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Evolution of the US Health Care Industry

EVOLUTION of HEALTH CARE The American health care system has been under constant modification since its inception, and with the 2010 Patient Protection and Affordable Care Act, changes have been made that are sure to reverberate for years to come. Here is a brief glimpse of how health care has changed and will change. 1990s By the end of the decade there are 44 MILLION AMERICANS, 16% of the nation, with no health insurance. 2000s In 1993, federal health care reform legislation fails to pass in the U.S. Congress. Nurse Reinvestment Act, 2002 In 1996, HIPAA enacts privacy regulations in addition to restricting pre existing condition considerations for insurance coverage determinations. Establishes educational and other types of programs to help expand the nurse workforce in response to the nursing shortage. Federal and state agencies launch Operation Restore Trust to investigate fraud and abuse in Medicare The Medicare Prescription Drug, Improvement and Medicaid. and Modernization Act of 2003 By May 1997 Adds outpatient prescription drug coverage to the Medicare program through a new Part D. 2$ 2$ 2$ 2$ $) The Deficit Reduction Act of 2005 2$ ($) = $10M Gives states greater control over the design $187.5 MILLION and administration of their Medicaid programs. in fines, recoveries, settlements, audit disallowances and civil monetary penalties have been levied. $4.7 BILLION Health care 2x the rate of inflation. reduction in federal spending. costs rise at = $1B 2010s In 2006, Massachusetts and Vermont pass reforms that require almost-universal health insurance coverage. 59 MILLION Americans have no health insurance for at least part of 2010. & = 1M Americans 2011 On March 23, President Barack Obama signs the Affordable Care Act, enacting comprehensive Jan. 1 health care and insurance reforms. Seniors who reach discount on On April 1, states begin receiving federal funds to expand Medicaid coverage. the coverage gap 50% brand-name get a drugs. The idea is to slowly close the coverage gap by 2020. September ---- 23 --- Young adults can stay on their parents' health insurance plans until age 26, with some exceptions. of the premiums you pay on medical care and Most insurers must spend 80% at least quality improvements. 85% when covering large employers People who are disabled can receive home- and community-based services through state Oct. 1 Medicare instead of FREE nursing home-based care. All new plans must provide some preventative services free of charge. individual who's become ill. Insurance plans cannot deny coverage for an 2012 Children with pre-existing conditions can't be denied coverage. March 23 Low-income, minority and other underserved populations often have Strengthening and growing our health care workforce. less access to care and CLOSED higher rates of illness. To battle these disparities, federal health programs Combined with the American Recovery and Reinvestment must now report ethnic, racial, language and Act of 2009, the training and development of rural population data. +16,000 June 28 U.S. Supreme Court upholds the Affordable Care Act. = 1,000 August Free preventive measures for women, including: ++* well-woman visits new primary care providers over the next gestational diabetes screening 5 YEARS X8888 breast-feeding supplies contraception 2013 On January 1, taxpayers making $200,000+ September 23 -- All insurers must: see a 0.9% increase in .9% Use a standardized form to summarize benefits and coverage. Medicare Part A tax rate. Note excluded services all in one place. Financial relationships between health entities must be disclosed to Congress. April 1 Calculate/disclose typical out-of-pocket costs for Individuals and small business owners can start seeking affordable health insurance, as open enrollment begins for competitive insurance marketplaces. Fall 2 MEDICAL SCENARIOS having a baby , treating Type 2 diabetes 2014 October Regulations to reduce administrative costs and • 1st : ensure confidentiality begin to go into effect. 2015 Physician payment tied to quality of care. All Americans required to have basic health coverage. $325 32 MILLION Americans will have health insurance for the first time. = 1M Americans %24 $ = $25 OR of family income penalty 2% Exemption for those who aren't eligible for affordable coverage. for no insurance $162.50 per child family income $95 or 1% penalty for adults without insurance. $47.50 per child 2016 Individuals and small businesses can find health STATES plans through an Affordable Insurance Exchange. Insurers can sell can form health care choice compacts. policies in any state that is part of a compact. Medicaid available of the 133% poverty for individuals earning less than level. of family income $695 or penalty for no No annual dollar 2.5% insurance limit on coverage Li $347.50 per child Family tax credits: For qualifying persons with income 100% to 400% Penalty remains the same after 2016 | of the poverty line. 2018 Insurer discrimination against those with pre-existing conditions prohibited. High-cost insurers taxed. Small-business health 50% Jan. 1 insurance tax credit rises to Businesses with 50+ employees that don't provide health coverage charged a fee. There is future change in sight on the coattails of the 2010 Patient Protection and Affordable Care Act, but its consequences are still speculation. There is no doubt though that the next decade of health care will do anything but remain stagnant. SOURCES

Evolution of the US Health Care Industry

shared by CLotus on Jul 16
Since its early days, the American health care system has experienced constant change. The last two years alone have significantly altered the way both patients and providers view the system. View the...


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