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This report summarizes analysis in which the COMPARE microsimulation model was used to estimate how several potential changes to the Affordable Care Act, including eliminating the individual mandate and eliminating the law's tax-credit subsidies, might affect 2015 individual market premiums and overall insurance coverage. The report also presents estimate how changes in young adult enrollment might affect 2015 individual market premiums.

Health care reform -- Legislation & jurisprudence. --- Insurance, Health -- Economics. --- Models, Economic.

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Health insurance --- Excise tax --- Taxation --- Internal revenue --- Taxation of articles of consumption --- Health plans, Prepaid --- Insurance, Health --- Medical care, Prepaid --- Medical insurance --- Prepaid health plans --- Prepaid medical care --- Sickness insurance --- Insurance --- Ambulance service --- Health care reform --- Home care services --- Hospitals --- Medically uninsured persons --- Surgical clinics --- Prospective payment --- Emergency services --- Outpatient services --- Rehabilitation services

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"Focuses on demonstration projects and health centers in New York City in the interwar years. One of the clear strengths of the movement was its acknowledged dependence on nurses - especially public health nurses - to visit family after family, neighborhood after neighborhood, school after school, and church after church to encourage the adoption of healthier lifestyles, preventive physical exams, well child care, and routine dental care. Their work established the norms of primary care now practiced in today's primary care centers. But their work was highly labor intensive and depended on the breakdown of disciplinary boundaries among nurses, physicians, and social workers that had been painstakingly created in the decades before the War. This almost happened - until the ravages of the Great Depression of the 1930s forced retrenchments that stifled continued innovation. Nursing with a Message explores the day-to-day processes involved in the coming together and moving apart of different organizations, disciplinary interests, knowledge domains, and spheres of public and private responsibilities involved in caring for those in need at the point of delivery of service. More specifically, it uses the public health nurses involved in New York City health demonstration projects as a case study of disciplinary tensions inherent in projects with multiple constituents and invested in multiple, and sometimes contradictory outcomes. It shows how one central public health discipline searched for better ways to care for the people it served even as it attended to its own advancement, place, and power in a very complicated space of ideas, practice, action, and actors. But the prerogatives of gender, class, race, and disciplinary interests shaped their implementation"-- "Mandated by the Affordable Care Act, public health demonstration projects have been touted as an innovative solution to the nation's health care crisis. Yet, such projects actually have a long but little-known history, dating back to the 1920s. This groundbreaking new book reveals the key role that these local health programs--and the nurses who ran them--influenced how Americans perceived both their personal health choices and the well-being of their communities.Nursing with a Message transports readers to New York City in the 1920s and 1930s, charting the rise and fall of two community health centers, in the neighborhoods of East Harlem and Bellevue-Yorkville. Award-winning historian Patricia D'Antonio examines the day-to-day operations of these clinics, as well as the community outreach work done by nurses who visited schools, churches, and homes encouraging neighborhood residents to adopt healthier lifestyles, engage with preventive physical exams, and see to the health of their preschool children. As she reveals, these programs relied upon an often-contentious and fragile alliance between various healthcare providers, educators, social workers, and funding agencies, both public and private. Assessing both the successes and failures of these public health demonstration projects, D'Antonio also traces their legacy in shaping both the best and worst elements of today's primary care system"--

SCIENCE / History. --- MEDICAL / History. --- SOCIAL SCIENCE / Human Services. --- MEDICAL / Nursing / General. --- MEDICAL / Public Health. --- Public health nursing --- Community health nursing --- Industrial nursing --- Nursing --- Community nursing --- Community health services --- nurse, nursing, healthcare, health care, medicine, medical, medical history, public health, affordable care act, obamacare, community health center, free clinic, medical clinic, primary care, insurance, health.

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Health care reform --- Health insurance --- Health plans, Prepaid --- Insurance, Health --- Medical care, Prepaid --- Medical insurance --- Prepaid health plans --- Prepaid medical care --- Sickness insurance --- Insurance --- Ambulance service --- Home care services --- Hospitals --- Medically uninsured persons --- Surgical clinics --- Health reform --- Health system reform --- Healthcare reform --- Medical care reform --- Reform of health care delivery --- Reform of medical care delivery --- Medical policy --- Economic aspects --- Costs. --- Prospective payment --- Emergency services --- Outpatient services --- Rehabilitation services --- United States.

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This work provides an overview of special payments that Medicare has been making to rural hospitals and physicians, including documentation of the supply of providers, trends in payments, and Medicare costs per beneficiary.

Medicare. --- Rural Health Services. --- Rural hospitals. --- Rural hospitals - Prospective payment. --- Rural hospitals --- Medicare --- Rural health services --- Health Services --- Insurance, Health --- Delivery of Health Care --- Regional Health Planning --- Medical Assistance --- Legislation as Topic --- Financing, Organized --- Costs and Cost Analysis --- Health Services Needs and Demand --- Rural Health Services --- Health Care Costs --- Medically Underserved Area --- Insurance, Health, Reimbursement --- Economics --- Health Planning --- Insurance --- Health Care Quality, Access, and Evaluation --- Public Assistance --- Health Care Facilities, Manpower, and Services --- Social Control, Formal --- Health Care Economics and Organizations --- Health Care --- Financing, Government --- Public Health --- Medical Care Plans --- Health & Biological Sciences --- Prospective payment --- Cost control --- Government Financing --- Federal Aid --- Financing, Public --- Grants and Subsidies, Government --- Hill-Burton Act --- Subsidies, Government --- Act, Hill-Burton --- Aid, Federal --- Aids, Federal --- Federal Aids --- Government Subsidies --- Government Subsidy --- Hill Burton Act --- Public Financing --- Subsidy, Government --- Community-Based Distribution --- Contraceptive Distribution --- Delivery of Healthcare --- Dental Care Delivery --- Distribution, Non-Clinical --- Distribution, Nonclinical --- Distributional Activities --- Healthcare --- Healthcare Delivery --- Healthcare Systems --- Non-Clinical Distribution --- Nonclinical Distribution --- Delivery of Dental Care --- Health Care Delivery --- Health Care Systems --- Activities, Distributional --- Activity, Distributional --- Care, Health --- Community Based Distribution --- Community-Based Distributions --- Contraceptive Distributions --- Deliveries, Healthcare --- Delivery, Dental Care --- Delivery, Health Care --- Delivery, Healthcare --- Distribution, Community-Based --- Distribution, Contraceptive --- Distribution, Non Clinical --- Distributional Activity --- Distributions, Community-Based --- Distributions, Contraceptive --- Distributions, Non-Clinical --- Distributions, Nonclinical --- Health Care System --- Healthcare Deliveries --- Healthcare System --- Non Clinical Distribution --- Non-Clinical Distributions --- Nonclinical Distributions --- System, Health Care --- System, Healthcare --- Systems, Health Care --- Systems, Healthcare --- Healthcare Economics and Organizations --- Regulation --- Social Control --- Control, Social --- Controls, Social --- Formal Social Control --- Formal Social Controls --- Regulations --- Social Controls --- Healthcare Facilities, Manpower, and Services --- Assistance, Public --- Healthcare Quality, Access, and Evaluation --- Indemnity --- Insurance Premiums --- Insurance Premium --- Premium, Insurance --- Premiums, Insurance --- PL93-641 --- Public Law 93-641 --- Health and Welfare Planning --- National Health Planning and Resources Development Act of 1974 --- Planning, Health and Welfare --- State Health Planning, United States --- Planning, Health --- Public Law 93 641 --- Capital --- Conditions, Economic --- Consumption --- Cost of Living --- Easterlin Hypothesis --- Economic Conditions --- Economic Factors --- Economic Policies --- Economic Policy --- Economics, Home --- Factors, Economic --- Home Economics --- Household Consumption --- Macroeconomic Factors --- Microeconomic Factors --- Policies, Economic --- Policy, Economic --- Production --- Remittances --- Utility Theory --- Consumer Price Index --- Condition, Economic --- Consumer Price Indices --- Consumption, Household --- Economic Condition --- Economic Factor --- Factor, Economic --- Factor, Macroeconomic --- Factor, Microeconomic --- Factors, Macroeconomic --- Factors, Microeconomic --- Household Consumptions --- Hypothesis, Easterlin --- Index, Consumer Price --- Indices, Consumer Price --- Living Cost --- Living Costs --- Remittance --- Theories, Utility --- Theory, Utility --- Utility Theories --- Third-Party Payers --- Health Insurance Reimbursement --- Reimbursement, Health Insurance --- Third-Party Payments --- Health Insurance Reimbursements --- Insurance Reimbursement, Health --- Insurance Reimbursements, Health --- Payer, Third-Party --- Payers, Third-Party --- Payment, Third-Party --- Payments, Third-Party --- Reimbursements, Health Insurance --- Third Party Payers --- Third Party Payments --- Third-Party Payer --- Third-Party Payment --- Area, Medically Underserved --- Health Service Corps, National --- National Health Service Corps --- Physician Shortage Area --- Area, Physician Shortage --- Areas, Medically Underserved --- Areas, Physician Shortage --- Medically Underserved Areas --- Physician Shortage Areas --- Shortage Area, Physician --- Shortage Areas, Physician --- Underserved Area, Medically --- Underserved Areas, Medically --- Costs, Medical Care --- Health Costs --- Healthcare Costs --- Medical Care Costs --- Treatment Costs --- Cost, Health --- Cost, Health Care --- Cost, Healthcare --- Cost, Medical Care --- Cost, Treatment --- Costs, Health --- Costs, Health Care --- Costs, Healthcare --- Costs, Treatment --- Health Care Cost --- Health Cost --- Healthcare Cost --- Medical Care Cost --- Treatment Cost --- Health Services, Rural --- Rural Health Center --- Services, Rural Health --- Center, Rural Health --- Centers, Rural Health --- Health Center, Rural --- Health Centers, Rural --- Health Service, Rural --- Rural Health Centers --- Rural Health Service --- Service, Rural Health --- Health Insurance for Aged, Disabled, Title 18 --- Health Insurance for Aged, Title 18 --- Health Insurance for Aged and Disabled, Title 18 --- Insurance, Health, for Aged and Disabled --- Health Services Needs --- Needs --- Needs and Demand, Health Services --- Target Population --- Health Services Need --- Need, Health Services --- Needs, Health Services --- Population, Target --- Populations, Target --- Target Populations --- Analysis, Cost --- Cost --- Cost Analysis --- Cost Comparison --- Cost Measures --- Cost-Minimization Analysis --- Costs and Cost Analyses --- Costs, Cost Analysis --- Pricing --- Analyses, Cost --- Analyses, Cost-Minimization --- Analysis, Cost-Minimization --- Comparison, Cost --- Comparisons, Cost --- Cost Analyses --- Cost Comparisons --- Cost Measure --- Cost Minimization Analysis --- Cost, Cost Analysis --- Cost-Minimization Analyses --- Costs --- Measure, Cost --- Measures, Cost --- Community Financing --- Grants --- Organized Financing --- Financing, Community --- Grant --- Constitutional Amendments --- Laws and Statutes --- Legislation, Health --- Model Legislation --- Population Law --- Statutes and Laws --- Health Legislation --- Amendment, Constitutional --- Amendments, Constitutional --- Constitutional Amendment --- Law, Population --- Laws, Population --- Legislation, Model --- Population Laws --- Assistance, Medical --- Review, Appropriateness --- Annual Implementation Plans --- Appropriateness Review --- Areawide Planning --- Comprehensive Health Planning --- Annual Implementation Plan --- Appropriateness Reviews --- Health Planning, Comprehensive --- Health Planning, Regional --- Implementation Plan, Annual --- Implementation Plans, Annual --- Plan, Annual Implementation --- Planning, Areawide --- Planning, Comprehensive Health --- Planning, Regional Health --- Plans, Annual Implementation --- Reviews, Appropriateness --- Group Health Insurance --- Health Insurance --- Health Insurance, Voluntary --- Health Insurance, Group --- Insurance, Group Health --- Insurance, Voluntary Health --- Voluntary Health Insurance --- Services, Health --- Health Service --- Service, Health --- Medical services, Rural --- Rural medical services --- Medicare rural hospital prospective payment --- Payment, Rural hospital prospective --- PPS (Medical care) --- Prospective payment, Rural hospital --- Prospective reimbursement, Rural hospital --- Reimbursement, Rural hospital prospective --- Public Policy --- Planning Techniques --- Health Expenditures --- Suburban Health Services --- Health Care Sector --- Health Legislation as Topic --- Community health services --- Medical care --- Medicine, Rural --- Regional medical programs --- Rural health --- Health insurance --- Older people --- Medicaid --- Medigap --- Hospitalization insurance --- Rates --- Medically Underserved Population --- Medically Underserved Populations --- Population, Medically Underserved --- Populations, Medically Underserved --- Underserved Population, Medically --- Underserved Populations, Medically --- Affordability --- Affordabilities --- Health Care Costs. --- Medically Underserved Area. --- Insurance, Health, Reimbursement. --- economics. --- United States.