Insurance exchange marketplace: implications for emergency medicine practice.

The Patient Protection and Affordable Care Act of 2010 requires states to establish healthcareinsurance exchanges by 2014 to facilitate the purchase of qualified health plans. States are required toestablish exchanges for small businesses and individuals. A federally operated exchange will beestabli...

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Publicado en:Western Journal of Emergency Medicine: Integrating Emergency Care with Population Health Vol. 13; no. 2; pp. 169 - 172
Autor principal: Rankey, David S
Formato: Journal Article
Publicado: Western Journal of Emergency Medicine: Integrating Emergency Care with Population Health 2012 May
Acceso en línea:Ver este registro en EBSCOhost
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      pub: Western Journal of Emergency Medicine: Integrating Emergency Care with Population Health
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        atl: Insurance exchange marketplace: implications for emergency medicine practice.
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        au: Rankey, David S
        affil: Providence Regional Medical Center Everett, Department of Emergency Medicine, Seattle, Washington
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        subj:
          Emergency Medicine
          Insurance, Health Methods
          Health Care Reform Legislation and Jurisprudence
          United States
      ab: The Patient Protection and Affordable Care Act of 2010 requires states to establish healthcareinsurance exchanges by 2014 to facilitate the purchase of qualified health plans. States are required toestablish exchanges for small businesses and individuals. A federally operated exchange will beestablished, and states failing to participate in any other exchanges will be mandated to join the federalexchange. Policymakers and health economists believe that exchanges will improve healthcare atlower cost by promoting competition among insurers and by reducing burdensome transaction costs.Consumers will no longer be isolated from monthly insurance premium costs. Exchanges will increasethe number of patients insured with more cost-conscious managed care and high-deductible plans.These insurance plan models have historically undervalued emergency medical services, while alsounderinsuring patients and limiting their healthcare system access to the emergency department. Thisparadoxically increases demand for emergency services while decreasing supply. The continualdevaluation of emergency medical services by insurance payers will result in inadequate distribution ofresources to emergency care, resulting in further emergency department closures, increases inemergency department crowding, and the demise of acute care services provided to families andcommunities.
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      doctype: Journal Article
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    language: English
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