Wednesday, September 22, 2010

Checking in on the continuing debate -- Updated [Bryan]

Remember the debate last year about health care reform? It seems like that debate in some ways was just beginning. Now we can start asking: What's working? What isn't? What needs to be changed or fixed? What are the unintended consequences? This means I can continue with my obsession for years to come. I'm not sure I should be happy or sad about that.

If you want to keep track of the real debate about health care reform, and not just hear partisan spin, you can check in at the Kaiser Family Foundation's Health Care Reform Gateway website. They've created this good (and slightly funny) video explaining the new law, what it is supposed to do, how it will be paid for, and what some of the areas of uncertainty are:



They also have this nifty timeline, which allows you to see what change is supposed to occur and when. Some of the provisions I'm watching:

September 23, 2010 (TODAY!!!). Consumer Protections in Insurance. Prohibits individual and group health plans from placing lifetime limits on the dollar value of coverage, rescinding coverage except in cases of fraud, and from denying children coverage based on pre-existing medical conditions or from including pre-existing condition exclusions for children. Restricts annual limits on the dollar value of coverage (and eliminates annual limits in 2014)

January 1, 2010: Small Business Tax Credits. Provides tax credits to small employers with no more than 25 employees and average annual wages of less than $50,000 that provide health insurance for employees. Phase I (2010-2013): tax credit up to 35% (25% for non-profits) of employer cost; Phase II (2014 and later): tax credit up to 50% (35% for non-profits) of employer cost if purchased through an insurance Exchange for two years.

Beginning fiscal year 2011: Medical Malpractice Grants. Authorizes $50 million for five-year demonstration grants to states to develop, implement, and evaluate alternatives to current tort litigations.

January 1, 2010. Medicare Beneficiary Drug Rebate. Provides a $250 rebate to Medicare beneficiaries who reach the Part D coverage gap in 2010. Further subsidies and discounts that ultimately close the coverage gap begin in 2011.

January 1, 2010. Comparative Effectiveness Research. Establishes a non-profit Patient-Centered Outcomes Research Institute to conduct research that compares the clinical effectiveness of medical treatments.

October 2011. Medicare Independent Payment Advisory Board. Establishes an Independent Advisory Board, comprised of 15 members, to submit legislative proposals containing recommendations to reduce the per capita rate of growth in Medicare spending if spending exceeds targeted growth rates.

January 1, 2011. Medicare Premiums for Higher-Income Beneficiaries. Freezes the income threshold for income-related Medicare Part B premiums for 2011 through 2019 at 2010 levels resulting in more people paying income-related premiums, and reduces the Medicare Part D premium subsidy for those with incomes above $85,000/individual and $170,000/couple.

Update:
A nice analysis of the early roll out of health care reform by Jacob Hacker. He gives the process so far a "B."

1 comment:

Monica said...

So it turns out Nancy Pelosi was right! We did need to pass health care reform to find out what is in it. :)

Kyle