California Medicaid & Medicare Under ACA Reform

This course provides an in-depth examination of the Affordable Care Act's (ACA) impact on Medicare and Medicaid, focusing on reforms and policy adjustments aimed at improving efficiency and quality in healthcare. It covers the key changes in Medicare, including payment adjustments linked to quality outcomes, as well as modifications to Medicaid aimed at expanding access and enhancing service delivery. The course also includes essential legal and procedural updates that affect healthcare professionals working within the Medicare and Medicaid frameworks, particularly in areas such as hospital value-based purchasing and physician reporting systems.

The relevance of this course to insurance professionals lies in its comprehensive analysis of healthcare reforms that directly affect health insurance products and services. By understanding the ACA's impact on Medicaid and Medicare, participants will enhance their technical competence, enabling them to navigate regulatory changes and offer informed guidance on healthcare policies and products. This is particularly crucial for licensed professionals in insurance who deal with healthcare plans, as it ensures they remain compliant and proficient in the evolving landscape of government-sponsored health programs.

The topics include:

• MEDICARE AND MEDICARE ADVANTAGE PLANS
• IMPROVING THE QUALITY AND EFFICIENCY OF HEALTH CARE
• Transforming the Health Care Delivery System
• Improving Medicare for Patients and Providers
• Provisions Relating to Part C
• Medicare Part D Improvements for Prescription Drug Plans and MA-PD Plans
• Ensuring Medicare Sustainability
• Health Care Quality Improvements
• Protecting and Improving Guaranteed Medicare Benefits