Clinical Preventive Services Coverage and the Affordable Care Act.
Friday, February 13, 2015
Posted by: Natalia Gromov
More than 100 000 additional lives could be saved if more people received recommended preventive care. The Affordable Care Act (ACA) requires many health plans to provide in-network coverage for certain recommended clinical preventive services, along with prevention-only office visits, without charging copays or deductible payments. This requirement provides an opportunity to affect population health by increasing the uptake of lifesaving services. Providers, insurers, and public health agencies can work together to ensure that people know what preventive care they need and which services are free. However, achieving these
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aims is complicated and merits a more thorough understanding of the coverage without copay or deductible requirement for preventive care. This article talk more about organizations providing guidelines, role of private health plans, Medicare, Medicaid, and implementation of coverage requirements.