PrimePay Blog

Business growth —
Powered by knowledge

Health Care Reform: The Timeline for 2011 and 2012

April 1, 2011 | PrimePay Business and Experts Blog | 2 Comments

health care reform timeline 2011 and 2012One of the best and easiest to understand sources for outlining the health care reform changes and when they take effect comes from the HealthCare.gov website.  Their health care reform timeline is broken out by year and then also by the different types of benefits that the law provides to consumers. 

In this blog posting, we’ll focus on what will be changing in 2011 and 2012.  Tuesday’s article will focus on 2013 and 2014.  Below are some of the highlighted changes of the provisions of the Affordable Care Act, by year... along with the effective dates and links to download more information.

2011: HEALTH CARE REFORM

Improving Quality and Lowering Costs

  • Offering Prescription Drug Discounts.  Seniors who reach the coverage gap will receive a 50 percent discount when buying Medicare Part D covered brand-name prescription drugs.  Download the brochure… Closing the Prescription Drug Coverage GapEffective January 1, 2011.
  • Providing Free Preventive Care for Seniors.  The law provides certain free preventive services, such as annual wellness visits and personalized prevention plans for seniors on Medicare.  Effective January 1, 2011.
  • Improving Health Care Quality and Efficiency.  The law establishes a new Center for Medicare & Medicaid Innovation that will begin testing new ways of delivering care to patients.  Effective January 1, 2011.
  • Improving Care for Seniors After They Leave the Hospital.  The Community Care Transitions Program will help high risk Medicare beneficiaries who are hospitalized avoid unnecessary readmissions by coordinating care and connecting patients to services in their communities.  Effective January 1, 2011.
  • Introducing New Innovations to Bring Down Costs.  The Independent Payment Advisory Board will begin operations to develop and submit proposals to Congress and the President aimed at extending the life of the Medicare Trust Fund.  Administrative funding becomes available October 1, 2011.

Increasing Access to Affordable Care

  • Increasing Access to Services at Home and in the Community.  The new Community First Choice Option allows states to offer home and community based services to disabled individuals through Medicaid rather than institutional care in nursing homes.  Effective beginning October 1, 2011.

Holding Insurance Companies Accountable

2012: HEALTH CARE REFORM

Improving Quality and Lowering Costs

  • Linking Payment to Quality Outcomes.  The law establishes a hospital Value-Based Purchasing program (VBP) in Traditional Medicare. This program offers financial incentives to hospitals to improve the quality of care.  Effective for payments for discharges occurring on or after October 1, 2012.
  • Encouraging Integrated Health Systems.  The new law provides incentives for physicians to join together to form “Accountable Care Organizations.” These groups allow doctors to better coordinate patient care and improve the quality, help prevent disease and illness and reduce unnecessary hospital admissions.  Effective January 1, 2012.
  • Reducing Paperwork and Administrative Costs.  Health care remains one of the few industries that relies on paper records.  The new law will institute a series of changes to standardize billing and requires health plans to begin adopting and implementing rules for the secure, confidential, electronic exchange of health information.  First regulation effective October 1, 2012.
  • Understanding and Fighting Health Disparities. To help understand and reduce persistent health disparities, the law requires any ongoing or new Federal health program to collect and report racial, ethnic and language data.  The Secretary of Health and Human Services will use this data to help identify and reduce health disparitiesEffective March 2012.

Increasing Access to Affordable Care

  • Providing New, Voluntary Options for Long-Term Care Insurance.  The law creates a voluntary long-term care insurance program – called CLASS (Community Living Assistance Services and Supports) – to provide cash benefits to adults who become disabled.  The Secretary shall designate a benefit plan no later than October 1, 2012.

Look for our next blog article on the health care reform timline for 2013 and 2014.

Add new comment

Comments

when does the pre-exsisting, medical issues get covered by insurance companys?   
Reply

Christy,    The answer to your question is in two parts depending on whether the circumstances of the pre-existing condition.    This part goes into effect in 2014:    Reforming Health Insurance Regulations. Implements strong health insurance reforms that prohibit insurance companies from engaging in discriminatory practices that enable them to refuse to sell or renew policies due to an individual’s health status. Health plans can no longer exclude coverage for treatments based on pre-existing health conditions. It also limits the ability of insurance companies to charge higher rates due to heath status, gender, or other factors. Premiums can vary only on age (no more than 3:1), geography, family size, and tobacco use.    This part was effective in 2010:    Eliminating Pre-Existing Condition Exclusions for Children. Bars all employer plans and new plans in the individual market from imposing pre-existing condition exclusions on children’s coverage.   
Reply

Receive Blog Updates Via Email

By supplying your info, you authorize us to contact you.

Follow PrimePay

Blog Tags

aca
aol
CDC
CE
CPA
FSA
fte
hr
HRA
HSA
IRS
law
llc
seo