On October 24, 2012, the Adirondack Health Institute held the Adirondack Medical Home Summit 2012 at the High Peaks Resort in Lake Placid, NY. Jim Herman from ADK Futures attended the Summit and wrote a post about it on his blog. To read the post click...
A new provision will tie physician payments to the quality of care they provide. Physicians will see their payments modified so that those who provide higher value care will receive higher payments than those who provide lower quality care. Effective January 1,...
Workers meeting certain requirements who cannot afford the coverage provided by their employer may take whatever funds their employer might have contributed to their insurance and use these resources to help purchase a more affordable plan in the new health insurance...
Under the law, most individuals who can afford it will be required to obtain basic health insurance coverage or pay a fee to help offset the costs of caring for uninsured Americans. If affordable coverage is not available to an individual, he or she will be eligible...
Americans who earn less than 133% of the poverty level (approximately $14,000 for an individual and $29,000 for a family of four) will be eligible to enroll in Medicaid. States will receive 100% federal funding for the first three years to support this expanded...
The law implements the second phase of the small business tax credit for qualified small businesses and small non-profit organizations. In this phase, the credit is up to 50% of the employer’s contribution to provide health insurance for employees. There is...
Beginning January 1, 2014, tax credits to make it easier for the middle class to afford insurance will become available for people with incomes between 100% and 400% of the poverty line who are not eligible for other affordable coverage. (In 2010, 400% of the poverty...
Insurers will be prohibited from dropping or limiting coverage because an individual chooses to participate in a clinical trial. This applies to all clinical trials that treat cancer or other life-threatening diseases. Effective January 1,...
The law prohibits new plans and existing group plans from imposing annual dollar limits on the amount of coverage an individual may receive. This will be effective January 1, 2014.
Beginning January 1, 2014, the law will implement strong reforms that prohibit insurance companies from refusing to sell coverage or renew policies because of an individual’s pre-existing condition. Also, in the individual and small group market, the law...
