January 1, 2013

States Notify Health and Human Services ( HHS) if they will operate a Health exchange or default to the Federal Government

Closing Medicare Drug Coverage Gap-reducing co-insurance from 100% 2010 to 25% in 2020 in addition to the 50% brand name manufacturers discount

Medicare bundled payment pilot

Medicaid preventative care

Increased payments to doctors for Medicaid patients ( financed 100% by Federal Government

Medical Deduction Threshold increased from 7.5% to 10% of Adjusted Gross Income (AGI)

Flex Spending Account (FSA) limits caped at $2500 for Medical Expenses

Medicare Tax INCREASE

Employer Retiree Coverage Subsidy

2.3% Tax on Medical devices


April 1, 2013

Financial Disclosure- Requires financial disclosure of health entities including doctors, hospitals and manufacturers of drug devices

July 1, 2013

Establishment of Co-Op Health insurance plans- creates co-op to foster the creation of member run health insurance companies

Fiscal year 2013

Extension of Children’s Health Insurance Program through 2015

October 1, 2013

Medicare Disproportionate Shares Hospital (DSH) Payments- Reduces DSH by 75% then increases payments proportionate to the percentage of People uninsured and uncompensated care provided.

Medicaid DSH- requires secretary to establish methodology for distributing  DSH reductions.

NEW TAXES taking effect in 2013- see previous article

October or November of 2013

Anticipated “open enrollment period” to purchase health insurance through a health insurance exchange

January 1, 2014

All plans become guarantee issue and must have the 12 essential benefit mandates included.


Thanks for reading.

Eric Wilson
Eric Wilson
Eric has been serving clients throughout the country since 2004. He Specializes in Individual Health, Group Health, and Medicare, and planning a tax-free retirement. He is also an expert on the Affordable Act. I am passionate about what I do, and it shows in my work and proven track record. Want to learn more? Follow me on my social channels, or contact me directly - I’d love to hear from you!

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