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Health care reform: A simple explanation, updated - 0 views

  • The Senate bill does not require employers to offer insurance, but it does impose taxes on employers if they don't offer insurance and their employees qualify for new health insurance tax credits.
  • regulate the exchanges so that insurance companies couldn't discriminate against people with pre-existing conditions, or charge wildly different amounts for similar coverage.
  • Insurers would have to cover preventive care, and they wouldn't be able to cut off coverage unfairly or set annual limits on benefits.
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  • expands eligibility for insurance programs like Medicaid and the state Children's Health Insurance Program. All poor people would qualify for Medicaid.
  • People who don't buy insurance would have to pay a penalty on their taxes. Under the Senate bill, the share of legal nonelderly residents with insurance coverage is expected to rise from about 83 percent currently to about 94 percent.
  • promote standardized electronic health records
  • A comparative effectiveness research center would conduct and publish scientific research to find which treatments are the most effective.
  • the new rules aim to pay doctors for good patient outcomes instead of paying them per procedure, also called "fee-for-service."
  • For the large group market, the CBO found that rates would either stay the same or decline slightly. For the small group market, rates would essentially stay the same as well. The individual market is a more complicated story
  • Covering millions of people who are now uninsured would cost billions more per year.
  • Critics say the Democratic plans would lead to health care rationing.
  • The public option is an insurance plan run by the government that individuals can choose over private insurance.
  • The more generous the benefits, the higher the costs.
  • The House measure put more restrictions on how insurers could offer coverage for abortion services.
  • the CBO warns that it's very difficult to put dollar figures on many of these things, because of the size of the health care industry and the inherent unpredictability of major policy changes over many years.
  • It's good to keep in mind that when it comes to health care reform, no one has a crystal ball.
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    From Politifact. A basic explanation.
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