| Case Access1: Uninsured and Unable to Breath |
The case of Maria Gonzalez, a 45-year-old with asthma, highlights many important issues regarding health insurance status and access to care:
1. Demographics of the uninsured
2. Determinants of insurance status
3. Medical and financial consequences of being uninsured
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| Case Access2: A Smoking Lung: Medicare and the Elderly |
The case of Greg Lantos, a 67 year old man with insurance coverage by Medicare, a government health insurance program for the elderly or disabled, introduces us to the following topics:
1. Eligibility and enrollment
2. Coverage under Part A and Part B
3. Gaps in coverage
4. Impact of rising costs on patients, government, and providers |
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| Case Access3: Ms. Patterson’s Pills: Prescription Drug Costs and the Medicare Prescription Drug Benefit |
The case of Ms. Patterson illustrates several concepts important to understanding the interaction of insurance and finances in the health of America’s elderly:
1. Financial barriers to care and their effect on the elderly
2. Structure and costs of Medicare’s prescription drug coverage
3. Low-income drug assistance for the elderly under Medicare
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| Case Access4: A Recipe for Trouble? Navigating the Private Health Insurance Market |
The case of David Zinn introduces several topics related to health insurance markets and individuals seeking private coverage:
1. Basic forms of health insurance
2. Group, employer-sponsored, and individual health plans
3. COBRA, HIPAA, and pre-existing condition exclusions
4. High risk pools
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| Case Access5: The ABC's of Managed Care |
| This issue brief looks in more detail at managed care and some of the issues that arose in the case of David Zinn, in Access Case IV, as he navigated the private insurance market. The ABC's of Managed Care covers HMOs, PPOs, POS plans, and other forms of managed care. |
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