Posted by: Susan Polk | October 12, 2010

Payment Adjustments: Medicare, Medicaid

Patient Protection and Affordable Care Act – Day 99 – Amendments Day 2 – Pages 12-24 – October 11, 2010

–Medicare Advantage rates are adjusted from the original act. Rates are based on your rank compared to other states, among other things.
–Disproportionate share hospital payments are adjusted, as are market basket updates, and the payments to long-term care hospitals and inpatient rehabilitation facilities.
–Medicaid expenditures for newly eligible individuals now reimbursed 100% by the federal government for years 2014 to 2016, 95% in 2017, 94% in 2018, and 93% in 2019. For 2020 and beyond, the reimbursement of Medicaid beneficiaries is to be 90%.

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