Medicare Part D Discount (2011)
Brand manufacturers provide 50% discount from "negotiated price" on purchases in the coverage gap beginning 2011. 75% government benefit for generics, phased in between 2011 and 2020.
No Cost Preventive Care for Seniors on Medicare (January 1, 2011)
Provides certain free preventive services, such as annual visits for seniors on Medicare.
Premium Rebate Program (January 1, 2011)
Law requires that at least 85% of all premium dollars collected by insurance companies for large employer plans are spent on health care services and health care quality improvements. Individual and small employer plans require at least 80%. Should an insurance company not meet these goals because of their administrative costs or high profits, they must provide a rebate to consumers.
Strengthening Medicare Advantage Plans while Addressing Overpayments (January 1, 2011)
Medicare pays Medicare Advantage insurance companies over $1,000 more per person on average compared to someone enrolled in traditional Medicare. This results in increased premiums for ALL Medicare beneficiaries regardless if they are enrolled in an Advantage plan or not. The law will help eliminate this discrepancy and provide bonus payments to Medicare Advantage plans that provide high quality care.
Quality and Efficiency Improvements within Medicaid, Medicare and the Children’s Health Insurance Program (CHIP) (January 1, 2011)
An emphasis on developing new methods via an innovation center that will improve the efficiency and lower the growth in costs for these programs.
The Community Care Transitions Program (January 1, 2011)
Provides help to hospitalized high-risk Medicare beneficiaries' coordination of care by connecting patients to services in their community so they can avoid unnecessary readmissions.
Access to Home and Community Based Services (October 1, 2011)
The new Community First Choice Option will allow states to offer home and community-based services to disabled individuals through Medicaid rather than institutional care in nursing homes.