Department of Health Policy and Management, Rollins School of Public Health, Emory University, Atlanta, GA 30322, USA.
Cancer J. 2010 Nov-Dec;16(6):584-7. doi: 10.1097/PPO.0b013e3181ff3156.
The Affordable Care Act (ACA) HR 4972 (Public Law 111-148 and 111-152) contains a broad sweeping set of health care reforms that will move our country toward universal insurance coverage, change how Medicare and Medicaid pay for services, and infuse a new focus on wellness and care coordination into our previously reactive health care system. Each of these reforms will have important implications for patients with cancer, both those who have been diagnosed as well as those who have yet to be diagnosed. This article provides a brief overview of how some of the key changes included in the ACA will affect Medicare patients and those dually eligible for the Medicaid program. We focus on Medicare in particular because individuals 65 years or older make up only 12% of the U.S. population, but account for more than half of all cancer patients. The ACA will also have important impacts for cancer patients without health insurance-nearly 10% of all cancer patients-as we move toward universal coverage that does not discriminate against individuals with pre-existing conditions. Changes in the ACA that will affect access to and payment for cancer care among Medicare and dually eligible patients are outlined in this article.
平价医疗法案（ACA）HR 4972（公法 111-148 和 111-152）包含了一系列广泛的医疗改革，这些改革将使我们的国家朝着普及保险覆盖的方向发展，改变医疗保险和医疗补助计划为服务付费的方式，并为我们以前被动的医疗体系注入新的健康和护理协调重点。这些改革中的每一项都将对癌症患者产生重要影响，包括已经被诊断和尚未被诊断的患者。本文简要概述了 ACA 中包含的一些关键变化将如何影响医疗保险患者和同时有资格参加医疗补助计划的患者。我们特别关注医疗保险，因为 65 岁或以上的人仅占美国人口的 12%，但占所有癌症患者的一半以上。随着我们朝着不歧视有既往疾病的个人的全民保险覆盖迈进，ACA 也将对没有医疗保险的癌症患者产生重要影响——几乎所有癌症患者的 10%。本文概述了 ACA 中的变化将如何影响医疗保险和双重合格患者获得和支付癌症护理的情况。
