ALL Hands on Deck, WE CAN Action Plan for Preparedness
May 28, 2013
MILWAUKEE -- The Patient Protection and Affordable Care Act (PPACA), insurance plans offered THROUGH the Federally-Assisted Exchanges is ran on behalf of the state and is that "state's exchange". The Federally-Assisted Exchange is the default if a state fails to select either a "State Exchange" (state-ran) or Partnership Exchange" (state and federally ran).
Wisconsin is a Federally-Assisted Exchange.
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Therefore, Wisconsinites' implementation will be conducted by the federal Housing and Human services department. The insurance plans will call for coverage of the individual and small group markets and the exchange services are required to cover health benefits and services under the "Essential Health Benefits/EHB". The Wisconsin exchange plans must be comprehensive and affordable through "required Benchmarks" by the first quarter of 2012. Since Governor Scott Walker chose to not participate and legislation was not put in place timely, the state of Wisconsin is lacking with mandated benchmarks not as could be. How will individuals, families and businesses know what THE ARRAY of plans should offer? This is a question going forward that is crucial for address.
What will the Essential Health Benefits/EHB include? The EHB plans are:
- Basic Health plan
- Medicaid Expansion
- Catastrophic
- Bronze
- Silver
- Gold
- Platinum
The EHB plans must include the following 10 categories. They are:
- Ambulatory Patient Services
- Emergency Services
- Hospitalization
- Maternity and Newborn
- Mental Health and substance use disorder services; including behavioral health treatment
- Prescription Drugs
- Rehabilitative and Habilitative services and devices
- Laboratory services
- Preventative and Wellness services and Chronic disease management
- Pediatric Services - including oral and vision care
Preparedness - Decision making knowledge for the customer/beneficiaries is a huge challenge but it is durable.
We do not know if the challenge will be less or more for the federal Health and Human service department. We do know, we are at the half way point for 2013 (6 months before FULL implementation) and 4 months from October 1, 2013 - selection of Insurance.
Challenge of Preparedness
Sixty-eight (68) million Americans are expected to enroll in plans subject to Essential Health Benefits/EHB.
The challenge of informing over 5 million Wisconsinites increased with the divisiveness during the Presidential Election and posturing by Governor Walker and others at the level of state legislators.
With this expanded coverage (PPACA) mandated and expected October 1, 2013 and January 1, 2014, our initial findings of the basic information known about the PPACA by our state senators and state representatives is just too lacking to feel that Wisconsin, especially urban populations such as Milwaukee and rural way is out of the cross-hairs of HARM'S way.
Milwaukee Professionals Association LLC has taken the slogan: Premier "For-profit" Affordable Health Care LLC supporter with an Action plan initiative.
The Action Plan initiative is called: All Hands on Deck, WE CAN.
On August 2-4, 2013, in the city of Milwaukee, MPA LLC will host the 2013 Affordable Health Care Extravaganza Inside Summit and Outside Fair.
Stay tuned June 1, 2013.
Stay tuned June 1, 2013.
