States Notify Health and Human Services ( HHS) if they will operate a Health exchange or default to the Federal Government
Closing Medicare Drug Coverage Gap-reducing co-insurance from 100% 2010 to 25% in 2020 in addition to the 50% brand name manufacturers discount
Medicare bundled payment pilot
Medicaid preventative care
Increased payments to doctors for Medicaid patients ( financed 100% by Federal Government
Medical Deduction Threshold increased from 7.5% to 10% of Adjusted Gross Income (AGI)
Flex Spending Account (FSA) limits caped at $2500 for Medical Expenses
Medicare Tax INCREASE
Employer Retiree Coverage Subsidy
2.3% Tax on Medical devices
April 1, 2013
Financial Disclosure- Requires financial disclosure of health entities including doctors, hospitals and manufacturers of drug devices
July 1, 2013
Establishment of Co-Op Health insurance plans- creates co-op to foster the creation of member run health insurance companies
Fiscal year 2013
Extension of Children’s Health Insurance Program through 2015
October 1, 2013
Medicare Disproportionate Shares Hospital (DSH) Payments- Reduces DSH by 75% then increases payments proportionate to the percentage of People uninsured and uncompensated care provided.
Medicaid DSH- requires secretary to establish methodology for distributing DSH reductions.
NEW TAXES taking effect in 2013- see previous article
October or November of 2013
Anticipated “open enrollment period” to purchase health insurance through a health insurance exchange
January 1, 2014-
All plans become guarantee issue and must have the 12 essential benefit mandates included.