Future health care reforms


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Future health care reforms

  1. 1. {Future Health CareReforms
  2. 2.  On January 1st, a law was passed to expand thenumber of Americans receiving preventive care.The law gives funding to state Medical programswhich choose to cover preventive services forpatients at minimum or no cost.Improving Preventive HealthCoverage
  3. 3. • As Medicaid programs and provides cover more patients in 2014, thisact requires states to pay primary care physicians the complete amountof Medicare payment rates. This act became effective on January 1, 2013and states the increase in payment is entirely funded by thegovernment.Increasing Medicaid Paymentsfor Primary Care Doctors
  4. 4. • This law creates a national pilot program to supporthospitals, doctors, and additional providers in order to ensure theywork together to improve the coordination and quality of patient care.Under payment bundling, everyone is paid an equal flat rate. This lawbecame effective on January 1, 2013.Expanded Authority to BundlePayments
  5. 5. • Beginning on October 1, 2013 individuals and small businesses will beable to purchase affordable and qualified health benefit plans.Open Enrollment in the HealthInsurance Marketplace
  6. 6. • Starting on January 1, 2014 if an employer does not offerinsurance, employees can purchase it directly in the Health InsuranceMarketplace. This allows individuals and small businesses to buyaffordable and qualified health benefit plans.Establishing the HealthInsurance Marketplace
  7. 7. • Under this law, which will be implemented on January 1, 2014,individuals who can afford health care will be required to obtain basichealth insurance coverage or required to pay a fee in order to offset thecosts of caring for uninsured Americans. If an individual is unable toafford healthcare, they will be eligible for an exemption.Promoting IndividualResponsibility
  8. 8. • Starting January 1, 2014, citizens who earn 133% less than thepoverty level will be eligible to register for Medicaid. States willget the entire amount needed for funding the first three years inorder to support this expanded coverage.Increasing Access to Medicaid
  9. 9. • On January 1, 2014, tax credits will become available for citizens withincome 100% and 400% below the poverty line and who are inedible forother healthcare programs. These individuals may also qualify forreduced cost- sharing.Makes Care More Affordable
  10. 10. • Starting on January 1, 2014, insurers will be banned from limitingcoverage because an individual prefers to join a clinical trial. Thisapplies for all trials treating cancer or any life-threatening disease.Ensuring Coverage forIndividuals Participating inClinical Trials
  11. 11. • This law prohibits new plans and existing group plans from annuallylimiting the amount of coverage an individual may receive.Eliminating Annual Limits onInsurance Coverage
  12. 12. • This law will become effective on January 1, 2014 and will implementstronger reforms which prohibit insurance companies from refusing tosell coverage because of a pre-existing condition. This law alsoeliminates insurance company’s abilities to charge higher rates becauseof ones gender or health status.No Discrimination Due to Pre-Existing Conditions or Gender
  13. 13. • This law implements the second phase of the small business tax credit.During the second phase, there is a 35% credit for non-profitorganizations and the credit can reach 50% of an employerscontribution to provide health insurance for employees.Increasing Small BusinessHealth Insurance Tax Credit
  14. 14. • This new provision will connect physician payments to the quality ofcare theyre providing. Starting on January 1, 2015, physicians can seetheir payments modified in able to prove those who provide high valuecare will receive larger checks.Paying Physicians Based onValue Not Volume