Prevention Matters

Only one year after the landmark legislation was signed, the Affordable Care Act (ACA) is already improving women’s access to high quality, affordable health care. When the law is fully implemented in 2014, it will signify the greatest leap forward for American women’s health in decades.

New protections for women under the ACA include:

• Improved Access to Affordable Coverage: Under the ACA, adolescents and young adults up to age 26 may now remain on their families’ plans. Due to substantial new tax credits, more small businesses are now offering health care coverage to their employees. And beginning in 2014, expanded Medicaid eligibility means improved access to healthcare coverage for lower income women and families.
• Free Preventive Care: Under the ACA, women receive recommended preventive services without copayments or deductibles. This includes U.S. Preventive Services Task Force A- and B-rated services such as mammograms, screenings for cervical cancer and chlamydia, prenatal care and more.
• The End of Gender-Based Discrimination: Before the ACA, women could be charged higher premiums than men for the same insurance policy. Beginning in 2014, it will be illegal for insurance companies to charge women higher premiums on the basis of gender.
• Being a Woman is No Longer a Pre-Existing Condition: Before the ACA became law, insurers could deny women coverage for “pre-existing conditions” such as pregnancy, Cesarean sections, and breast cancer. Beginning in 2014, insurers cannot deny coverage to anyone based on pre-existing conditions. Already under the ACA, children cannot be denied coverage because of pre-existing conditions.
• The End of Lifetime Limits: Under the ACA, insurance companies cannot place a lifetime limit on the amount of coverage an individual receives. Beginning in 2014, annual limits are banned as well.

For more information about the important rights and benefits the ACA provides for women and their families, see healthcare.gov’s new page on Women and the Affordable Care Act.

The Affordable Care Act (ACA) will celebrate its one year anniversary March 23, 2011. Signed into law last year, the ACA puts into place comprehensive health insurance reforms designed to lower health care costs by enhancing the quality of health for all Americans.

The ACA’s small business provisions focus on finding ways for business owners to reduce their heath care costs by ensuring their employees have access to quality, affordable health insurance.

Small business provisions include:

• Small Businesses with fewer than 25 full time employees may qualify for the business tax credit.
• Employer-based health plans that provide health insurance to retirees aged 55-65 can get financial help through the Early Retiree Reinsurance Program.
• Insurance companies will no longer be able to deny individuals with a pre-existing condition, who may now be eligible to join the Pre-Existing Condition Insurance Plan.
• Employees can receive recommended preventive services like mammograms and flu shots without any additional cost to the employee.
• Insurance companies are prohibited from capping the dollar amount of care an employee can receive in a lifetime, or dropping coverage due to a mistake on your application when you get sick.
• Insurance companies must spend at least 80% of premium dollars on healthcare.

Currently four million small business owners have been able to claim a tax credit up to 35% of their health insurance costs. But tax credits are not the only benefit for small business owners. By 2014, small businesses will be able to increase their buying power through state-based health insurance marketplaces. Employers will be able to identify health insurance plans that better meet their needs. The ACA has allowed small business employers to provide health benefits to their employees.

Throughout this week the Small Business Majority will host a series of roundtables and webinars designed to better understand what the ACA has meant to small businesses. Today, the Secretary of the U.S. Dept of Health and Human Services, Kathleen Sebelius will kick off the series in Ohio. The Secretary will join The Consortium of African American Organizations and the National Policy Director of the Small Business Majority. 

"Best and Worst News for Prevention” is based on a purposive sample consisting of expert staff members who each week choose to share their opinions on the best and worst news for prevention.

BEST

Smokers Urged to Join Thursday's Great American Smokeout

Get ready, get set, quit! Thursday marks the annual Great American Smokeout, sponsored by the American Cancer Society, which urges all smokers to lay off the habit for at least 24 hours. There have been dramatic changes in attitudes about smoking and a large decrease in smoking rates since the Smokeout was first held in 1977. The annual event includes local and nationwide events meant to encourage smokers to quit for at least one day in the hope that they may decide to permanently kick the habit. The Smokeout has helped focus attention on the dangers of tobacco use and contributed to a "cultural revolution" in tobacco control, says the American Cancer Society. Between 1978 and 2009, the percentage of adults who smoke in the United States fell from 34 percent to 21 percent, according to the U.S. Centers for Disease Control and Prevention (CDC).


WORST

Number of Uninsured Rises, Report Says


The number of uninsured adults in the United States continues to rise, with one in four adults under 65 reporting they were without health insurance at some point in the last year, according to a recent report from the federal Centers for Disease Control and Prevention.  About 50 million adults said they were uninsured for at least some time. The report is based on a survey conducted between January and March.


The “Best and Worst” awards are announced each week in “Prevention Matters,” the blog of Partnership for Prevention. "Best and Worst News for Prevention” is based on a purposive sample of expert staff members who each week choose to share their opinions on the best and worst news for prevention. More information is available at http://www.prevent.org/.

"Best and Worst News for Prevention” is based on a purposive sample consisting of expert staff members who each week choose to share their opinions on the best and worst news for prevention.

BEST

Drinking Beet Juice Increases Blood Flow to Brain and May Fight Dementia

Drinking beet juice increases blood flow to the brain in older people, a finding that suggests the dark red vegetable may fight the progression of dementia, a new study shows.

Beet roots contain high concentrations of nitrates, which are converted into nitrites by bacteria in the mouth. And nitrites help open blood vessels in the body, increasing blood flow and oxygen to places lacking in oxygen.


WORST

Many Higher-Income Parents Forgoing Kids' Vaccinations: Report


Vaccination rates for children insured by commercial plans dropped almost four percentage points between 2008 and 2009, even though the rate of children on Medicaid getting vaccinated is rising.

"Rates had been gradually improving in the commercial plans. This was the first time we'd seen a drop -- and it was a pretty big drop," said Sarah Thomas, vice president of public policy and communication for the National Committee for Quality Assurance, which recently released its annual State of Health Care Quality report.


The “Best and Worst” awards are announced each week in “Prevention Matters,” the blog of Partnership for Prevention. "Best and Worst News for Prevention” is based on a purposive sample of expert staff members who each week choose to share their opinions on the best and worst news for prevention. More information is available at http://www.prevent.org/.

The new baby carrot campaign to get people excited about eating their vegetables was named the “Best News for Prevention” while the report showing that five million eligible children in the U.S. are not enrolled in Medicaid or CHIP was named the “Worst News for Prevention.”

BEST

Oh snap! New baby carrot campaign mimics junk food

Baby carrot farmers are launching a campaign that pitches the little, orange, crunchy snacks as daring, fun and naughty — just like junk food.

A group of 50 producers hopes the 'Eat 'Em Like Junk Food' effort starting next week will double the $1 billion market in two or three years.

The goal is to get people to think of baby carrots as a brand they can get excited about — not just a plain, old vegetable. A website, www.babycarrots.com, features metal music and deep male voices chanting "Baby. Carrots. Extreme." On social networking site Twitter, the campaign's account suggests people eat them "like there's no tomorrow (maybe there won't be...)"

WORST

Medical programs missing millions of kids: report


An estimated five million uninsured children in the United States were eligible for Medicaid or the Children's Health Insurance Program (CHIP) but were not enrolled in either plan, according to a new report.

The study published last Friday in the journal "Health Affairs" recommended policy reforms and broader efforts to get uninsured children into government medical programs, including the use of income tax data for automatic enrollment.

An estimated 7.3 million children were uninsured on an average day in 2008 and 65 percent of them were eligible for Medicaid of CHIP coverage, the report said.


The “Best and Worst” awards are announced each week in “Prevention Matters,” the blog of Partnership for Prevention. "Best and Worst News for Prevention” is based on a purposive sample of expert staff members who each week choose to share their opinions on the best and worst news for prevention. More information is available at http://www.prevent.org/.

There’s good news in the health reform law for small businesses that pay at least half the cost of their employees’ health insurance. Beginning this year, businesses with fewer than 25 employees and with average wages under $50,000 can claim a tax credit on their income tax return. Small non-profit organizations also qualify. As an example, an employer with 10 or fewer full-time employees and with average annual wages under $25,000 (not including what the owner makes), will receive a 35% tax credit on the amount the business pays for employees’ health insurance in 2010. An online calculator to estimate savings can be found at http://www.smallbusinessmajority.org/.

This tax credit will be available to small businesses until 2014; when the credit is scheduled to increase and be available from state-based insurance exchanges which will be operating by that time.

Having health insurance makes a difference. On average, people without health insurance are less likely to get preventive care such as immunizations or mammograms, more likely to miss work, and to have worse health outcomes when they do get sick than people with insurance.

Susan K. Maloney
Managing Senior Fellow
Partnership for Prevention