Archive for the ‘new programs’ Category

Pay-for-Performance Pilot Program

Establish a pay-for-performance pilot program for eligible Medicare providers no later than January 1, 2016; pilot program must not create additional expenditures. Program to be expanded after 2018 if it reduces spending and quality of care is improved or remains the same. Such a program cannot deny...
July 9th, 2010 | National Health Care Reform Legislation, Uncategorized, new programs | Read More

Health Care Choice Compacts

The legislation allows two or more states to form health care choice compacts to allow for purchase of qualified health plans across state lines, beginning in 2016. Insurers will be able to sell policies in any of the participating states and will be subject only to the laws and regulations of the state...
July 9th, 2010 | National Health Care Reform Legislation, Uncategorized, new programs | Read More

Physician Value-Based Payment Program

Create a physician value-based payment program to promote increased quality of care for Medicare beneficiaries. Source: The Common Wealth Fund
July 9th, 2010 | National Health Care Reform Legislation, Uncategorized, new programs | Read More

Basic Health Program

The legislation will require the secretary to establish a Basic Health Program, which would give states the option of pooling federal premium and cost-sharing subsidies for people earning between 133 percent and 200 percent of poverty to establish a non-Medicaid, state-based “standard health plan”...
July 9th, 2010 | National Health Care Reform Legislation, Uncategorized, new programs | Read More

Health cooperatives

The legislation authorizes $6 billion in funding for the Consumer Operated and Oriented Plan (CO-OP) program to foster the creation of nonprofit, member-run health insurance companies. Health care cooperatives are nonprofit, consumer-governed organizations that provide insurance and deliver health services....
July 9th, 2010 | National Health Care Reform Legislation, Uncategorized, new programs | Read More

State responsibilities

The state exchanges will be required to certify qualified health plans, operate a toll-free hotline and Web site, rate qualified health plans, present plan options in a standard format, inform individuals of the eligibility requirements for Medicaid and the Children’s Health Insurance Program,...
July 9th, 2010 | National Health Care Reform Legislation, new programs | Read More

Temporary reinsurance program for employers providing health insurance to non-Medicare retirees

Creates a temporary reinsurance program for employers providing health insurance coverage to retirees over age 55 who are not eligible for Medicare. This program would reimburse employers retrospectively 80% of claims between $15,000-90,000, which will be indexed for inflation. It will end on January...
July 9th, 2010 | National Health Care Reform Legislation, Uncategorized, insurance, new programs | Read More

Creates high-risk pool coverage for people who have been uninsured for at least six months

Creates high-risk pool coverage for people who have been uninsured for at least six months and cannot obtain current individual coverage due to preexisting conditions. This national program can work with existing state high-risk pools and will end on January 1, 2014, once the Exchanges become operational and...
July 9th, 2010 | National Health Care Reform Legislation, Uncategorized, new programs | Read More

Improve Guidelines on Preventive Care

Expand and improve coordination of Task Forces on Clinical Preventive Services and Community Preventive Services to develop, update, and disseminate evidence-based recommendations on the use of clinical and community prevention services, with an emphasis on health disparities. Task Forces will review...
July 9th, 2010 | National Health Care Reform Legislation, Uncategorized, new programs | Read More

Establishing a National Health Care Workforce Commission

Establish a National Health Care Work Force Commission to review health care workforce and projected workforce needs. Provide comprehensive, unbiased information to lawmakers on how to align resources with national need. Effective not later than September 30, 2010. Source: The Common Wealth Fund
July 9th, 2010 | National Health Care Reform Legislation, Uncategorized, new programs | Read More

Improving Public Health Prevention Efforts

Create a National Prevention, Health Promotion, and Public Health Council to establish a national prevention and health promotion strategy and develop interagency working relationships to implement the strategy. Create a Prevention and Public Health Investment Fund to expand and sustain funding for prevention...
July 9th, 2010 | National Health Care Reform Legislation, Uncategorized, new programs | Read More
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