Highrisk pools are private selffunded health insurance plans

High-risk pools are private, self-funded health insurance plans organized by state to serve high-risk individuals who meet enrollment criteria and do not have access to group insurance. In most states, they are independent entities governed by their own boards and administrators, but in some states they function as part of the state\'s department of insurance. The Affordable Care Act eliminated exclusions for pre-existing conditions and provided coverage to individuals, thus, eliminating the need for high risk pools. As of December 2014, most states have eliminated the high risk pools that serviced high risk patients. Questions: 1. How does this flexibility in choices benefit high risk patients? 2. Will these changes affect the financial stability of some states? Why or why not?

Solution

Questions: 1. How does this flexibility in choices benefit high risk patients?

ACA expands the affordability, superiority and accessibility of healthcare and health insurance through consumer regulations, taxes, subsidies, exchange, and various other reforms. This policy will support the issue by prohibiting the insurance companies from denying the coverage and charge the more based on the health status of individual. The policy will impart affordable healthcare to everyone and impose strict restrictions on the insurance companies to drop out in the case of sickness of the individual or in the case of fair disclosure of the honest mistakes made in the application form.

            It will also help in preventing the prevailing gender discrimination and also impose restrictions on the insurance companies to make unjustified hikes in the rate of interest of the insurance. ACA also helps in enabling the right to make a rapid appeal in case of decisions made by insurance companies. The policy will expand the insurance coverage to more than 10 millions of people and subsidized the cost of health insurance through the marketplaces of health insurances. This policy will benefit the high risk patients.

2. Will these changes affect the financial stability of some states? Why or why not?

The policy will also expand the Medicaid to millions in states and allows the states to choose so as to expand the program of healthcare and also helps in availing the benefit of tax breaks for small businesses. The policy will require the large business to compulsorily insure their employees and made it compulsory to for all the insurers to cover all those people with the pre-existing conditions and making it easier for kids and improving the Medicare for the seniors.

            The policy will cover the minimum benefits of the policy and limits the cost sharing of the healthcare amongst the healthcare providers and also includes ten essential benefits including the preventive care and services with exceptional benefits and birth control for free and covering the emergency scenario and room visits to avail the network services of healthcare and making it affordable and accessible.