Key health care reform timeline gra panel
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Key health care reform timeline gra panel Presentation Transcript

  • 1. AARP Nora Super Director, Federal Government Relations Health and Long-Term Care February 10 , 2010 Building Bridges: Making a Difference in Long‑Term Care Key Health Care Reform Timeline
  • 2. 2010
    • Medicare prescription drug “donut hole” $250 beneficiary rebate
    • Cracking down on waste, fraud, and abuse – funding, enforcement and screening for providers
    • Temporary high-risk pools for those with pre-existing conditions
    • Reinsurance for early retirees
    AARP 2
  • 3. 2010 (continued)
    • Federal-state process for annual review of premium rates
    • Increased federal Medicaid drug rebates
    • Medicaid state option to cover adults up to 133% poverty
    • HCBS State Plan Option Changes
    • Changes to Money Follows the Person Rebalancing Eligibility
    AARP 3
  • 4. 2010 (continued)
    • Website with information to help consumers identify affordable coverage
    • Various insurance market reforms including ban on lifetime and “unreasonable” annual limits; coverage rescission prohibition; certain preventive services covered with no cost sharing; extension of dependent coverage; appeals; patient protections; no pre-existing conditions for kids; minimum loss ratio reporting for kids; quality reporting; administrative simplification
    AARP 4
  • 5. 2011
    • Income-relating Part D premiums and freezing of income-relating thresholds
    • Medicare annual wellness exams and elimination of cost-sharing for preventive services
    • Numerous Medicare payment changes (primary care bonus, power-driven wheelchairs, advanced imaging services, home health update reduced)
    AARP 5
  • 6. 2011 continued
    • Additional standards for new or “nongrandfathered” health plans
    • Medicare, Medicare Advantage benefit and payment reform
    • Part D discounts begin in donut hole
    • Voluntary LTC “CLASS” program may start
    • Community First Choice
    • State balancing incentives payments program
    AARP 6
  • 7. 2011 (continued)
    • Freezes MA payment rates at 2010 levels
    • MA cost sharing restrictions
    • Simplification of annual election period (MA to traditional Medicare)
    • Money Follows the Person Rebalancing Demonstration extended
    • New information about nursing homes begins rolling out on Federal Nursing Home Compare Website including links to state government nursing home websites. 
    AARP 7
  • 8. 2012
    • Waives Part D cost-sharing for full duals in HCBS
    • Four-year Medicare Graduate Nursing Education demonstration program begins
    • Medicare Hospital Readmission Reduction Program begins
    • Hospital value-based purchasing rewards begin
    AARP 8
  • 9. 2013
    • Higher Medicare payroll tax on wages exceeding $200,000/individual; $250,000/couples
    • New Medicare tax on net investment income for taxpayers with incomes exceeding $200,000/individual; $250,000/couples
    • Mandatory medication therapy management for Part D enrollees with chronic conditions
    AARP 9
  • 10. 2013
    • HHS determines which states will have Exchanges running by 2014, initiates them in States that won’t
    • HHS Secretary must award loans and grants for start-up of qualified CO-Ops in each state
    • HHS Secretary must issue regulations relating to state compacts for the inter-state sale of health insurance in the individual market
    • 23% increased CHIP match FY2014-2019
    AARP 10
  • 11. 2014
    • State exchanges/all major insurance reforms
    • Premium subsidies and cost-sharing subsidies for Exchange insurance
    • Individual and employer responsibility requirements
    • HCBS spousal impoverishment protections
    • Medicare Advantage plans must have minimum 85% medical loss ratio
    AARP 11
  • 12. 2015
    • State Exchanges must be self-sustaining
    • Minimal cost-sharing in Medigap C and F plans
    • States may enroll CHIP kids in Exchange plans
    • GAO study on affordable coverage/premium assistance credits
    AARP 12