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US Policy (ACA (Title V Healthcare Workforce
This title deals with health…
US Policy
ACA
Title V Healthcare Workforce
This title deals with health care workforce and the upcoming challenges of physician shortage and how to allocate resources efficiently.
Title VI Transparency and Program Integrity
This title deals with fraud, waste, and abuse in the healthcare system. The goal is to make healthcare more efficient and transparent and of course, reduce fraud.
Title IV Prevention of Chronic Disease and Improving Public Health
This title was tasked to create a system that came up with public health policies that would prevent people from getting sick.
Title VII Innovative Medical Therapies
This title has created the opportunity for the FDA to approve biopharmaceutical drugs called biosimilars (what generic drugs are to prescription drugs).
Title III Improving Quality and Efficiency
This title was designed to make changes to Medicare program. It is a significant title, in that it lowers the cost of the program and changes the way the Medicare program delivers care.
Title VIII Community Living Assistance Services & Support.
This title built on the American Disabilities Act but Congress repealed it in 2013.
Title II Role of Public Programs
The policies in Title II were aimed at reforming the Medicaid program. It was intended to be a revolution. However, the US supreme court (in 2012) ruled that the Medicaid expansions would be optional for the states.
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Title I Quality Affordable Coverage
This title is all about private health insurance. Title I was implemented on January 1, 2014.
Title X Strengthening Healthcare for All Americans
This title includes all the changes to Titles 1-9. Remember the House passed the ACA bill as is to get it passed through the Senate. This title deals with all the changes that they wanted to make initially but if they were done individually it would’ve taken years to pass because of the political friction at the time.
Quality & Cost
ACO, Accountable Care Organization, Medicare only
PCMH, Patient Centered Medical Home
Penalties/rewards for valued based care (readmissions, quality reporting, etc..)
PCORI, Patient Centered Outcomes Research Institute
Access (before/after)
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Other: (Mandate, elimination of preexisting conditions ban, increased young adult coverage, etc..)
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