Archive for the ‘Medicare/Medicaid’ Category

Medicaid Global Payments Demonstration Project

Establish a Medicaid global payments demonstration to fund large, safety-net hospitals in five states to alter payment from fee-for-service to a capitated, global payment structure. Demonstration projects to occur in 2010–2012. Source: The Common Wealth Fund
July 9th, 2010 | Medicare/Medicaid, National Health Care Reform Legislation, Uncategorized | Read More

Improve the Physician Quality Reporting System

Extend physician quality reporting system beyond 2010, penalize eligible providers who do not participate beginning 2015, expand Medicare physician feedback program, and provide reports to physicians that compare their resource use to such patterns of other physicians. Source: The Common Wealth Fund
July 9th, 2010 | Medicare/Medicaid, National Health Care Reform Legislation, Uncategorized | Read More

Improve Care Coordination for Dual-Eligibles

Establish a Federal Coordinated Health Care Office within the Centers for Medicare and Medicaid Services (CMS) to more effectively integrate benefits and improve coordination between state and federal governments for individuals eligible for both Medicare and Medicaid. Effective March 1, 2010. Source:...
July 9th, 2010 | Medicare/Medicaid, National Health Care Reform Legislation, Uncategorized, new programs | Read More

Tobacco Cessation for Pregnant Women

Require coverage of tobacco cessation programs for pregnant women under Medicaid free of cost-sharing. Effective October 1, 2010. Source: The Common Wealth Fund
July 9th, 2010 | Medicare/Medicaid, National Health Care Reform Legislation, requirements | Read More

Medicaid Quality Measurement Program

Medicaid Quality Measurement Program. Establish the Medicaid Quality Measurement Program to establish priorities for the development and advancement of quality measures for adults in Medicaid. Quality measures must be available for comment January 1, 2011 and published January 1, 2012. Reporting by States...
July 9th, 2010 | Medicare/Medicaid, National Health Care Reform Legislation, Uncategorized | Read More

Medicaid Wellness Programs

HHS to offer grants to states to provide incentives to Medicaid beneficiaries to enlist in comprehensive and proven wellness programs. Initial report due not later than January 1, 2014; final report due not later than July 1, 2016. Source: The Common Wealth Fund
July 9th, 2010 | Medicare/Medicaid, National Health Care Reform Legislation, Uncategorized | Read More

Quality Payment Modifier

Require HHS to apply physician payment modifier to Medicare fee-for-service payment to pay physicians differentially based on quality and costs of care. Publish measures in 2012; phase in modifier from 2015 to 2017. Source: The Common Wealth Fund
July 8th, 2010 | Medicare/Medicaid, National Health Care Reform Legislation, Uncategorized | Read More

Protect Patient Privacy

Authorize release of Medicare claims data to measure performance of providers and suppliers in a way that protects patient privacy. Effective January 1, 2012. Source: The Common Wealth Fund
July 8th, 2010 | Medicare/Medicaid, National Health Care Reform Legislation, Uncategorized | Read More

Slide-scale premium assistance for non-Medicaid

Creates sliding-scale premium assistance tax credits for non-Medicaid eligible individuals with incomes up to 400% of FPL to buy coverage through the exchange. Beginning in 2019, a fail-safe mechanism would be applied that reduces overall premium subsidies if the aggregate amount exceeds 0.504 percent...
July 7th, 2010 | Medicare/Medicaid, National Health Care Reform Legislation, Uncategorized, new programs | Read More

Changes requiring states to offer more assistance to Medicaid

Requires states to offer premium assistance and Medicaid wrap-around benefits to Medicaid beneficiaries who are offered employer-sponsored coverage if cost-effective to do so, under terms outlined already in current law. Source:NAHU
July 6th, 2010 | Medicare/Medicaid, National Health Care Reform Legislation, Uncategorized, requirements | Read More

Medicaid eligibility level increased

Medicaid eligibility level is increased to 133% FPL. The federal government will pay 100% of the cost of the new expansion population until 2016. Starting in 2017, all states except for the expansion states (including Nebraska), would then have to begin to have to pay a phased in amount of the cost of...
July 6th, 2010 | Medicare/Medicaid, National Health Care Reform Legislation, Uncategorized | Read More

HI and Medicare contribution tax

Beginning in 2013, additional 0.9 percentage Medicare Hospital Insurance tax (HI tax) on self-employed individuals and employees with respect to earnings and wages received during the year above $200,000 for individuals and above $250,000 for joint filers (not indexed). Does not change employer HI tax...
July 6th, 2010 | Medicare/Medicaid, National Health Care Reform Legislation, Uncategorized, tax changes | Read More

Provide Medicare assessments and personal plans

Provide Medicare beneficiaries access to a comprehensive health risk assessment and creation of a personalized prevention plan and provide incentives to Medicare and Medicaid beneficiaries to complete behavior modification programs. Source: Kaiser Family Foundation
July 1st, 2010 | Medicare/Medicaid, National Health Care Reform Legislation, Uncategorized | Read More

Create an Innovation Center

Create an Innovation Center within the Centers for Medicare and Medicaid Services. Source: Kaiser Family Foundation
July 1st, 2010 | Medicare/Medicaid, National Health Care Reform Legislation, Uncategorized | Read More

Freeze income threshold for income-related Medicare Part B

Freeze the income threshold for income-related Medicare Part B premiums for 2011 through 2019 at 2010 levels, and reduce the Medicare Part D premium subsidy for those with incomes above $85,000/individual and $170,000/couple. Source: Kaiser Family Foundation
July 1st, 2010 | Medicare/Medicaid, National Health Care Reform Legislation, Uncategorized | Read More

Reduce annual market basket updates for Medicare providers

Reduce annual market basket updates for Medicare providers beginning in 2011. Source: Kaiser Family Foundation
July 1st, 2010 | Medicare/Medicaid, National Health Care Reform Legislation | Read More
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