The Financial Consultants' Guide to Healthcare Reform is a comprehensive reference guide interpreting and applying healthcare reform law for consultants, appraisers, accountants, and attorneys. It provides an historical backdrop on how the healthcare system got to it's present state, including the Massachusetts Reform and Medicare Advantage, along with an explanation of the principal types of health insurance in the United States and how "insurance" actually works. A review and explanation of each of the reform provisions follows, including an analysis of what the implications are for providers, consumers and business, and what responses each of these communities might have to the reform.
Using the authors' insights and firsthand experiences in U.S. healthcare finance, The Financial Consultants' Guide to Healthcare Reform explains the healthcare law for individuals and businesses alike, what to expect from it and what actions they need to take to comply.
The Financial Consultants' Guide to Healthcare Reform provides a complete handbook to healthcare reform for financial consultants, both for understanding this important legislation as well as for planning responses to it.
Table of Contents
CHAPTER 1: Introduction
CHAPTER 2: Massachusetts
CHAPTER 3: Insurance Reforms
CHAPTER 4: Medicare Advantage Plans
CHAPTER 5: Medicaid Expansion
CHAPTER 6: Mandates, Subsidies, Penalties . . . and Taxes
CHAPTER 8: Accountable Care Organizations
CHAPTER 9: Healthcare Workforce
CHAPTER 10: Transparency and Program Integrity
CHAPTER 11: Section 340B Expansion
CHAPTER 12: Medical Tort Litigation Demonstration Program
CHAPTER 13: Other Provisions