Archive for the ‘new programs’ Category

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, new programs, Uncategorized | 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 | insurance, National Health Care Reform Legislation, new programs, Uncategorized | 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, new programs, Uncategorized | 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, new programs, Uncategorized | Read More

Interagency Working Group

Create an Interagency Working Group to coordinate and streamline federal quality activities, as directed by the President. Must issue first report not later than December 31, 2010. Source: The Common Wealth Fund
July 9th, 2010 | National Health Care Reform Legislation, new programs, 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, new programs, Uncategorized | Read More

Funding for Community Health Centers

Establish a Community Health Centers and National Health Service Corps Fund and expand funding to community health centers by $11 billion over five years beginning in 2010. Source: The Common Wealth Fund
July 9th, 2010 | National Health Care Reform Legislation, new programs, Uncategorized | Read More

Provide Lower-Cost Care to Uninsured

Direct the U.S. Department of Health and Human Services (HHS) to establish a three-year demonstration project in 10 states to provide comprehensive health care services to the uninsured at reduced fees. Effective not later than six months after enactment. Source: The Common Wealth Fund
July 9th, 2010 | insurance, National Health Care Reform Legislation, new programs, Uncategorized | Read More

Grants to Improve Efficiency

Provide grants for improving health system efficiency, including grants that will implement medication management services. Effective May 1, 2010. Source: The Common Wealth Fund
July 9th, 2010 | National Health Care Reform Legislation, new programs, Uncategorized | Read More

Physician Compare Web Site

Physician Compare Web Site. Require HHS to develop a “Physician Compare” Web site where Medicare beneficiaries can compare scientifically sound measures of physician quality and patient experience measures. By January 1, 2011. Source: The Common Wealth Fund
July 9th, 2010 | National Health Care Reform Legislation, new programs, Uncategorized | Read More

Develop Quality Measures for Use in Federal Programs

Create processes for the development of quality measures involving input from multiple stakeholders and for selecting quality measures to be used in reporting to and payment under federal health programs. These quality measures will include outcome measures for providers and hospitals (measures of acute...
July 9th, 2010 | National Health Care Reform Legislation, new programs, Uncategorized | Read More

National Strategy to Improve Health Care Quality

Direct HHS to develop a National Strategy to Improve Health Care Quality that includes priorities to improve the delivery of health care services, patient health outcomes, and population health by January 1, 2011. Strategy to be updated annually. Source: The Common Wealth Fund
July 9th, 2010 | National Health Care Reform Legislation, new programs, Uncategorized | Read More

State Option to Expand Medicaid Eligibility

States are given the option to cover parents and childless adults up to 133 percent of poverty and receive curent federal matching contributions. Source: The Common Wealth Fund
July 9th, 2010 | National Health Care Reform Legislation, new programs, Uncategorized | Read More

Encouraging Integrated Health Systems

¬†Implement physician payment reforms that enhance payment for primary care services and encourage physicians to join together to form “accountable care organizations” to gain efficiencies and improve quality of care. Allow providers organized as accountable care organizations (ACOs) that...
July 8th, 2010 | National Health Care Reform Legislation, new programs | Read More

Reduce Medicare payments to certain hospitals for hospital-acquired conditions by 1%.

Reduce Medicare payments to certain hospitals for hospital-acquired conditions by 1%. (Effective fiscal year 2015) Source: Kaiser Family Foundation
July 7th, 2010 | National Health Care Reform Legislation, new programs, Uncategorized | Read More
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