Source: https://www.gninsurance.com/blog/2010-updates/changes-to-the-us-health-care-system-2010-2013/
Timestamp: 2019-02-15 19:55:32
Document Index: 361216635

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Good Neighbor Insurance, Inc (gninsurance.com) is keeping up with the changes in our US health care system and will be, over the course of the next months and years, expanding this section with up-to-date information. Health care overhaul will bring change but it is going to happen slowly. There will be a lot of minor as well as major changes over the course of the next few years with a bulk of these changes happening in 2014 and the last parts being implemented by 2018. However, keep in mind that there will probably be additional regulation(s) coming in the next few years to expand on what has become law this month, March 2010.
* Young adults moving from college to work will be able to stay on their parents’ plans until they turn 26 (starts 9-23-2010).
* Coverage for children with medical conditions will not be declined and will cover all medical conditions (starts October).
* There will be no lifetime dollar limits on insurance policies (starts 9-23-2010).
* State and Federal officials start reviewing premium increases
* Requires plans to cover, at no charge, most preventive care (starts 9-23-2010)
* Medicare payments increase to physicians in primarily rural areas for 2 years
* Medicare cuts to inpatient psych hospital (starting 7-1-2010)
* Increase brand name Rx rebate (from 15.1% to 23.1%)
* Provide income exclusion for specified Indian tribe health benefits provided after 3-23-2010.
* Provide temporary high-risk pool and high-cost union retiree reinsurance for 3 years of $5 billion per year (starting 6-23-2010)
* Tax credits provided to certain small employers for health care-related expenses (starting 2010)
* Americans begin paying premiums for federal long‐term care insurance (CLASS Act)
* Health plans required to spend a minimum of 80% of premiums on medical claims
* Steps towards health insurance administrative simplification (reduced paperwork, etc) begins (5 yr process)
* New tax on all private health insurance policies to pay for comp. eff. research (starts for fiscal 2012)
* No longer allowed to use FSA, HSA, HRA, Archer MSA distributions for over the counter medicines
* Brand name drug companies begin providing 50% discount in the Part D “donut hole”
* $500 billion in Medicare cuts over the next decade
* Wealthier seniors ($85k/$170k) begin paying higher Part D premiums (not indexed for inflation in Parts B/D)
* Prohibition on Medicare payments to new physician‐owned hospitals
* Seniors who hit Part D “donut hole “in 2010 receive $250 check (starts 3/15/11)
* New Medicare cuts to long‐term care hospitals begin (starts 7/1/11)
* Additional Medicare cuts to hospitals and cuts to nursing homes and inpatient rehab facilities begin (starts for fiscal year 2012)
* Medicaid will be expanded to 133% of federal poverty level which in 2010 is currently $29.327 for a family of four.
* Medicaid eligibility will expand to a broader range of income levels reaching an additional 16 million individuals across the country. The Senate bill also requires states to establish state enrollment websites to promote seamless enrollment and to coordinate with state insurance exchanges.
* Hospital pay‐for‐quality program begins (starts fiscal year 2013)
* Medicare to reduce spending by using an HMO like coordinated care model (Accountable Care Organizations)
• New Medicare cuts to inpatient psych hospitals (starts 7-1-2012)
• Medicare cuts to hospitals with high readmission rates begin (starts fiscal year 2013)
• Medicare cuts to hospice begin (starts fiscal year 2013)
* Post- acute pay for quality reporting begins
• Medicare cuts to hospitals who treat low- income seniors begin
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