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6. - Appendix

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6. - Appendix

The following chart details some of the significant changes that Medicare will undergo, or has undergone, due to the Patient Protection and Affordable Care Act of 2010.


  • PPACA provided an additional $250 million for the fight against Medicare fraud and abuse. The funds, to be used over ten years, were assigned to existing Health Care Fraud and Abuse Control funds.


  • Free annual wellness visits and personalized prevention plan services were made available for Medicare beneficiaries.
  • Payments to Medicare Advantage companies were frozen at 2010 levels.
  • Medicare provided a 10 percent bonus payment to primary care physicians and general surgeons.
  • Part D provided a 50 percent discount on brand-name drugs in the donut hole.
  • Created at “Innovation Center” at CMS to test new ideas for cost savings in Medicare.


  • To enhance primary care services, physician payment reforms were enacted to encourage doctors to form or join “accountable care organizations” that coordinate care and improve patient health.
  • CMS begins tracking hospital readmission rates, which will penalize some hospitals and reward others.
  • Medicare established an incentive program for hospitals to improve quality outcomes.


  • Medicare will establish a pilot program in reference to “payment bundling” between hospitals, doctors, and other care providers to better coordinate beneficiary health care.
  • Medicare payroll tax will increase from the current 1.45 percent of a worker’s wages to 2.35 percent for individuals earning over $200,000, and married joint filers making over $250,000. An additional tax of 3.8 percent will be imposed on some investment income for the higher income group.
  • The threshold for deducting medical expenses will increase from 7.5 percent of adjusted gross income to 10 percent of AGI.
  • A 2.9 percent excise tax on medical devices will be imposed (to include “definitive devices,” such as wheelchairs and hearing aids).


  • Medicare will begin to implement the recommendations of the Independent Payment Advisory Board (established by the act) in order to reduce the per capita growth in Medicare spending.
  • Medicare Advantage plans will be required to have medical loss ratios no lower than 85 percent.
  • State health insurance exchanges will be established, as will mandates requiring individuals and employers to obtain health insurance. Health insurance companies will be required to pay a tax based on the size of their market share.


  • Medicare begins a plan to pay physicians based on rewarding quality of care rather than volume of services.





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You leave out the over $800 billion being taken out of Medicare over the next 10 years. You also fail to look at the fact that more and more doctors are refusing to take medicare because it does not pay for services rendered. Before ACA was passed the Mayo Clinic out west stopped taking it. It will get worse with the reductions caused by ACA. The Democrat policy is screw the seniors.

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