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Federal Health Reform Update: Comprehensive Changes and Implications for Hospitals and Health Systems

Learn about the latest updates on the federal health reform legislation of March 23, 2010, and understand its impact on hospitals and health systems. Explore coverage expansions, key provisions, pilot programs, and demos included in the reform package.

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Federal Health Reform Update: Comprehensive Changes and Implications for Hospitals and Health Systems

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  1. Federal Health Reform Update March 23, 2010

  2. Legislative Process 1. Senate passed bill on December 24, 2009.2. House passed on Sunday, March 21, 2010, Senate bill (219 – 212) and reconciliation bill–a package of modifications to the Senate bill per White House–congressional Democratic leader negotiations (220 - 211).3. Senate scheduled Tuesday, March 23 to take up House-approved reconciliation package (51 votes needed). 3 1 2 Senate House

  3. Issues Addressed in Reconciliation Package to Modify Senate-Passed Reform Bill

  4. Coverage Expansion-How?Over 10 Years, the Bill will Expand Coverage to 34 million–95% of all Americans–23 million will remain uncovered

  5. Key Hospital and Health System Provisions

  6. DSH Reductions

  7. Medicare Update Factor Reductions Increase for Hospitals

  8. 340B Drug Discount Program

  9. Geographic Variation

  10. Wage Index

  11. Hospital Readmissions

  12. Hospital Value-Based Purchasing

  13. Graduate Medical Education (GME)

  14. Independent Payment Advisory Board

  15. 501(c)(3) Tax-Exempt Status

  16. Key Hospital and Health System Pilots and Demonstrations

  17. Medicare Payment Bundling

  18. Accountable Care Organizations (ACOs)

  19. Medicaid Payment Demos

  20. Center for Medicare and Medicaid Innovation

  21. Additional Hospital and Health System Provisions in the Final Health Reform Package

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