Archive for the ‘Medicare/Medicaid’ Category

Reducing Payments for Hospital-Acquired Infections

Reduce Medicare payments to hospitals in top 25th percentile of rates of certain hospital-acquired conditions by 1 percent beginning in 2015. Effective 2015. HHS secretary will provide hospital-specific reports in advance of this date to hospitals. Source: The Common Wealth Fund
July 9th, 2010 | Medicare/Medicaid, National Health Care Reform Legislation, Uncategorized | Read More

Medicaid payments to states for coverage expansion

Provides federal Medicaid matching payments for the costs of services to newly eligible individuals at the following rates in all states (except in “expansion states” that have already expanded Medicaid to both parents and non-pregnant childless adults to 100 percent FPL): 100 percent in...
July 9th, 2010 | Medicare/Medicaid, National Health Care Reform Legislation, Uncategorized | Read More

New federal rating rules

New federal rules for the individual and group markets, including requiring all insurance carriers to accept every individual who applies for coverage (guaranteed issue and renewability), and prohibiting rating on the basis of health status. Premiums can reflect age, but cannot vary by more than 3:1,...
July 9th, 2010 | Medicare/Medicaid, National Health Care Reform Legislation, Uncategorized | Read More

Impose fees on health insurance sector

Impose fees on the health insurance sector. Source: Kaiser Family Foundation
July 9th, 2010 | Medicare/Medicaid, National Health Care Reform Legislation, Uncategorized | Read More

Reduce states’ DSH allotments

Reduce states’ Medicaid Disproportionate Share Hospital (DSH) allotments. Source: Kaiser Family Foundation
July 9th, 2010 | Medicare/Medicaid, National Health Care Reform Legislation, Uncategorized | Read More

Increase spending caps for the territories

Increase spending caps for the territories. Source: Kaiser Family Foundation
July 9th, 2010 | Medicare/Medicaid, National Health Care Reform Legislation, Uncategorized | Read More

Expand Medicaid to non-Medicare elibible individuals

Expand Medicaid to all non-Medicare eligible individuals under age 65 (children, pregnant women, parents, and adults without dependent children) with incomes up to 133% FPL based on modified adjusted gross income (MAGI) and provides enhanced federal matching for new eligibles. Source: Kaiser Family Foundation
July 9th, 2010 | Medicare/Medicaid, National Health Care Reform Legislation, Uncategorized | Read More

Medicaid expansion

Medicaid expansion: Tens of millions of people will become eligible for Medicaid (the federal/state program for lower-income individuals). Initially, the federal government will absorb the entire debt or taxation burden of this expansion, with states assuming some of the burden in later years. Source:...
July 9th, 2010 | Medicare/Medicaid, National Health Care Reform Legislation, Uncategorized | Read More

Medicaid eligibility expansion

Medicaid eligibility expands: The income level for Medicaid eligibility rises, bringing millions of new people into Medicaid. This Medicaid expansion will account for around half of the total increase in insurance coverage and will place considerable new financial pressure on states. Source: NFIB
July 9th, 2010 | Medicare/Medicaid, National Health Care Reform Legislation, Uncategorized | Read More

Reduce Medicare Disproportionate Share Hospital payments

Reduce Medicare Disproportionate Share Hospital (DSH) payments initially by 75% and subsequently increase payments based on the percent of the population uninsured and the amount of uncompensated care provided. Source: Kaiser Family Foundation
July 9th, 2010 | Medicare/Medicaid, National Health Care Reform Legislation, Uncategorized | Read More

Requirements for Medicare Advantage plans

Require Medicare Advantage plans to have medical loss ratios no lower than 85%. Source: Kaiser Family Foundation
July 9th, 2010 | Medicare/Medicaid, National Health Care Reform Legislation, Uncategorized | Read More