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This document outlines the critical timeline and components of health reform implementation, focusing on the expansion of Medicaid and the various payment reforms that impact hospitals and healthcare providers. Key topics include the Hospital Wage Index, DSH payment reductions, geographic variation bonuses, value-based purchasing initiatives, and reforms addressing pre-existing conditions. Additionally, the text covers significant measures aimed at reducing hospital readmissions and penalties for hospital-acquired infections, alongside the introduction of bundled payments and accountable care organizations, as well as fraud prevention strategies in Medicare and Medicaid.
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Health Reform Implementation Timeline Medicaid Expansion Hospital Wage Index Medicare/Medicaid DSH Payment Reduction CMS Hospital Behavioral Offset relating to IPPS Independent Payment Advisory Board Geographic Variation Bonus Hospital Readmission Payment Reductions Insurance Reforms (Pre-existing conditions for children, no annual or lifetime limits, children on parents insurance until 26) Hospital Market Basket Reductions Hospital Value-Based Purchasing Insurance Reforms (Pre-existing conditions for adults, premium limits) Hospital Productivity Adjustments Hospital-Acquired Infections Penalties Bundled Payments Pilot Medical Device Tax Accountable Care Organizations Waste, Fraud, and Abuse Provisions for Medicare and Medicaid Individual Mandate Disclosure of Industry Payments to Physicians and Teaching Hospitals
