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Healthcare Reform - March 2010

The following information has been derived from articles found on the web site published by the Committee on Education and Labor.  Their web site is entitled:

Affordable Health Care for America: Reconciliation Bill      (link to their web site)

Please navigate to their web site for more complete information.

  • Implementation Timeline Highlights

    2010 - Changes to Pre-Existing Condition Limits, Small Business Tax Credits, Prohibit Recessions, Extend Dependent Coverage, Crack Down of Fraud, Part D “Donut Hole” Changes, Indoor Tanning Tax, ...

    2011 - Bring Down Cost of Health Insurance, Increase Reimbursements for Primary Care, Improve Quality and Efficiency, Expand Primary Care Workforce, Report Health Insurance Benefits on W-2, Changes to Definition of Qualified Medical Expenses, Cafeteria Plan Changes, Drug Company Fees, ....

    2012 - Encourage Integrated Health Systems, Link Payment to Quality Outcomes, Reduce Avoidable Hospital Readmissions

    2013 - Medicaid Payments Equal to Medicare Payments for Primary Care, Encourage Provider Collaboration, Eliminate Employer Part D Subsidy, Increase Threshold for Itemized Medical Deductions, Additional Hospital Tax for High Wage Earners, Limiting Executive Compensation

    2014 - Reform Health Insurance Regulations, Eliminate Annual Limits, Establish Health Insurance Exchanges, Provide Health Care Tax Credits, Individual Penalties Begin, Employer Penalties Begin, Increased Access to Medicaid, Health Insurance Provider Fee

    2015 - Continue Lowering Health Care Costs, Pay Physicians for Value not Volume,

    2018 - Excise Tax on high cost employer-provided health insurance plans

For the People

Premium Assistance

Up to 133% of Poverty

From 133% to 400% of Poverty

Beyond 400% of Poverty

Individuals

$0 - $14,400

$14,401 - $43,320

$43,321 - Up

Family of 4

$0 - $29,327

$29,328 - $88,200

$88,200 - Up

 

Medicaid

Sliding Scale Premium Limit

2% - 9.5% of Income

No Assistance

 

Out of Pocket Limits

 

Sliding Scale

 

Individuals

Medicaid

$2,066 - $6,200

No Limits

Family of 4

Medicaid

$4,100 - $12,300

No Limits

 

 

 

 

Penalties

None

$95 to $2,068

Percentage of Income

For Business

10 or Fewer Employees

10 to 25  Employees

25 to 50 Employees

50 Plus Employees

     Avg Ann Wages of       $25,000 or less

    Avg Ann Wages of     $50,000 or less

 

 

2010 - 2013

2010 - 2013

2010 - 2013

2010 - 2013

Max of 35% of Premiums

Max of 35% of Premiums

No Assistance

No Assistance

 

2014 - 2016?

2014 - 2016?

2014 - 2016?

2014 - 2016?

Max of 50% for Two Years

Max of 50% for Two Years

No Assistance

No Assistance

 

2016? - Forward

2016? - Forward

2016? - Forward

2016? - Forward

No Assistance

No Assistance

No Assistance

No Assistance

 

Penalties

Penalties

Penalties

Penalties

Exempt

Exempt

Exempt

$2,000 / Employee after 30th Employee

For Providers

Medicare Reimbursements

Medicaid Reimbursements

Quality Standards

Education

2010 - 2014

2010 - 2014

2010 - 2013

2010 - ????

Scheduled to be reduced by a total of 20% by 2013

Funds available to increase Medicaid Rates to Medicare Levels

EMR and Quality Measurement Programs to be Implemented / Required

$1.5 Billion to Encourage New Doctors Pursue Primary Care

Level 3 Visit

2010 Rate - $25.00

2013 Rate - $20.00

Level 3 Visit

2010 Rate - $?????

2013 Rate - $20.00

Some Funding Available to Help with Startup Costs

 

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