2012 Healthcare Reform Changes

Feb 22, 2012 | Healthcare Reform, Insurance Laws, Insurance News, Medicare | 0 comments

A summary of health reform initiatives which become effective in 2012:

2012 Changes to Medicare

  • Make Part D cost sharing for full benefit dual eligible beneficiaries receiving home and community based care services equal to the cost sharing for those who receive institutional care.
  • health reform 2012

  • Allow providers organized as accountable care organizations (ACOs) that voluntarily meet quality thresholds to share in the cost savings they achieve for the Medicare program.
  • Reduce Medicare payments that would otherwise be made to hospitals by specified percentages to account for excess (preventable) hospital readmissions.
  • Establish a hospital value based purchasing program in Medicare and develop plans to implement value based purchasing programs for skilled nursing facilities, home health agencies, and ambulatory surgical centers.
  • Provide bonus payments to high quality Medicare Advantage plans.
  • Reduce rebates for Medicare Advantage Programs

Health Care Reform 2012: Other Changes

  • No other 2012 health care reforms are planned based upon the original law.

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