Healthcare Policy and Law

Running head: Healthcare Policy and Law 1
Healthcare Policy and Law
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Healthcare Policy and Law 2
Healthcare Policy and Law
The plan that I would use to purchase health insurance for the company is the point-of-
service plan (POS). POS health insurance plan is a hybrid of health maintenance organization
(HOME) and preferred provider organizations (PPO). Just like in HMO, patients are allowed to
visit an in-network physician as their primary provider. However, just like in PPO, the patients
have the right to go outside of the provider network for health care services (Brice, Kimberly &
Woodard, 2017). Other than that, venturing outside the network will force the patients to pay
most of the cost, except when the main care provider has made a referral to the out-of-network
provider. This type of plan is vital to the employee’s lifestyle and health because the services
provided by the primary doctor are not subjected to deductible and the preventive care benefits
are also included. On the other hand, the plan is flexible because the patients can easily visit any
specialist and those using outpatient medical services can also benefit (Brice, Kimberly &
Woodard, 2017). Other than that, employees may get health service anywhere and still gain
medical coverage.
The federal care reform law also known as the Affordable Care Act (ACA) is that it is
meant to increase the number of the Americans who are covered by health insurance. It does this
by creating health insurance exchanges that are the new markets for purchasing insurance
(Moran, 2014). Additionally, it imposes fines on some employers that do not provide coverage
and to people who do not have the private or public insurance. Besides, ACA requires almost all
the Americans to obtain health insurance. It requires that most of the employees should get
covered through their employers; hence, has developed a system of penalties and subsidies to
make that possible (Moran, 2014). On the other hand, ACA has got some of the advantages and
disadvantages to the small companies that have purchased health insurance to their employees.