&quot;Obamacare&quot;: Die US-Gesundheitsreform im föderalen Mehrebenensystem der USA

Dr. Miriam Roth

doi:10.5771/9783845288673

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Bibliographic data

Edition: 1/2018
Copyright Year: 2018
ISBN-Print: 978-3-8487-4637-8
ISBN-Online: 978-3-8452-8867-3
Publisher: Nomos, Baden-Baden
Series: Schriften zum Sozialrecht
Volume: 43
Language: German
Pages: 236
Product Type: Monograph

Titelei/Inhaltsverzeichnis No access Pages 1 - 12
1. A. „Health Care Reform, at Last“ No access
2. B. Gang der Untersuchung No access
3. C. Quellen No access
1. 1. I. Verfassungsrechtliche Grundlagen No access
  2. 1. 1. Der New Deal No access
    2. 2. Die Einführung von Medicare und Medicaid No access
    3. 1. a) Das Scheitern der Reformvorhaben Nixons, Kennedys und Clintons No access
      2. aa) ERISA (1974) No access
        bb) HIPAA (1996) No access
2. 1. 1. 1. a) Betriebliche Krankenversicherungen No access
      2. b) Individualversicherungen No access
      3. aa) Indemnitätsversicherung No access
        bb) Managed Care No access
        cc) Health Saving Accounts No access
    2. 1. aa) Part A No access
        bb) Part B No access
        cc) Part C (Medicare Advantage) No access
        dd) Part D No access
      2. aa) Anspruchsberechtigung No access
        bb) Finanzierung No access
        cc) Leistungsinhalt No access
        dd) Leistungserbringung und -vergütung No access
        ee) Section 1115 waiver No access
      3. c) CHIP No access
      4. d) Sonstige staatliche Versicherungsprogramme No access
  2. 1. 1. Kostenexplosion No access
    2. 2. Unterdurchschnittliche Leistungsfähigkeit und Effizienz No access
    3. 3. Hohe Zahl an un- und unterversicherten Personen No access
1. 1. 1. 1. Die wichtigsten Gesetzesvorschläge No access
    2. 1. a) Der Streit um die public option No access
      2. b) Die republikanische „Politik der Angst“ No access
  2. 1. 1. Der Patient Protection and Affordable Care Act No access
    2. 2. Der Health Care and Education Affordability Reconciliation Act No access
2. 1. 1. 1. Für Einzelpersonen: Das individual mandate No access
    2. 2. Für Arbeitgeber: Das employer mandate No access
  2. 1. 1. Neue Versichertenschutzvorschriften No access
    2. 2. Prämienkalkulation und -erhöhung No access
    3. 3. Der neue obligatorische Leistungskatalog (essential health benefits) No access
    4. 4. Ausnahmen No access
  3. 1. 1. Individual und SHOP Exchanges: Online-Marktplätze für Einzelpersonen und Kleinunternehmen No access
    2. 1. a) Prämienzuschüsse No access
      2. b) Zuschüsse zur Reduzierung von Kostenbeteiligungen No access
  4. 1. 1. Medicare No access
    2. 1. a) Die Erweiterung des Medicaid-Programms No access
      2. b) Alternative Leistungspakete für Neuversicherte (alternative benefit plans) No access
    3. 3. CHIP No access
  5. 1. 1. a) Das Modell des Value-Based Purchasing No access
      2. b) Das Bundled-Payment-Modell No access
    2. 1. a) Accountable Care Organizations No access
      2. b) Förderung der hausärztlichen Versorgung No access
    3. 3. Neue Forschungseinrichtungen No access
  6. VI. Finanzierung No access
1. 1. I. Die Krankenversicherungspflicht No access
  2. 1. 1. Unzulässiger Zwang No access
    2. 2. Das erforderliche Abhilfemittel (the remedy) No access
2. 1. 1. 1. Die Schaffung verschiedener Marktplatzmodelle No access
    2. 1. a) Aufsicht und Verwaltung No access
      2. b) Zugang zu den Online-Marktplätzen No access
      3. c) Förderung der Teilnahme von Versicherern No access
      4. d) Sicherstellung der Eigenfinanzierbarkeit No access
    3. 3. King v. Burwell No access
  2. 1. 1. Die Implementierung der Versicherungsmarktreformen No access
    2. 1. a) Prämienkalkulierung No access
      2. b) Festlegung der essential health benefits No access
  3. 1. 1. Die Situation nach NFIB v. Sebelius No access
    2. 2. Derzeitiger Stand No access
    3. 3. Alternative Medicaid-Erweiterungen No access
3. C. Ergebnis No access
1. A. Anzahl der Versicherten No access
2. B. Erschwinglichkeit des Versicherungsschutzes No access
3. C. Entwicklung der Gesundheitsausgaben No access
4. D. Ausblick: ACA is here to stay? No access
Teil VI: Zusammenfassung der Ergebnisse No access Pages 216 - 222
Literaturverzeichnis No access Pages 223 - 236

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