Posts Tagged ‘healthcare reform’

One of the most far-reaching innovations in the PPACA is the creation of an Independent Payment Advisory Board (IPAB), which will allow changes in Medicare reimbursement rules to be fast-tracked starting in 2015.  The purpose of the IPAB is to reduce the per capita rate of growth in Medicare spending.


Effective immediately, the annual market basket updates are being reduced for 15 different types of Medicare services.  The statute expressly provides, as to each of the following services that, as a result of these adjustments, a provider’s or supplier’s annual percentage increase,  may be less than zero percent in a fiscal year and thus may […]


The Health Reform law (otherwise known as the “Patient Protection and Affordable Care Act” or “PPACA”) contains numerous provisions relevant to home health agencies (“HHAs”). Reimbursement changes Perhaps most important to HHAs themselves are a number of reimbursement changes.  The HHA prospective payment system (“PPS”) will be rebased starting in 2014.  HHA rates will be […]


Many Medicare beneficiaries who can afford to do so purchase “Medigap” insurance policies to cover many of the self-pay portions of standard Medicare.   Since 1992, federal law has required these policies to offer one of several defined packages of benefits. Under the Affordable  Care Act (the government’s new name for the consolidated health reform statutes), […]


I have updated the following posts to focus on changes for nursing homes that are contained in the newly enacted health reform statute – Improving quality and regulatory compliance in nursing homes Making it easier for the public to understand about quality of care in nursing homes


The House reconciliation bill sweetens appropriations for community health centers to the tune of $2.5 billion over the next five years. Total appropriations will be — $1 billion for federal fiscal year 2011 $1.2 billion for 2012 $1.5 billion for 2013 $2.2 billion for 2014 $3.6 billion for 2015 For more of what this means […]


I’ve added a link to the new 153-page House reconciliation bill.  See it here.  I’ve also updated the House tab and added a Table of Contents for the new bill.  Watch here for substantive commentary on its provisions.


See this post in The Hill for current status of the reconciliation bill in the House of Representatives.


The Kaiser Family Foundation has published a table that compares the provisions in the House- and Senate-passed  bills and in President Obama’s recent proposal.  You can download it here. For just the key provisions affecting Medicare program, see this link.


Note:  The provisions discussed below were not included in the final legislation. The White House summary of  new proposed measures to “crack down on waste, fraud and abuse” include a number of provisions from H.R. 3970, the “Medical Rights and Reform Act” sponsored by Representative Mark Kirk (R-IL) and 12 Republican co-sponsors. One of these  […]



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