2. On January 1st, a law was passed to expand the
number of Americans receiving preventive care.
The law gives funding to state Medical programs
which choose to cover preventive services for
patients at minimum or no cost.
Improving Preventive Health
Coverage
3. • As Medicaid programs and provides cover more patients in 2014, this
act requires states to pay primary care physicians the complete amount
of Medicare payment rates. This act became effective on January 1, 2013
and states the increase in payment is entirely funded by the
government.
Increasing Medicaid Payments
for Primary Care Doctors
4. • This law creates a national pilot program to support
hospitals, doctors, and additional providers in order to ensure they
work together to improve the coordination and quality of patient care.
Under payment bundling, everyone is paid an equal flat rate. This law
became effective on January 1, 2013.
Expanded Authority to Bundle
Payments
5. • Beginning on October 1, 2013 individuals and small businesses will be
able to purchase affordable and qualified health benefit plans.
Open Enrollment in the Health
Insurance Marketplace
6. • Starting on January 1, 2014 if an employer does not offer
insurance, employees can purchase it directly in the Health Insurance
Marketplace. This allows individuals and small businesses to buy
affordable and qualified health benefit plans.
Establishing the Health
Insurance Marketplace
7. • Under this law, which will be implemented on January 1, 2014,
individuals who can afford health care will be required to obtain basic
health insurance coverage or required to pay a fee in order to offset the
costs of caring for uninsured Americans. If an individual is unable to
afford healthcare, they will be eligible for an exemption.
Promoting Individual
Responsibility
8. • Starting January 1, 2014, citizens who earn 133% less than the
poverty level will be eligible to register for Medicaid. States will
get the entire amount needed for funding the first three years in
order to support this expanded coverage.
Increasing Access to Medicaid
9. • On January 1, 2014, tax credits will become available for citizens with
income 100% and 400% below the poverty line and who are inedible for
other healthcare programs. These individuals may also qualify for
reduced cost- sharing.
Makes Care More Affordable
10. • Starting on January 1, 2014, insurers will be banned from limiting
coverage because an individual prefers to join a clinical trial. This
applies for all trials treating cancer or any life-threatening disease.
Ensuring Coverage for
Individuals Participating in
Clinical Trials
11. • This law prohibits new plans and existing group plans from annually
limiting the amount of coverage an individual may receive.
Eliminating Annual Limits on
Insurance Coverage
12. • This law will become effective on January 1, 2014 and will implement
stronger reforms which prohibit insurance companies from refusing to
sell coverage because of a pre-existing condition. This law also
eliminates insurance company’s abilities to charge higher rates because
of ones gender or health status.
No Discrimination Due to Pre-
Existing Conditions or Gender
13. • This law implements the second phase of the small business tax credit.
During the second phase, there is a 35% credit for non-profit
organizations and the credit can reach 50% of an employer's
contribution to provide health insurance for employees.
Increasing Small Business
Health Insurance Tax Credit
14. • This new provision will connect physician payments to the quality of
care they're providing. Starting on January 1, 2015, physicians can see
their payments modified in able to prove those who provide high value
care will receive larger checks.
Paying Physicians Based on
Value Not Volume
