SEARCH
Current Location:
>
> This Story


Log in or Register to rate this News Story
Forward Printable StoryPrint Send us your Comments

Never Miss a Story

Sign up for email alerts

 

More Industry Headlines

A protein can speed up recovery after radiation and chemo Shows promise in animal experiments

Patient engagement solutions market expected to soar Will hit $13.7 billion by 2019

Big data platform designed for new value-based model Helps physicians improve outcomes while reducing costs

Hospitals saving billions on charity care ACA may save expansion state hospitals up to $4.2 billion in 2014

FDA approves GE's new PET/CT Higher sensitivity and field-of-view

Consensys joins forces with Oncology Services International A strategic alliance among ISOs

Checking in with the first installed MEVION S250 Assessing nine months of single room proton therapy

MEDICA 2014: IT Matters at MEDICA Health IT takes center stage at a number of presentations

Scripps' pencil-beam proton center had "exceptional results" Treated more tumor sites in seven months than others have

Proton therapy is promising for breast cancer Reduces risk of heart attack

DOTmed zooms in on key reform issues

Focus on health care reform: changes in 2015 and beyond

by Astrid Fiano , DOTmed News Writer
Most of the provisions in the Affordable Care Act will be implemented between 2010 and 2014, but a few will take place in 2015 and beyond, pertaining to insurance and hospital-acquired conditions as well as another tax revenue provision. In this wind-up of the provisions contained in the act, below are a summary of the changes to take effect beyond implementation of the exchanges in 2014.

Insurance Reforms

Story Continues Below Advertisement

Fully integrated PACS, RIS and Voice Recognition at an affordable price

We fit our RIS/PACS to match your workflow, rather than the other way around! Call us at 866-949-7227 or click here to visit our website & see our Advanced Mammography Workstations & Mammography Tracking System built into RIS



--States will be allowed to form health care compacts that will take effect in 2016. By 2013, the U.S. Department of Health and Human Services will issue regulations for the creation of the health care choice compacts. Under those compacts, two or more states may agree to offer one or more qualified health plans in individual markets in all states. The plans would still be subject to the laws and regulations of the state in which the plan was issued. The issuer of the plan would also be subject to regulation of unfair trade practices and consumer protection standards. Any state participating must enact a law to authorize it to enter a compact agreement.

HHS may approve the compacts if the agency determines that the compact:

--Will provide coverage that is at least as comprehensive as the coverage offered through the exchanges to be set up in 2014;

--Will provide coverage and cost sharing protections against excessive out-of-pocket spending;

--Will not increase the federal deficit; and

--Will not weaken enforcement of laws and regulations relating to insurance in any state that is included in the compact.

Medicare

--The amount of payment to hospitals in the top 25th percentile of rates for hospital-acquired conditions will be reduced by one percent with respect to discharges occurring during fiscal year 2015 and subsequent years. For some hospitals, an exemption may be given if the state can submit an annual report to HHS describing how a similar program in the state for participating hospitals achieves or surpasses the measured results of the national program with patient health outcomes and cost savings.

--HHS will make information available to the public regarding hospital-acquired conditions on each applicable hospital posted on the Hospital Compare Internet website.

--HHS will also conduct a study on expanding the health care-acquired conditions policy to payments made to other facilities under the Medicare program, including payments made to inpatient rehabilitation facilities, long-term care hospitals, hospital outpatient departments, skilled nursing facilities, ambulatory surgical centers and health clinics. The study will include an analysis of how such policies could impact quality of patient care, patient safety and spending under the Medicare program, and HHS must submit a report on the study to Congress by Jan. 1, 2012.

Continue reading Focus on health care reform: changes in 2015 and beyond...
  Pages: 1 - 2 >>

Related:


Interested in Medical Industry News? Subscribe to DOTmed's weekly news email and always be informed. Click here, it takes just 30 seconds.
Access and use of this site is subject to the terms and conditions of our LEGAL NOTICE & PRIVACY NOTICE
Property of and Proprietary to DOTmed.com, Inc. Copyright ©2001-2014 DOTmed.com, Inc.
ALL RIGHTS RESERVED