Health Reform Roll-Out Details

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Key Provisions of the Affordable Care Act That Take Effect in 2012

  • Medicare hospital value-based purchasing program
  • Increase in physician quality reporting requirements in Medicare
  • Additional Medicare pilot programs on alternative payment methodologies, e.g., accountable care organizations
  • Increased requirements for hospitals to maintain not-for-profit status
  • Fees from insured (including self-insured) plans transferred to the Patient-Centered Outcomes Research Trust Fund

Key Provisions of the Affordable Care Act That Take Effect in 2013

  • Increase Medicare payroll tax by 0.9 percent on high-income earners
  • Impose a 3.8 percent tax on net investment income of high-income individuals
  • $500,000 cap on health insurers’ deduction for executive compensation
  • Eliminate employer deduction for Medicare Part D subsidy
  • FSA limitations
  • Excise tax on medical device manufacturers and importers
  • Medical expense deduction floor increases to 10 percent
  • Nationwide bundled payment pilot begins in Medicare
  • Increased Medicaid reimbursement for primary care
  • Medicare physician comparison data available to the public
  • Reductions in Medicare payments for select hospital readmissions
  • Expanded coverage of preventive services by Medicaid

Key Provisions of the Affordable Care Act That Take Effect in 2014

  • Employer mandate and individual mandate
  • Employer and insurer reporting requirements
  • New health insurance market reforms take effect
  • State health insurance Exchanges established
  • Premium tax credits and cost-sharing subsidies available to certain individuals in Exchange insurance products
  • Medicaid expansion to new populations (100 percent federal match to states for newly-eligible populations through 2016)
  • Annual fee on health insurers
  • Medicare/Medicaid DSH payment cuts begin
  • Independent Payment Advisory Board (IPAB) issues first report to Congress if Medicare spending exceeds growth target

Editor's Note: is a health, long-term care and life insurance professional, and blogger for Patch.

This post is contributed by a community member. The views expressed in this blog are those of the author and do not necessarily reflect those of Patch Media Corporation. Everyone is welcome to submit a post to Patch. If you'd like to post a blog, go here to get started.


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