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HealthCare.gov is a consumer website, through and through -- in look, feel, content, and user experience. It’s all about you.
Learn about your rights, how to navigate the insurance market, and how the new law will help you – tailored to your life situation, and drawing
from 500+ pages of content written for the site
We gather user feedback throughout the site and will utilize it to continually improve HealthCare.gov
Our powerful insurance options finder is simple and easy to use. Just answer a few questions…
In addition, get the latest information about new benefits and resources provided by the Affordable Care Act.
Access the latest prevention tips…
… and information about quality of care – both areas of the website which will grow significantly over time.
Selected Key Cost Containment Strategies in the Affordable Care Act
• - Reduces the number of hospital readmissions.
• - Reduces hospital acquired conditions.
• - Bundling payments for ESRD
• - Improves physician quality reporting
Ten-Year Cost Savings
• $3.2 billion
• $1.7 billion
• $1.9 billion
• $8.2 billion
Improve the quality of care
Reform our delivery system
• - Promotes Accountable Care Organizations
• - Establishes the Independent Payment Advisory Board (IPAB)
Ten-Year Cost Savings
• $4.9 billion
• $23.7 billion
Appropriately price services and
modernize financing systems
• - Ends overpayments to Medicare Advantage plans
• - Makes improvements to productivity and market basket adjustments in most provider settings.
• - Modifies payments for advanced imaging services
• - Further expands competitive bidding for Durable Medical
2010-2011 Cost Savings
Ten Year Cost Savings
$5.3 billion $145 billion
$1.4 billion
$0.1 billion
$0.5 billion
$205 billion
$2.0 billion
$17 billion
Fight waste, fraud, and abuse
• ExpandsRecovery Audit Contractors (RACs)
• Requires face encounters with physicians before receiving certain services
• Requires greater data matching capabilities
• $4.9 billion cost savings over ten years
Payments to Medicare Advantage Plans
• Frozen in 2011
• Benchmarks vary
• Phased in over 3, 5, or 7 years
• MA benchmarks reduced in 2012
• By 2014, 85% of funds plans receive must go to health care
14
ACASection
3203
Authority to Deny Plan Bids
Secretary not required to accept any or every bid submitted by an MA organization
Secretary can deny a bid– Proposes significant increases in cost-sharing or – Decreases benefits offered by the plan
Applies to bids from prescription PDP sponsors Effective for contract years on/after
January 1, 2011 ACA
Section 3209