Archive for the ‘requirements’ Category
Increase Penalties for False Claims
Eliminate fraud, waste, and abuse in exchanges through increased penalties for submitting false claims.
Source: The Common Wealth Fund
July 9th, 2010 | National Health Care Reform Legislation, Uncategorized, requirements | Read More
Quality Reporting for Certain Providers
Place certain providers—including ambulatory surgical centers, long-term care hospitals, inpatient rehabilitation facilities, inpatient psychiatric facilities, prospective payment system-exempt cancer hospitals and hospice providers—on a path toward value-based purchasing by requiring the HHS secretary...
July 9th, 2010 | National Health Care Reform Legislation, Uncategorized, requirements | Read More
Ensuring Coverage for Individuals Participating in Clinical Trials
Prohibits new health plans from dropping coverage because an individual chooses to participate in a clinical trial and from denying coverage for routine care that they would otherwise provide just because an individual is enrolled in a clinical trial. Applies to all clinical trials that treat cancer...
July 9th, 2010 | National Health Care Reform Legislation, Uncategorized, requirements | Read More
Free choice vouchers
Employers that offer coverage and contribute to the cost of coverage are required to offer “free choice vouchers” to employees with incomes below 400 percent of poverty to purchase health plans through the exchange. The value of the voucher must be equal to the contribution that the employer...
July 9th, 2010 | National Health Care Reform Legislation, Uncategorized, requirements | Read More
Study on affordability
Within five years of enactment of the legislation, the comptroller general will conduct a study and report to Congress on the affordability of health insurance, including: the effect of the premium subsidies on expanding and maintaining coverage, the availability of affordable health plans, whether the...
July 9th, 2010 | National Health Care Reform Legislation, Uncategorized, requirements | Read More
Quality improvement requirements
The legislation includes a set of quality improvement reporting requirements for plans inside and outside the exchange. Activities to be reported on include: improving health outcomes through care coordination and medical home models; preventing hospital readmissions through a comprehensive program for...
July 9th, 2010 | National Health Care Reform Legislation, Uncategorized, requirements | Read More
Premium changes
The legislation instructs state exchanges to require insurance carriers seeking certification as qualified health plans to submit a justification for any premium increase prior to implementation of the increase. The exchange is then required to take the information into consideration when determining...
July 9th, 2010 | National Health Care Reform Legislation, Uncategorized, requirements | Read More
Penalty for use of Health Savings Account Funds for withdrawal goes from 10 to 20
Penalty for use of Health Savings Account Funds for withdrawal goes from 10 to 20%
Source: NAHU
July 9th, 2010 | National Health Care Reform Legislation, Uncategorized, requirements | Read More
Deduction limitation on taxable year remuneration to certain jobs
$500,000 deduction limitation on taxable year remuneration to officers, employees, directors, and service providers of covered health insurance providers.
Source: Kaiser Family Foundation
July 9th, 2010 | National Health Care Reform Legislation, Uncategorized, requirements | Read More
Prohibitions on annual and lifetime limits and rescissions
All annual limits on benefits would be prohibited beginning in 2014. Prohibitions on lifetime limits and rescissions begin in 2010.
Source: NFIB
July 9th, 2010 | National Health Care Reform Legislation, Uncategorized, requirements | Read More
Limits on waiting periods
All waiting periods for coverage to go into effect will be limited to 90 days, beginning in 2014.
Source: Kaiser Family Foundation
July 9th, 2010 | National Health Care Reform Legislation, Uncategorized, requirements | Read More
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Race to the Top: Another $4.35 Billion Spent Poorly?
September 3, 2010 10:09
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Audio: The Failed Experiment of Pension Bonding
August 31, 2010 17:08
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The Cost of the Protected Class in California
August 30, 2010 09:08
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Utah: Reforming health care since 2005
August 26, 2010 10:08
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Audio: Federal Health Care Law would create more paperwork than IRS could handle
August 20, 2010 16:08
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