Adirondack Health Institute News

Affordable Care Act Fact of the Day – Paying Physicians Based on Value not Volume

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, 2015.

Affordable Care Act Fact of the Day – Ensuring Free Choice

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 exchanges.  Effective January 1, 2014.

Affordable Care Act Fact of the Day – Promoting Individual Responsibility

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 for an exemption.  Effective January 1, 2014.

Adirondack Rural Health Network adds a new link – Obesity Web Resourses

The Adirondack Rural Health Network is pleased to announce the addition of a new link on our website, www.arhn.org

Obesity Web Resources is a great source for obesity-related:

– Data, Maps, Trends & Reports

– Clinical Guidelines & Strategies

– Community Programs & Services

– Tools & Resources for Individuals and Families

Just click on Obesity Resources at the top of the list on the left side of the website.

 

Affordable Care Act Fact of the Day – Increasing Access to Medicaid

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 coverage, phasing to 90% federal funding in subsequent years. Effective January 1, 2014.

Increasing the Small Business Tax Credit

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 also up to a 35% credit for small non-profit organizations.  Effective January 1, 2014.

Affordable Care Act Fact of the Day – Making Care More Affordable

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 line comes out to be about $43,000 for an individual or $88,000 for a family of four.)

The tax credit is advanceable, so it can lower your premium payments each month, rather than making you wait for tax time. Its’ also refundable, so even moderate-income families can receive the full benefit of the credit.  These individuals may also qualify for reduced cost-sharing (co-payments, co-insurance, and deductibles).

Affordable Care Act Fact of the Day – Ensuring Coverage for Individuals Participating in Clinical Trials

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, 2014.

Affordable Care Act Fact of the Day – Eliminating Annual Limits on Insurance Coverage

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.

Affordable Care Act Fact of the Day – Prohibiting Discrimination Due to Pre-Existing Conditions or Gender

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 eliminates the ability of insurance companies to charge higher rates due to gender or health status.