1) Part of the ACA was creation of the health insurance marketplace. Describe what the health insurance marketplace? How does it work? What are the four level of insurance available? Who is eligible to buy insurance on the marketplace? Does the individual pay the full cost of the insurance premium or does the government subsidize the cost? How many people obtain insurance on the exchange? (15 points)

2) As we discussed in class, the ACA expanded Medicaid coverage. The ACA originally intended to expand coverage in all 50 states, but that did not happen. Why not? Discuss the Supreme Court ruling on Medicaid expansion. What was their ruling? How many states have expanded Medicaid? Has Michigan expanded Medicaid? How many people in the U.S. gained health insurance coverage due to the ACA’s expansion? (15 points)

3) Select any two additional elements of the ACA that interest you. Describe these aspects of the ACA in detail. What did they do? Who did they impact? For each element of the ACA you select be detailed and specific in your response. (20 points)


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