ACA
The year the ACA was enacted.
2010
True or False: Medicaid is funded by the federal and state government.
True
True of False: Medicare only covers U.S. citizens and permanent residents aged 65 and older who paid into Medicare for at least 10 years
False: Individuals under 65 who have been receiving Social Security Disability Insurance (SSDI) for at least 24 months & End Stage Renal Disease & Amyotrophic Lateral Sclerosis (ALS)
True or False: Marketplaces are facilitated only at the state level.
False
True of False: Dual-eligibility is offered for Medicare & Medicaid
True
Name one major goal of the ACA
-expand health insurance coverage
-protect patients against insurance company abuses
-improve quality and outcomes
-reduce overall healthcare spending
The ACA expanded Medicaid to all adults under 65 with incomes up to what percent of Federal Poverty Level (FPL)
138%
Part A is also known as
Hospital Insurance
The plan with the lowest premiums, highest out-of-pocket costs (60% coverage)
Bronze
This insurance covers children up to 19 in families with incomes too high for Medicaid but too low for private insurance.
Children's Health Insurance Program (CHIP)
The requirement for individuals to maintain health insurance coverage or face a tax penalty.
Individual Mandate
New policy proposals require “able-bodied adults without dependents” to do this
work (Medicaid Work Requirements)
The year Medicare was signed into law
1965
Cost-sharing reductions are offered on this type of plan
Silver
Name one consumer protection through the ACA marketplace exchanges
•No denial for pre-existing conditions
•Essential Health Benefits required (10 categories)
•Preventive services with no cost-sharing
•Limits on out-of-pocket spending
The extended age children can stay on their parent's plan
26
The number of states (currently) that have adopted Medicaid expansion.
41 states + D.C. have adopted expansion; 9 states have not
Gap in prescription drug coverage in which beneficiaries paid a higher portion of their drug costs
Medicare Part D Donut Hole
This 2021 act dramatically lowered the cost of health insurance plans for many individuals and families by increasing and expanding premium subsidies.
The American Rescue Plan Act (ARPA)
This 2022 act extended marketplace subsidies through 2025
Inflation Reduction Act (IRA)
Name one ACA controversy
•Political opposition and repeal attempts
•Concerns over rising premiums in some markets
•Burden on small businesses
•Legal challenges (e.g., individual mandate, Medicaid expansion)
The category of Medicaid beneficiaries that produce the highest expenditures
People with disabilities
Offered by private insurers, includes Parts A and B, often Part D and extra benefits (e.g., vision, dental, hearing)
Part C – Medicare Advantage Plans
Name one outreach strategy used by state-based markertplaces
•Increased advertising (TV, radio, print, digital).
•More funding for enrollment assisters.
•Extended enrollment periods beyond federal deadlines.
•Messaging that emphasized affordability & encouraged people to "look again.“
•Cultural & linguistic tailoring to reach diverse communities.
•Data-driven outreach (zip codes, demographics with high uninsured rates).
-Partnerships with providers, state agencies, and community organizations
Children