Jan 24, 2012
While states are gearing up to have their Health
Insurance Exchanges going by the 2014 deadline, there
are key milestones coming up in 2012, which will impact
health reform law as well as the 2012 presidential race. Some
important dates to note:
January 1: Accountable Care Organizations (ACO) begin
operation. These organizations are designed to help providers
coordinate care for Medicare patients by providing monetary
incentives for everyone to work together for a flat fee. As
of January 1, 32 ACOs were slated to begin operating as
"pioneers". If the ACOs are successful, they could serve as a
new model for healthcare reimbursements, making
"fee-for-service" medicine a thing of the past.
March 26: The U.S. Supreme Court hears arguments on PPACA
(Patient Protection and Affordable Care Act). Among the
issues the Court will be addressing are the constitutionality
of the individual insurance mandate and whether PPACA is
valid without the mandate.
October 1: Value-based purchasing policies kick-in for
hospitals. Regulations for Medicare hospital payments go into
effect that link reimbursements to the quality of care
provided via performance metrics as well as re-admissions for
preventable complications.
November 3: The 2012 Presidential Election. Healthcare is
lining up to be a critical issue in the Presidential race and
the outcome of the elections will in many ways decide the
near-future of healthcare law. Republican majorities in
Congress as well as a Republican President would probably
mean a reboot of health reform, while President Obama's
reelection would help ensure the reforms of the PPACA going
forward.
December 31: Health Insurance Exchange Certification deadline
for states. While Exchanges don't have to be operational
until 2014, HHS must certify by the end of 2012 if a state
has made enough progress to launch by 2014 or if they will
need to rely on the federal model instead.
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