Читать книгу The Legacy of Obama's Achievements - U.S. Government - Страница 10

 Established financial assistance to help individuals and families who otherwise cannot afford health coverage purchase it through state and federal marketplaces

 Created a tax credit for small businesses that provide health coverage to their employees

 Prohibited charging more for women to receive coverage

 Prohibited charging more for people at risk – those who have pre-existing conditions, work in high-risk jobs, or have family histories of health problems – and prevented excessive charges for older Americans

 Required health insurers to provide consumers with rebates if the amount they spend on health benefits and quality of care, as opposed to advertising and marketing, is too low

 Instituted an annual review process to prevent health plans from imposing excessive and unreasonable rate increases

 Allowed employer health plans to provide incentives for workers related to wellness programs

 Eliminated out-of-pocket costs for preventive services like immunizations, certain cancer screenings, contraception, obesity screening and counseling, and behavioral assessments for children

 Phases out the “donut hole” coverage gap for Medicare prescription drug coverage to save Medicare beneficiaries money

 Expanded competitive bidding in Medicare to lower costs for durable medical equipment such as wheelchairs and hospital beds

 Created new Medicare payment and delivery models to pay for the value rather than the volume of services provided, as well as the new Centers for Medicare & Medicaid Innovation to promote improvement in health care quality and costs through the development and testing of innovative health care payment and service delivery models

 Created Accountable Care Organizations consisting of doctors and other health-care providers who commit to improve the quality and reduce the cost of patient care and get to share in savings from keeping patients well

 Ensured Medicare Advantage plans are paid accurately and required plans to spend at least 85 percent of Medicare revenue on patient care, while enrollment has grown by over 60 percent and average premiums have dropped by 13 percent since passage of the Affordable Care Act.

 Reduced drug costs through increased Medicaid rebates, expanded discount programs, and established a new system for approval of more affordable versions of biologic drugs