{"id":285,"date":"2010-08-10T10:08:44","date_gmt":"2010-08-10T18:08:44","guid":{"rendered":"http:\/\/www.ddibenefits.com\/news\/?p=37"},"modified":"2010-08-10T10:08:44","modified_gmt":"2010-08-10T18:08:44","slug":"health-reform2010-to-2013-small-steps-forward","status":"publish","type":"post","link":"https:\/\/ddibenefits.com\/site\/2010\/08\/health-reform2010-to-2013-small-steps-forward\/","title":{"rendered":"Health Reform\u20262010 to 2013: Small steps forward"},"content":{"rendered":"<p>With no mandate yet in place for healthy individuals to purchase health care insurance, expansions in coverage for higher risk individuals will likely result in a deteriorating payer mix and little impact on reducing costs.<\/p>\n<p><!--more--><\/p>\n<p><strong>Changes include:<\/strong><\/p>\n<ul>\n<li>Hospital payment cuts for Medicare patients resulting in an added cost-shift to the commercial market<\/li>\n<li>Modest increases in Medicare and Medicaid payments to providers, which will help maintain provider access for these patients<\/li>\n<li>New insurance market rules including the extension of over-age dependent coverage to age 26<\/li>\n<li>New taxes on high income earners<\/li>\n<li>Medicare payment reform initiatives rewarding quality and efficiency<\/li>\n<\/ul>\n<p><strong>Healthcare reform:<br \/>\n2014 to 2017: 32 million newly insured Americans<\/strong><\/p>\n<p>Half of the great influx of newly insured members will come from Medicaid and the other half will come through individual and employer mandates. Changes include:<\/p>\n<ul>\n<li>Medicaid expanded to 133 percent of the federal poverty level, resulting in a reduction in charity care and a potential reduction in cost-shifting to the commercial market<\/li>\n<li>Individual mandate to purchase coverage and subsidies to 400 percent of the federal poverty level, including penalties that may encourage young, healthy individuals to enter the insurance pool<\/li>\n<li>Guaranteed-issue plans with no underwriting, resulting in higher medical costs for insurers<\/li>\n<li>Employer mandate for businesses with more than 50 employees<\/li>\n<li>State-based exchanges providing information on options to health insurance purchasers<\/li>\n<\/ul>\n<p>*Info provided by Providence Health Plan<\/p>\n","protected":false},"excerpt":{"rendered":"<p>With no mandate yet in place, expansions in coverage may cause some unfavorable side effects.<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"nf_dc_page":"","_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[6,10],"tags":[],"class_list":["post-285","post","type-post","status-publish","format-standard","hentry","category-healthcare-reform","category-small-business"],"acf":[],"jetpack_sharing_enabled":true,"jetpack_featured_media_url":"","jetpack_shortlink":"https:\/\/wp.me\/pa1tE9-4B","_links":{"self":[{"href":"https:\/\/ddibenefits.com\/site\/wp-json\/wp\/v2\/posts\/285","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/ddibenefits.com\/site\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/ddibenefits.com\/site\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/ddibenefits.com\/site\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/ddibenefits.com\/site\/wp-json\/wp\/v2\/comments?post=285"}],"version-history":[{"count":0,"href":"https:\/\/ddibenefits.com\/site\/wp-json\/wp\/v2\/posts\/285\/revisions"}],"wp:attachment":[{"href":"https:\/\/ddibenefits.com\/site\/wp-json\/wp\/v2\/media?parent=285"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/ddibenefits.com\/site\/wp-json\/wp\/v2\/categories?post=285"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/ddibenefits.com\/site\/wp-json\/wp\/v2\/tags?post=285"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}