They Call It Health Reform 2

They Call It Health Reform 2

This is because the law temporarily eliminates the annual inflation adjustment for income levels, freezing them at levels from 2010 to 2019. Therefore, the income limits for the higher premiums in Parts B and D are now set at $85,000 for an individual and $170,000 for couples by 2019.

Then there are incentive plans that aim to improve the quality and coordination of care, producing efficiencies and saving on the program. And if you’ve been to a hospital recently, you know firsthand the need to improve. What we would not do to improve communication between providers and between providers and patients. And if you were a patient or visitor, you can’t help but want better care. Let’s face it: If you end up in the hospital today, it’s best to have a lawyer to help you monitor your stay, or it’s very possible that you end up with an infection, don’t completely recover, or become a statistic.

When it comes to potential efficiencies, think about the hospital billing process and get rates and information from After a stay at the hospital, you receive separate bills for medical and hospital services. You may even get bills from doctors who didn’t even know they treated you or what they treated you for. This account may arrive months later. And there is really no way to verify that you received the service. There is also no way to dispute the amounts being charged. Come on! Is it really $ 10 for an aspirin? For real? Can you honestly say “simple fraud prevention”? Reforms are clearly required.

The reality of a hospitalization does not look anywhere like what you often see on television. And each company can find ways to implement best practices and be more efficient. It is just a matter of what should be changed and how it will be paid until the associated savings are made. Implementing efficiency is one of the few areas where true cost savings are possible. But beware of the tendency to reduce costs by simply transferring them to the patient, doctor or back to Medicare.

There are also provisions in the law that will increase Medicare spending, offsetting part of the program’s planned savings. For example, the law establishes stages in coverage that reduce the deficit of prescription drugs in Part D (“period without coverage”) by 2020. And there is an annual welfare visit and other improvements in coverage of preventive services. Providing these additional services may be important and may provide cost savings to beneficiaries, but coverage will certainly increase Medicare costs.