Patient Protection and Affordable Care Act – Amendments pages 25-36 – Day 100 – October 12, 2010
Medicaid payments, Fighting Fraud and Abuse and Revenue Raising
–More about Medicaid payments for primary care and hospitals who provide care to the poor.
–Drug rebates are adjusted to extend the life of brand name drugs. Also, the fees on drug manufacturers are revised.
–To fight fraud and abuse, $55 million is allocated for 2011, $30 million for 2013 and 2014, and $20 million for 2015 and 2016.
–DME (Durable medical equipment) payments can be withheld from a supplier for 90 days if abuse is suspected.
–For purposes of a high cost plan for the excise tax, the premiums for an employee must exceed $10,200, and for a family, it must exceed $27,500.
–For unearned income over $200,000 for a single person or $250,000 for a couple, a 3.8% Medicare tax is imposed.
