Archive for the ‘Uncategorized’ 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
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
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
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
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
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
Children’s Health Insurance Program Reauthorization
Extends current reauthorization period of CHIP for two years, through 2015, and include a 23 percentage point increase in federal medical assistance percentage rates from 2016 through 2019.
Source: The Common Wealth Fund
July 9th, 2010 | National Health Care Reform Legislation, Uncategorized, insurance | 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
Individual Requirement to Have Health Insurance
Beginning in 2014, people will be required to have minimal essential coverage through public programs, the military, employers, the individual market, or the insurance exchanges. People who cannot demonstrate on a tax form that they have such coverage will be required to pay a penalty equal to the greater...
July 9th, 2010 | National Health Care Reform Legislation, Uncategorized, insurance | 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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