The use of carbamazepine in the management of patients with acute mania is supported by a number of studies, which have found it similar in effectiveness to lithium. The literature also supports the use of carbamazepine for long-term prophylaxis of bipolar disorder, particularly for rapid cyclers.
In the United States, health insurance marketplaces, also called health exchanges, are organizations set up to facilitate the purchase of health insurance in each state in accordance with Patient Protection and Affordable Care Act (ACA, known colloquially as Obamacare).
The ACA play-or-pay penalties are lower than the cost of providing health benefits, and low-wage workers could use the ACAâs new premium tax credits to buy insurance in the individual market. Some people believe that many employers will stop offering coverage and pay the penalties.any firms are already contributing much more than $3,000 per worker for health coverage and would have little reason to modify their arrangements to avoid the penalty. However, there are exceptions: in 2010, the average total premium for single coverage was $5,049, and employers contributed an average 81 per-cent.