Archive for the ‘Medicare/Medicaid’ Category

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, requirements, Uncategorized | 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, tax changes, Uncategorized | 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

Restructure payments to Medicare Advantage

Restructure payments to Medicare Advantage (MA) plans by setting payments to different percentages of Medicare fee-for-service (FFS) rates . Source: Kaiser Family Foundation
July 1st, 2010 | Medicare/Medicaid, National Health Care Reform Legislation, Uncategorized | Read More

10% Medicare bonus to professional in shortage areas

Provide a 10% Medicare bonus payment to primary care physicians and to general surgeons practicing in health professional shortage areas. Source: Kaiser Family Foundation
July 1st, 2010 | Medicare/Medicaid, National Health Care Reform Legislation, Uncategorized | Read More

50% discount on brand-name prescriptions for Medicare Part D

Require pharmaceutical manufacturers to provide a 50% discount on brand-name prescriptions filled in the Medicare Part D coverage gap beginning in 2011 and begin phasing-in federal subsidies for generic prescriptions filled in the Medicare Part D coverage gap. Source: Kaiser Family Foundation
July 1st, 2010 | Medicare/Medicaid, National Health Care Reform Legislation, new programs, Uncategorized | Read More

Establish Community First Choice Option in Medicaid

Establish the Community First Choice Option in Medicaid to provide community-based attendant support services to certain people with disabilities. Source: Kaiser Family Foundation
July 1st, 2010 | Medicare/Medicaid, National Health Care Reform Legislation | Read More

State Balancing Incentive Program in Medicaid

Create the State Balancing Incentive Program in Medicaid to provide enhanced federal matching payments to increase non-institutionally based long-term care services. Source: Kaiser Family Foundation
July 1st, 2010 | Medicare/Medicaid, National Health Care Reform Legislation, Uncategorized | Read More

New Medicaid plan permitting multiple chronic conditions

Create a new Medicaid state plan option to permit Medicaid enrollees with at least two chronic conditions, one condition and risk of developing another, or at least one serious and persistent mental health condition to designate a provider as a health home. Provide states taking up the option with 90%...
July 1st, 2010 | Medicare/Medicaid, National Health Care Reform Legislation | Read More
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