PrimePay Blog

Business growth —
Powered by knowledge

What's Happening in 2013 and 2014 With Health Care Reform?

April 5, 2011 | PrimePay Business and Experts Blog | 9 Comments

health care reform timeline 2013 and 2014In last Friday’s blog posting… Health Reform: The Timeline for 2011 and 2012, we discussed what programs and services will go into effect between now and the end of 2012 as part of the Affordable Care Act.  This article will focus on what health care reform changes are scheduled to happen in 2013 and 2014. 

More detailed information on the programs that go into effect in the coming years can be found on the HealthCare.gov website in their timeline of the Affordable Care Act.

2013: Health Care Reform

IMPROVING QUALITY AND LOWERING COSTS

  • Improving Preventive Health Coverage.  To expand the number of Americans receiving preventive care, the law provides new funding to state Medicaid programs that choose to cover preventive services for patients at little or no cost.  Effective January 1, 2013.
  • Expanding Authority to Bundle Payments.  The law establishes a national pilot program called “Payment Bundling” to encourage hospitals, doctors, and other providers to work together to improve the coordination and quality of patient care.  Effective no later than January 1, 2013.

INCREASING ACCESS TO AFFORDABLE CARE

  • Increasing Medicaid Payments for Primary Care Doctors.  As Medicaid programs and providers prepare to cover more patients in 2014, the Act requires states to pay primary care physicians no less than 100 percent of Medicare payment rates in 2013 and 2014 for primary care services.  The increase is fully funded by the Federal government.  Effective January 1, 2013.
  • Providing Additional Funding for the Children’s Health Insurance Program.  Under the new law, states will receive two more years of funding to continue coverage for children not eligible for Medicaid.  Learn more about the Children’s Health Insurance Program (CHIP)Effective October 1, 2013.

2014: Health Care Reform

NEW CONSUMER PROTECTIONS

  • Prohibiting Discrimination Due to Pre-Existing Conditions or Gender.  The law implements strong reforms that prohibit insurance companies from refusing to sell coverage or renew policies because of an individual’s pre-existing conditions.  Also, in the individual and small group market, the law eliminates the ability of insurance companies to charge higher rates due to gender or health status.  Effective January 1, 2014.
  • Eliminating Annual Limits on Insurance Coverage.  The law prohibits new plans and existing group plans from imposing annual dollar limits on the amount of coverage an individual may receive.  Effective January 1, 2014.
  • Ensuring Coverage for Individuals Participating in Clinical Trials.  Insurers will be prohibited from dropping or limiting coverage because an individual chooses to participate in a clinical trial.  Effective January 1, 2014.

IMPROVING QUALITY AND LOWERING COSTS

  • Making Care More Affordable.  Tax credits to make it easier for the middle class to afford insurance will become available for people with income between 100 percent and 400 percent of the poverty line who are not eligible for other affordable coverage.  Effective January 1, 2014.
  • Establishing Health Insurance Exchanges.  Starting in 2014 if your employer doesn’t offer insurance, you will be able to buy insurance directly in an Exchange -- a new transparent and competitive insurance marketplace where individuals and small businesses can buy affordable and qualified health benefit plans.  Effective January 1, 2014.
  • Increasing the Small Business Tax Credit.  The law implements the second phase of the small business tax credit for qualified small businesses and small non-profit organizations.  In this phase, the credit is up to 50 percent of the employer’s contribution to provide health insurance for employees.  Download the brochure… The Affordable Care Act Increases Choice and Saving Money for Small BusinessesEffective January 1, 2014.

INCREASING ACCESS TO AFFORDABLE CARE

  • Increasing Access to Medicaid.  Americans who earn less than 133 percent of the poverty level (approximately $14,000 for an individual and $29,000 for a family of four) will be eligible to enroll in MedicaidEffective January 1, 2014.
  • Promoting Individual Responsibility.  Under the new law, most individuals who can afford it will be required to obtain basic health insurance coverage or pay a fee to help offset the costs of caring for uninsured Americans.  Learn more about Individual ResponsibilityEffective January 1, 2014.
  • Ensuring Free Choice.  Workers meeting certain requirements who cannot afford the coverage provided by their employer may take whatever funds their employer might have contributed to their insurance and use these resources to help purchase a more affordable plan in the new health insurance Exchanges.  Effective January 1, 2014.

Add new comment

Comments

why is it that no one is talking about the embeddable chip with the health care reform
Reply

It seems the health care legislation on microchip implants is a hoax. Here is more on that...    http://www.snopes.com/politics/medical/microchip.asp
Reply

THE CURRENT HEALTHCARE SYSTEM IN THE US IS A NIGHTMARE! AND IT DOESNT WORK! THE RICH CAN AFFORD IT, THE POOR GET IT FREE, AND THE MIDDLE CLASS IS STRUGGLING TERRIBLY AND GOING WITHOUT! PEOPLE ARE ONE SERIOUS ILLNESS AWAY FROM BEING BANKRUPT! THERE IS NO EXCUSE FOR THAT! EVEN THOSE WITH INSURANCE AVOID SEEING THE DOCTOR DUE TO HIGH DEDUCTIBLES AND OUT OF POCKET EXPENSES. ALL THOSE THAT THINK HEALTHCARE IS A PRIVILAGE JUST WAIT TILL YOU ARE SICK, LOSE YOUR JOB, AND ARE FLOODED WITH MEDICAL BILLS THAT ROB YOU OF YOUR LIFE SAVINGS. WE NEED A SINGLE PAYER SYSTEM IN THIS COUNTRY. 50 MILLION PLUS PEOPLE ARE NOT GOING WITHOUT HEALTHCARE BECAUSE THEY WANT TO, THEY CANNOT AFFORD IT!!!! OUR AMERICAN CITIZENS ARE BEING FLEECED BY THE CURRENT HEALTHCARE SYSTEM!!! AND THAT IS SHAMEFUL!
Reply

Addressing the most recent post about single-payer system:  The Affordable Care Act doesn't address any of the costs and actually implements many many things that are only going to drive the costs up more and more over the next decade. People will now have access but STILL not be able to afford it.    I think the effort will fail in 10-15 years and you may eventually GET your single-payer system. Because they DESIGNED this to fail, the government will eventually run our healthcare the way they do the DMV and the post office. It is SHAMEFUL they did not do a better job with reform to make sure ALL americans have access to affordable healthcare while addressing things like frivolous lawsuits and duplication of treatments/tests because we have no centralized electronic records etc.
Reply

As your health care related blogs continue, I think you are doing a great disservice to PrimePay clients by offering only the government's slant on all this. The subtitle "Improving Quality and Lowering Costs" almost made me laugh out loud. I have spoken with doctors & nurses and attended a seminar by Dr. David Janda. The majority of them seem sure that the quality of care cannot possibly improve when millions more Americans will supposedly be covered, but no additional doctors will be available. As for lowering costs, I know that is a main goal, but even the CBO os now saying that won't happen. I could relate so many problems with the new health care law, but I think it would be better for your readers to find out about these potential problems on their own by visiting the website of the Heritage Foundation or the National Center for Policy Analysis. Both have done in-depth reviews of the new law and offer details of the many flaws they have found. Perhaps this is why so many companies, and now even entire states, are asking for and receiving waivers. If you really want to offer unbiased information to PrimePay clients, I would once again suggest you offer both sides to this extremely controversial piece of legislation.
Reply

What is next?
Reply

IN MY OPINION THE SINGLE BIGGEST PROBLEM WITH THE "AFFORDABLE HEALTH CARE ACT" THAT WE WILL ALL HAVE TO FACE AND DEAL WITH IS THE FACT THAT OUR POLITICIANS HAVE ABSOLUTELY NO IDEA OF THE PROVISIONS CONTAINED WITHIN THE ACT. BY THEIR OWN ADMISSIONS 99% OF THE SENATORS AND CONGRESSMAN WHO SUPPORTED IT DID NOT READ IT OR EXAMINE IT. WHY? BECAUSE "IT WAS TOO LONG" AND NONE OF THEM WILL EVER HAVE TO DEAL WITH IT SIMPLY BECAUSE WHEN THEY LEAVE OFFICE THE RECEIVE A LIFE LONG MINIMUM PENSION IN EXCESS OF $80,000.00 PER YEAR AND FREE HEALTH CARE FOR THEMSELVES AND THEIR IMMEDIATE FAMILY MEMBERS FOR LIFE. THINK ABOUT THAT WHEN YOUR DOCTOR OR A HOSPITAL TELLS YOU THEY WILL NOT ACCEPT THE MEDICARE OR HEALTH CARE ACT ASSIGNMENT FOR A REDUCTION IN PAYMENT FOR THEIR SERVICES. THINK ABOUT IT WHEN YOUR INSURANCE PREMIUM SKYROCKETS OR WHEN YOUR EMPLOYER GOES OUT OF BUSINESS DUE THE COSTS OF THE ACT NOT TO MENTION THE 27 OTHER "TAX (COSTS) INCREASES THAT ARE ASSOCIATED WITH THE ACT. THERE IS NO QUESTION BUT THAT HEALTH CARE IN AMERICA NEEDS TO BE REFORMED AND EXHISTING MEDICAL INSURANCE CARRIERS NEED TO BE SLAPPED DOWN. HOWEVER, THE AFFORDABLE HEALTH CARE ACT IS NOT THE ANSWER.
Reply

ONCE AGAIN CONGRESS AND SENATORS VOTE THEIR SELFS A RAISE AND THE REST OF US ARE LOSING OUR JOBS AND STRUGGLING TO MAKE ENDS MEET. AND THESE AFFORDABLE HEALTH CARE PLAN WILL NEVER HELP US IT IS A JOKE.IT IS A SHAME THAT WE DO NOT LEAVE OUR JOB WITH THE BENIFETS THAT ALL OF YOU'LL DO.
Reply

what about dental and eye exams for people on medicare and low income
Reply

Receive Blog Updates Via Email

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

Follow PrimePay

Blog Tags

aca
aol
CDC
CPA
fte
hr
HRA
IRS
law
llc
seo