As health care reform evolves into the final years of implementation, the focus will shift more towards cost accountability and quality control.

You could call 2012 the “year of decisions” in regards to Health Care Reform. The Supreme Court ruled that the individual mandate and penalty tax provisions of the law were in fact constitutional. The Romney defeat  in the general election removed  the threat of a legislative repeal of the Affordable Care Law. Some people are still into some sort of denial about the legitimacy of health care reform. Health care reform  is the ‘law of the land.’ It is better to face the reality of the changes coming than to wish they weren’t going to happen.

As health care reform evolves into the final years of implementation, the focus will shift more towards cost accountability and quality control.  Here are some of the major changes coming in 2013.

1. Accountable Care Organizations will take center stage. Medicare payments to providers will be linked to quality of care rather than to the quantity of care. Doctors who can show that they are saving Medicare money will be rewarded.

2. Medicare payments to hospitals and doctors will be bundled. The traditional fee for service payment structure will begin to be phased out. A new national pilot program will pay a flat rate for all care received during a patient’s major medical event.

3. Medicaid will give family doctors a pay raise. Payments to Medicaid PCPs, Primary Care Physicians, will be increased to make it more comparable to Medicare payments

4. CHIP, Children’s Health Insurance Program, will be strengthened. Protecting children’s health is one of the most cost effective things we can do. 

5. Preventive care will be expanded to include 30+ million of the currently uninsured. The federal government will cover the cost of preventive care for those states that choose to offer preventive care at little or no cost in their Medicaid programs.

6. State Health Insurance Exchanges will begin to be certified by the Department of Health and Human Services. The California Health Insurance Exchange, called Covered California, will be up and running by the end of the year.

7. A new 3.8% Medicare tax will apply to the investment and “unearned income” of individuals, trusts and estates. The tax will apply to individuals earning more than $200,00 MAGI and couples earning more than $250,000 MAGI.

We have made it our job to keep you informed about Health Care Reforms as they roll out.

As health care reform evolves into the final years of implementation, the focus will shift more towards cost accountability and quality control.

You could call 2012 the “year of decisions” in regards to Health Care Reform. The Supreme Court ruled that the individual mandate and penalty tax provisions of the law were in fact constitutional. The Romney defeat  in the general election removed  the threat of a legislative repeal of the Affordable Care Law. Some people are still into some sort of denial about the legitimacy of health care reform. Health care reform  is the ‘law of the land.’ It is better to face the reality of the changes coming than to wish they weren’t going to happen.

As health care reform evolves into the final years of implementation, the focus will shift more towards cost accountability and quality control.  Here are some of the major changes coming in 2013.

1. Accountable Care Organizations will take center stage. Medicare payments to providers will be linked to quality of care rather than to the quantity of care. Doctors who can show that they are saving Medicare money will be rewarded.

2. Medicare payments to hospitals and doctors will be bundled. The traditional fee for service payment structure will begin to be phased out. A new national pilot program will pay a flat rate for all care received during a patient’s major medical event.

3. Medicaid will give family doctors a pay raise. Payments to Medicaid PCPs, Primary Care Physicians, will be increased to make it more comparable to Medicare payments

4. CHIP, Children’s Health Insurance Program, will be strengthened. Protecting children’s health is one of the most cost effective things we can do. 

5. Preventive care will be expanded to include 30+ million of the currently uninsured. The federal government will cover the cost of preventive care for those states that choose to offer preventive care at little or no cost in their Medicaid programs.

6. State Health Insurance Exchanges will begin to be certified by the Department of Health and Human Services. The California Health Insurance Exchange, called Covered California, will be up and running by the end of the year.

7. A new 3.8% Medicare tax will apply to the investment and “unearned income” of individuals, trusts and estates. The tax will apply to individuals earning more than $200,00 MAGI and couples earning more than $250,000 MAGI.

We have made it our job to keep you informed about Health Care Reforms as they roll out.