This activity is appropriate for physicians in all specialties. Content may also be valuable to practice managers, consultants, or other professionals with an interest in trending issues related to U.S. health care.
Goals and Objectives
The Affordable Care Act (ACA) established new rules for health insurance that allows individuals to purchase coverage through health insurance exchanges regardless of any pre-existing condition. The ACA also imposed new requirements for covered benefits that apply to all health insurance (including coverage offered by employers), standards for premiums, and provided subsidies for low-income enrollees purchasing on the exchanges. After several years of very steep increases in premiums, exchange enrollment has stabilized and premium increases are expected to be moderate absent significant changes in federal policy. However, many people who previously purchased their own insurance but are not eligible for subsidies have been squeezed out of the market because of the cost of premiums and high deductibles. Recent actions by the Administration to expand the use of short-term plans and health reimbursement arrangements could become important alternatives to exchange coverage that is now available. Providers are likely to find a broader range of insurance arrangements than they have seen in the past, and should be aware of the limitations and cost consequences that some of their patients will be facing. This activity will discuss the evolution of the health insurance exchanges, recent policy developments that affect the non-group insurance market, and the outlook for future policy changes that could affect the way care is financed. Upon completion of the activity, learners should be better prepared to:
- Describe the opportunities and challenges of expanding health coverage through the ACA's exchanges.
- Examine alternatives to exchange coverage, including their advantages and disadvantages.
- Identify future policy changes that could affect exchange coverage and the likelihood of legislative or regulatory changes in the next two years.
CME Release Date: April 22, 2019
Valid for credit through: April 22, 2020
Course type: Video lecture
This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of Southern Medical Association and Auburn University’s Raymond J. Harbert College of Business. The Southern Medical Association is accredited by the ACCME to provide continuing medical education for physicians.
AMA PRA Category 1 Credits™
Southern Medical Association designates this enduring material for a maximum of 1 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
ABIM MOC: Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to 1 Medical Knowledge MOC points in the American Board of Internal Medicine's (ABIM) Maintenance of Certification (MOC) program. Participants will earn MOC points equivalent to the amount of CME credits claimed for the activity. It is the CME activity provider's responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit.
To receive CME credit and/or MOC points, you MUST complete the activity and the evaluation form. For ABIM MOC points, your information will be shared with the ABIM through the ACCME Program and Activity Reporting System (PARS). Please allow 6-8 weeks for your MOC points to appear on your ABIM records.
AAPA: AAPA accepts certificates of participation for educational activities certified for AMA PRA Category 1 Credit™ from organizations accredited by ACCME or a recognized state medical society. Physician assistants may receive a maximum of 1 hours of Category I credit for completing this activity.
AANPCP: The American Academy of Nurse Practitioners Certification Program (AANPCP) accepts AMA PRA Category 1 Credit™ from organizations accredited by the ACCME.
For information on applicability and acceptance of continuing education credit for this activity, please consult your professional licensing board. All healthcare professionals who are not MDs or DOs will receive a certificate of participation.
Instructions for Participation and Credit
To successfully earn credit, participants must complete the activity online during the valid credit period noted, following these steps:
- Read the goals and objectives, accreditation information, and author disclosures.
- View the educational video of the lecture.
- Study the educational references.
- Online, choose the best answer to each test question. Learners must receive a passing score of 80%.
- Complete the activity evaluation and outcomes.
Upon successful completion of the test, evaluation and attestation, your certificate will be processed and emailed from email@example.com within approximately 1 hour. Credits will be archived for 6 years; at any point within this time period you may login to your account to print a duplicate copy of your certificate.
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Disclosure of Relevant Financial Relationships
As an organization accredited by the ACCME, Southern Medical Association requires everyone who is in a position to control the content of an education activity to disclose all relevant financial relationships with any commercial interest. The ACCME defines "relevant financial relationships" as financial relationships in any amount, occurring within the past 12 months, including financial relationships of a spouse or life partner that could create a conflict of interest.
Southern Medical Association encourages Speakers/Authors to identify investigational products or off-label uses of products regulated by the US Food and Drug Administration, at first mention and where appropriate in the content.
Joseph Antos, PhD, is the Wilson H. Taylor Scholar in Health Care and Retirement Policy at the American Enterprise Institute (AEI) and adjunct associate professor of emergency medicine at the George Washington University. He is the Vice-Chair of the Maryland Health Services Cost Review Commission, where he is serving a third term as a commissioner. Prior to joining AEI, he was assistant director for Health and Human Resources at the Congressional Budget Office, and he held senior positions in the US Department of Health and Human Services, the Office of
Management and Budget, and the President’s Council of Economic Advisers. He also has extensive experience as an adviser to the US Agency for International Development, the World Bank, and governments in Europe and Asia. Antos has written, lectured, and testified before Congress on the economics of health policy, including Medicare and broader health system reform, health care financing, health insurance regulation, and the uninsured. He earned his PhD in economics from the University of Rochester.
The following individuals have stated that they have no relevant financial relationships occurring within the past 12 months to disclose.
Joseph Antos, PhD
Dianne B. Love, PhD
Waldon Garriss, III, MD, MACP
Jennifer Price, MA
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