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Health reform explained – simply!

Health reform’s complicated – but it can be easily explained. The good folks at the Kaiser Family Foundation have produced a terrific video – that’s entertaining to boot – laying out pros and cons, explaining the rationale behind and opposition to reform, and all from a neutral perspective.
Kaiser’s reform site also has an interactive timeline, detailing the changes by year, and a detailed, here-it-all-is view here.
If you’re interested in how reform affects Medicare, Medicaid, employes, taxes – whatever – the timeline page allows you to sort and select only what you want. Seniors concerned about death panels and reductions in the Medicare program would find a lot of comfort here.
One part of reform I’m really looking forward to – simplified administration. Here’s KFF’s synopsis:
Simplify health insurance administration by adopting a single set of operating rules for eligibility verification and claims status (rules adopted July 1, 2011; effective January 1, 2013), electronic funds transfers and health care payment and remittance (rules adopted July 1, 2012; effective January 1, 2014), and health claims or equivalent encounter information, enrollment and disenrollment in a health plan, health plan premium payments, and referral certification and authorization (rules adopted July 1, 2014; effective January 1, 2016). Health plans must document compliance with these standards or face a penalty of no more than $1 per covered life. (Effective April 1, 2014).
Good work by the good folks at KFF!

Joe Paduda is the principal of Health Strategy Associates



A national consulting firm specializing in managed care for workers’ compensation, group health and auto, and health care cost containment. We serve insurers, employers and health care providers.



© Joe Paduda 2021. We encourage links to any material on this page. Fair use excerpts of material written by Joe Paduda may be used with attribution to Joe Paduda, Managed Care Matters.

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