Health Care Reform Part 1

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Across
  1. 2. exchange participants can choose plans in _____ categories
  2. 3. routine care costs resulting from participation in these approved phase I-IV trials must now be covered for qualified individuals
  3. 5. _________Simplification addresses lowering administrative costs in health care system by simplifying, standardizing, and progressing towards real-time electronic transactions
  4. 8. abbreviation for Summary of Benefits and Coverage; four page double-sided document provided to applicants and enrollees with info on details and coverage examples
  5. 10. abbreviation for the Affordable Care Act
  6. 11. The Federal ______ Limit will be used to determine what individuals may be eligible for premium tax credits
  7. 13. The Affordable _____ Act was signed into law on March 23, 2010; Humana implemented the elimination of pre-ex for children (ages 18 and younger) due to this
  8. 14. the Affordable Care Act expands these types of incentives to up to 30% of total coverage costs (previously 20%)
Down
  1. 1. tax that will be imposed on the value of health insurance benefits exceeding a certain threshold
  2. 3. covered at 100% (in-network) for women’s preventative care; brand names if no generics available
  3. 4. abbreviation for the Department of Health and Human Services, which may designate independent, outside entities to certify and/or audit health plan compliance
  4. 5. exchange plan tiers are categorized by this value
  5. 6. these health plans are issued as blanket accident and sickness policies, which are available to undergraduates, graduates, foreign students, and teaching assistants
  6. 7. _______ subsidies (also known as premium tax credits)
  7. 9. health insurers will be required to utilize the _______ Community Rating so that the community pays the same regardless of health status
  8. 12. The Medical ____ Ratio limits portion of premium dollars health insurers may spend on administration, marketing, and profits