2015 and on

Affordable Care Act Changes in 2015-2018

Medicare

• Beginning in 2015, Medicare payments will be reduced to hospitals with high rates of hospital acquired conditions (HAC). This is when a patient needs more care due to something that could be prevented. Examples are:
• A patient gets a new infection due to unclean facilities or bad care,
• An object being left inside a person during surgery.

Tax Changes

• Beginning in 2018, insurers will be taxed if the value of their employer-sponsored health plans:
• Exceeds $10,200 for individual coverage
• Exceeds $27,500 for family coverage

Exchanges

• By 2015, all exchanges must be self-sustaining. They can charge insurers fees to pay for operating expenses. But, they cannot use any money collected for:
• Staff retreats
• Promotional giveaways
• Excessive executive salaries
• Public education programs about changes to federal or state laws

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