Question

1).What are the key features/ purposes of the following:

a). HMO Act

b). Employee Retirement Incomes Security Act

c). Consolidated Omnibus Reconciliation Act

d). Balanced Budget Act

e). Stabilization Act

f). Medicare Modernization Act

g). McCarran-Ferguson Act

h). Healthcare Effectiveness Data and Information Set

i). Health Insurance Portability Accountability Act

2). What were the pros and cons of utilization management in the 1970s-1980s?

3). What are the benefit levels of the ACA?

4). What organization manages medicare, what organization manages medicaid?

Answer 1

1)The health maintanence organization act 1973 was the act that was formulated by the United States.

The main purpose if this act is to promote and encourage the development of health maintenance organization.

It involves providing health care at a affordable cost that will help ensure quality health services.

2) the employee retirement income security act of 1974.

It is defined as a federal United States tax and labor law that may help enable pension scheme to worker's.

This may help provide standards of conduct for plan Fiduciaries.

May also help provide remedies for access to federal court.

3) the stabilization act was brought about in 1942

Was also called "an act to amend the emergency price control act of 1942.

The main purpose was to prevent inflation and hence brought about economic stabilization.

4) Balance budget act-

The balance budget act came into being in 1997 it was a omnibus legislative package by the United Nations.

The act also included

The multifamily assisted housing reform and affordability act of 1997.

The veterians reconciliation act of 1997.

The welfare reform act of 1997.

5) the modernization act also known as the medicare prescription drug, improvement and modernization act was enacted jn 2003 by the United States.

It ensures inpatient care services and and post acute care services.

Also covers drugs used during care.

Funding may also be provided through pay roll taxes and with the help of beneficiary cost sharing.

Also includes medical insurance like physician and Nonphysician service, ambulatory surgical centers, laboratory services, orthotics, prosthetics etc.

6) the mccarran f.erguson act was passed on 1945.

It exempt the business of insurance from most federal legislation.