is Veda Collmer?
Veda Collmer is the General Counsel for Phoenix Spine and Joint. Prior to this position, she served as the in-house counsel and Chief Compliance Officer for WebPT, a leading provider in health information technology (HIT) software for outpatient rehabilitation therapy providers.
