Improving the patient protection and affordable care Act's insurance coverage provisions

A position paper from the American College of Physicians

Health and Public Policy Committee of the American College of Physicians

Research output: Contribution to journalArticle

Abstract

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.

Original languageEnglish (US)
Pages (from-to)651-653
Number of pages3
JournalAnnals of internal medicine
Volume170
Issue number9
DOIs
StatePublished - Jan 1 2019

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Patient Protection and Affordable Care Act
Insurance Coverage
Health Insurance
Cost Sharing
Medicaid
Insurance
Physicians
Health Insurance Exchanges
Universal Coverage
Preexisting Condition Coverage
Taxes
Insurance Benefits
Delivery of Health Care
Education

ASJC Scopus subject areas

  • Internal Medicine

Cite this

Improving the patient protection and affordable care Act's insurance coverage provisions : A position paper from the American College of Physicians. / Health and Public Policy Committee of the American College of Physicians.

In: Annals of internal medicine, Vol. 170, No. 9, 01.01.2019, p. 651-653.

Research output: Contribution to journalArticle

Health and Public Policy Committee of the American College of Physicians. / Improving the patient protection and affordable care Act's insurance coverage provisions : A position paper from the American College of Physicians. In: Annals of internal medicine. 2019 ; Vol. 170, No. 9. pp. 651-653.
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