This series explains what Accountable Care Organizations (ACOs) are and discusses how to build ACOs that meet patient needs, improve quality, and reduce health care costs.
This post was originally featured on the HHS Center for Faith-Based and Neighborhood Partnerships blog:
Where do you go when you need help fighting a denied insurance claim, filling out an insurance application, or even just finding affordable insurance? State consumer assistance programs help the public with these health care issues and more, from finding the right insurance plan to learning about their legal rights under federal and state law.
¡Basta ya! Changing the Frame from Sex and Stigma to Health and Safety
Written with Lydia Mitts
By Erinn Ackley - Red Lodge, Montana
Inclusion of a fair and expeditious appeals process that holds health insurance plans accountable is a very important component of the Affordable Care Act. In 2006, my father struggled through his insurer's appeal process in order to receive his prescribed treatment, a potentially lifesaving bone marrow transplant. Up until his doctor requested approval for the transplant, my father's insurer had freely covered all of his pre-treatment tests (including those to find his donor) and treatments.
This series explains the new preventive care and wellness benefits in Medicare and explores how advocates can help Medicare beneficiaries take advantage of the new benefits.
Amid the many tragic stories of Americans struggling with health care costs, one Alabama family's situation exemplifies the undeniable need for health reform. The Richmond family has a 13-year-old daughter who is battling leukemia at USA Children's & Women's Hospital in Mobile, Alabama. Because the family is uninsured, they struggle to pay the escalating medical expenses.
Thanks to the Affordable Care Act, come August 1, 2012, many insurance plans will be required to cover contraception as part of women's preventive care - meaning no more co-pays or deductibles. This is welcome news to many women paying monthly co-pays for their contraceptives and especially for those on insurance plans that don't cover them at all.
On February 25, 2007, seventh grader Deamonte Driver died from what many would have considered a simple toothache. Deamonte died because an abscess in his tooth was not treated, and the infection spread to his brain. This tragedy sparked the media's attention and national outrage at the state of our oral health care. As a homeless child whose Medicaid coverage had lapsed, he was especially vulnerable. If he had had basic dental coverage, and his infected tooth had been removed, he could have been saved.
Advocates in New York recently celebrated a huge victory for health care consumers. Their efforts resulted in the public disclosure of insurer filings for all premium rate increases, guaranteeing greater transparency for consumers. New York advocates faced many challenges along the way, but ultimately their perseverance and resourcefulness led to this tremendous achievement.