Archive for the ‘Uncategorized’ Category

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, requirements, Uncategorized | 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, new programs, Uncategorized | 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

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, requirements, 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

Requires W-2s to include health benefits

Requires all employers to include on W-2s the aggregate cost of employer-sponsored health benefits for informational purposes only. If employee receives health insurance coverage under multiple plans, the employer must disclose the aggregate value of all such health coverage, but exclude all contributions...
July 9th, 2010 | National Health Care Reform Legislation, tax changes, Uncategorized | 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, requirements, Uncategorized | Read More

Excise Tax on High-Cost Insurance Plans

Excise Tax on High-Cost Insurance Plans—Tax Years Beginning 2018 or Later. Insurers will face a 40 percent excise tax on health coverage with premiums in excess of $10,200 for an individual or $27,500 for family coverage. These thresholds are increased to $11,850 for individuals or $30,950 for families...
July 9th, 2010 | National Health Care Reform Legislation, tax changes, Uncategorized | Read More

Medicaid Global Payments Demonstration Project

Establish a Medicaid global payments demonstration to fund large, safety-net hospitals in five states to alter payment from fee-for-service to a capitated, global payment structure. Demonstration projects to occur in 2010–2012. Source: The Common Wealth Fund
July 9th, 2010 | Medicare/Medicaid, National Health Care Reform Legislation, 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 the Physician Quality Reporting System

Extend physician quality reporting system beyond 2010, penalize eligible providers who do not participate beginning 2015, expand Medicare physician feedback program, and provide reports to physicians that compare their resource use to such patterns of other physicians. Source: The Common Wealth Fund
July 9th, 2010 | Medicare/Medicaid, National Health Care Reform Legislation, 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
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