The mandate to buy health insurance is the one thing everyone seems to know about Obamacare. Without the mandate, insurance companies cannot afford to offer coverage to everyone irrespective of their heath condition. If the mandate is deemed unconstitutional by the Supreme Court, they will then need to decide if everything that comes under the Affordable Care Act must also be canceled.
Here are some of the Medicare-related parts of the Affordable Care Act that would go down with Obamacare. The list is provided by Patients Aware.org.
IN GENERAL, through a long list of programs and policies, the Affordable Care Act saves Medicare about $450 billion in the first decade, mostly through agreed upon reductions in payment rates for inpatient hospitals, long-term care hospitals, home health services, skilled nursing facilities, and other providers, as well as reduced subsidies to private Medicare Advantage plans.
• Closes the donut hole in the Part D prescription drug program.
• Provides a 50 percent discount for brand name drugs beginning in 2011 for seniors in the donut hole, regardless of income.
• Eliminates cost-sharing for proven preventive services.
• Provides a comprehensive annual wellness visit and personalized prevention plan.
• Improves seniors’ access to primary care by providing bonus payments to primary care providers.
• Establishes initiatives to encourage the development of a more efficient health care delivery, especially for seniors with multiple chronic conditions.
• Provides transition services to high-risk Medicare beneficiaries when they are discharged from the hospital.
• Helps seniors living in rural areas by making sure their physicians are adequately paid.
• Phases down subsidies for Medicare Advantage plans over time so that, on average, plans will ultimately receive payments comparable to what it would cost traditional Medicare to cover the same seniors.
• Requires all Medicare Advantage plans to spend at least 85 percent of revenue on senior care rather than profits or overhead, beginning in 2014.
• Includes new resources and tools to protect taxpayer dollars by preventing fraud in Medicare and Medicaid.
• Allows the Department of Health and Human Services to share IRS data to help screen and identify fraudulent providers.
• Strengthens oversight of Durable Medical Equipment providers.
• Increases overall funding for the Health Care Fraud & Abuse Control Fund to $700 million over the next decade.