TY - JOUR
T1 - Improving the patient protection and affordable care Act's insurance coverage provisions
T2 - A position paper from the American College of Physicians
AU - Health and Public Policy Committee of the American College of Physicians
AU - Crowley, Ryan A.
AU - Bornstein, Sue S.
AU - Carney, Jan K.
AU - Cooney, Thomas G.
AU - Engel, Lee S.
AU - Gantzer, Heather E.
AU - Henry, Tracey L.
AU - Lenchus, Joshua D.
AU - McCandless, Bridget M.
AU - Southworth, Molly B.
AU - Syed, Fatima
AU - Valdrighi, Alexandria
AU - Quinton, Jacob
AU - Wallace, Mary Anderson
N1 - Publisher Copyright:
© 2019 American College of Physicians
PY - 2019
Y1 - 2019
N2 - The coverage reforms of the Patient Protection and Affordable Care Act have fundamentally changed the U.S. health care system. The law's health insurance regulations, which include protections for persons with preexisting conditions, have made health insurance more accessible. The premium tax credit and cost-sharing subsidies have made nongroup coverage more affordable. The essential health benefit package and coverage for preventive services without cost sharing have made insurance more comprehensive. Perhaps most important, the Medicaid expansion extended coverage to millions of low-income adults. Despite these gains, more needs to be done to bring the United States closer to achieving universal coverage. In this position paper, the American College of Physicians recommends action to enhance and expand eligibility for health insurance financial subsidies; stabilize health insurance marketplaces; provide sustained funding for outreach, education, and enrollment assistance activities; test and implement a mechanism to encourage enrollment; expand Medicaid in all states; and establish a public insurance option to increase competition.
AB - The coverage reforms of the Patient Protection and Affordable Care Act have fundamentally changed the U.S. health care system. The law's health insurance regulations, which include protections for persons with preexisting conditions, have made health insurance more accessible. The premium tax credit and cost-sharing subsidies have made nongroup coverage more affordable. The essential health benefit package and coverage for preventive services without cost sharing have made insurance more comprehensive. Perhaps most important, the Medicaid expansion extended coverage to millions of low-income adults. Despite these gains, more needs to be done to bring the United States closer to achieving universal coverage. In this position paper, the American College of Physicians recommends action to enhance and expand eligibility for health insurance financial subsidies; stabilize health insurance marketplaces; provide sustained funding for outreach, education, and enrollment assistance activities; test and implement a mechanism to encourage enrollment; expand Medicaid in all states; and establish a public insurance option to increase competition.
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U2 - 10.7326/M18-3401
DO - 10.7326/M18-3401
M3 - Article
C2 - 30986852
AN - SCOPUS:85066324312
SN - 0003-4819
VL - 170
SP - 651
EP - 653
JO - Annals of internal medicine
JF - Annals of internal medicine
IS - 9
ER -