Health Insurance: Requirements, Challenges, and Regulations

Wayne M. Matthews (Editor)

Series: Health Care in Transition
BISAC: HEA028000

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$195.00

Volume 10

Issue 1

Volume 2

Volume 3

Special issue: Resilience in breaking the cycle of children’s environmental health disparities
Edited by I Leslie Rubin, Robert J Geller, Abby Mutic, Benjamin A Gitterman, Nathan Mutic, Wayne Garfinkel, Claire D Coles, Kurt Martinuzzi, and Joav Merrick

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Since January 1, 2014, most individuals have had to maintain health insurance coverage or pay a penalty for noncompliance implemented through the Internal Revenue Code (IRC). To comply with this individual mandate, individuals need to maintain minimum essential coverage, which includes most types of public and private health insurance coverage. A majority of Americans have health insurance from the private health insurance (PHI) market. Health plans sold in the PHI market must comply with requirements at both the state and federal levels; such requirements often are referred to as market reforms. During the Obama Administration, the two federal agencies primarily responsible for administering the private health insurance provisions in the Affordable Care Act (ACA)—the Centers for Medicare & Medicaid Services (CMS) within the Department of Health and Human Services (HHS), and the Internal Revenue Service (IRS) within the Treasury Department—took a series of actions to delay, extend, or otherwise modify the law’s implementation.
(Imprint: SNOVA)

Preface

Chapter 1. Federal Requirements on Private Health Insurance Plans
Bernadette Fernandez, Vanessa C. Forsberg and Ryan J. Rosso

Chapter 2. Consumer Protections in Private Health Insurance for Individuals with Preexisting Health Conditions
Bernadette Fernandez

Chapter 3. Health Insurance Exchanges: HHS Should Enhance Its Management of Open Enrollment Performance

Chapter 4. Implementing the Affordable Care Act: Delays, Extensions, and Other Administrative Actions Taken by the Obama Administration
C. Stephen Redhead and Janet Kinzer

Chapter 5. The Patient Protection and Affordable Care Act’s (ACA’s) Risk Adjustment Program: Frequently Asked Questions
Katherine M. Kehres

Chapter 6. The Individual Mandate for Health Insurance Coverage: In Brief
Annie L. Mach

Chapter 7. Comparison of the Bills to Extend State Children’s Health Insurance Program (CHIP) Funding
Alison Mitchell, Evelyne P. Baumrucker, Agata Dabrowska, Patricia A. Davis, Susannah V. Gopalan and Amanda K. Sarata

Index

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