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The SGR was expected to cause Medicare reimbursement cuts of 24 percent on April 1, 2014, if a solution to reform or delay the SGR was not found. [75] This led to another bill, the Protecting Access to Medicare Act of 2014 (H.R. 4302; 113th Congress), which would delay those cuts until March 2015. [75] This bill was also controversial.
The reasons for low use are many, but a lack of dental providers who participate in Medicaid is a key factor. [69] [70] Few dentists participate in Medicaid – less than half of all active private dentists in some areas. [71] Cited reasons for not participating are low reimbursement rates, complex forms and burdensome administrative requirements.
In 1989, Congress created the Federally Qualified Health Center (FQHC) program, which established a preferential payment policy for health centers by requiring "cost-based" reimbursement for both Medicaid and Medicare. [1] The policy designated FQHC services as a mandatory Medicaid service that all states must cover and reimburse on a cost ...
Low reimbursement rates for Medicare and Medicaid have increased cost-shifting pressures on hospitals and doctors, who charge higher rates for the same services to private payers, which eventually affects health insurance rates. [144] In March 2010, Massachusetts released a report on the cost drivers which it called "unique in the nation". [145]
Currently, the minimum deductible has risen to $1.200 for individuals and $2,400 for families. HSAs enable healthier individuals to pay less for insurance and deposit money for their own future health care, dental and vision expenses. [125] HSAs are one form of tax-preferenced health care spending accounts.
Sure enough, the House conferees voted 3 to 2 against the Senate health provision; the Senate conferees voted 4 to 3 to accept a bill only if Medicare were included." [32] Medicare finally came about with the Social Security Act of 1965 which authorized Medicare and provided federal funding for many of the medical costs of older Americans. [33]
To resolve allegations of improper policy rescissions (cancellations), WellPoint paid $10 million and reinstated plans for 1,770 policy-holders who were affected by cancelled policies. The company also agreed to provide compensation for any medical debts incurred by these policy-holders.