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Post by aztecwin on Dec 29, 2010 8:55:57 GMT -8
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Post by JOCAZTEC on Jan 7, 2011 14:46:10 GMT -8
What is the HIT payroll tax on all wages going to be set at? Is it also matched by the employer?
mAd hAM
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Post by aztecwin on Jan 7, 2011 15:36:22 GMT -8
Just saw where a straight repeal would decrease spending by $500 Billion. We can't do it with the present Senate in place, but repeal and a start over would save a lot of money and do away with the rationing and death panels. Start over with real meaningful tort reform and go from there. Here is the link. xrl.us/bid7cvReverses the cuts to Medicare and eliminates the ObamaCare Tax hikes. Need to find more spending cuts to make it neutral. |
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Post by sdtosf on Jan 11, 2011 23:11:57 GMT -8
How do these death panels work? Do they have crosshairs over the person they want eliminated?
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Post by aztecwin on Jan 12, 2011 13:52:24 GMT -8
How do these death panels work? Do they have crosshairs over the person they want eliminated? Get sick with a malady that is expensive to treat and you are in those cross hairs. |
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Post by sdtosf on Jan 16, 2011 0:15:49 GMT -8
Here is the actual health care program. Where is the Death Panel part???
ey provisions of the health-care legislation passed in March 2010 are:[3]
[edit] Within one year of enactment (2010–2011)
* Insurance companies barred from dropping people from coverage when they get sick, ending the practice of rescission. Lifetime coverage limits eliminated and annual limits restricted.
* Young adults able to stay on their parents' health plans until age 26. Many health plans previously dropped dependents from coverage when they turned 19 or finished college.
* Uninsured adults with pre-existing conditions will be able to obtain health coverage through a new program that will expire once new insurance exchanges begin operating in 2014.
* Insurance companies cannot deny group or new (non-grandfathered) individual coverage to children under age 19 due to a pre-existing condition.[43]
* A temporary reinsurance program is created to help companies maintain health coverage for early retirees between the ages of 55 and 64. This also expires in 2014.
* Medicare drug plan beneficiaries who fall into the Medicare Part D coverage gap (the so-called "doughnut hole") will get a $250 rebate. The new law eventually closes that gap completely. (The old law required the sick person to pay 100% of their own annual medicine costs after $2,700 was spent in the coverage year and did not start again until after $6,154 was spent).
* A tax credit becomes available for some small businesses to help provide coverage for workers.
* A 10% tax on indoor tanning services that use ultraviolet lamps goes into effect on July 1.
[edit] Effective during 2011
* Medicare provides 10% bonus payments to primary care physicians and general surgeons.
* Medicare will cover the full cost of annual wellness visits and personalized prevention plan services for beneficiaries. New health plans will be required to cover preventive services with little or no direct cost to patients.
* A new program under the Medicaid plan for the poor goes into effect in October that allows states to offer home and community based care for the disabled that might otherwise require institutional care.
* Payments to insurers offering Medicare Advantage services are frozen at 2010 levels. These payments are to be gradually reduced to bring them more in line with traditional Medicare.
* Employers are required to disclose the value of health benefits on employees' W-2 tax forms.
* An annual fee is imposed on pharmaceutical companies according to market share. The fee does not apply to companies with sales of $5 million or less.
[edit] Effective as of 2012
* Physician payment reforms are implemented in Medicare to enhance primary care services and encourage doctors to form "accountable care organizations" to improve quality and efficiency of care.
* An incentive program is established in Medicare for acute care hospitals to improve quality outcomes.
* The Centers for Medicare and Medicaid Services, which oversees the government programs, begins tracking hospital readmission rates and puts in place financial incentives to reduce preventable readmissions.
* Companies will be required to issue 1099 forms to any vendor of services or rental property to which the business has paid more than $600. Form 1099 is also sent to the IRS. Under the existing law, businesses issued the Form 1099 only to individuals who provided services or property to a business. The health care law included the same form be issued to corporations as well, and that the form be issued to individuals and corporations that provide property to the business.[44][45] Only business related payments are reportable, personal payments not.[46] There are a number of exceptions. For example: payments for merchandise, telephone, freight, storage, payments of rent to real estate agents are excepted.[46] The health care bill mandate aims to collect lost revenue from companies that under-report on their tax returns. The provision is expected to raise $17 billion over 10 years.[47]
[edit] Effective as of 2013
* A national pilot program is established for Medicare on payment bundling to encourage doctors, hospitals and other care providers to better coordinate patient care.
* The threshold for claiming medical expenses on itemized tax returns is raised to 10% from 7.5% of income. The threshold remains at 7.5% for the elderly through 2016.
* The Federal Insurance Contributions Act tax (FICA) is raised to 2.35% from 1.45% for individuals earning more than $200,000 and married couples with incomes over $250,000. The tax is imposed on some investment income for that income group.
* A 2.9% excise tax is imposed on the sale of medical devices. Anything generally purchased at the retail level by the public is excluded from the tax.
[edit] Effective as of 2014
Main article: Patient Protection and Affordable Care Act#Effective by January 1, 2014
* State health insurance exchanges for small businesses and individuals open.
* Individuals with income up to 133% of the federal poverty level qualify for Medicaid coverage.
* Healthcare tax credits become available to help people with incomes up to 400 percent of poverty purchase coverage on the exchange.
* Premium cap for maximum "out-of-pocket" pay will be established for people with incomes up to 400 percent of FPL.[48][10] Section 1401 of PPACA explains that the subsidy will be provided as an advancable, refundable tax credit[49] and gives a formula for its calculation.[50] Refundable tax credit is a way to provide government benefit to people even with no tax liability[51] (example: Child Tax Credit). According to White House and Congressional Budget Office figures, the maximum share of income that enrollees would have to pay for the "silver" healthcare plan would vary depending on their income relative to the federal poverty level, as follows:[52][11] for families with income 133–150% of FPL will be 4-4.7% of income, for families with income of 150–200% of FPL will be 4.7-6.5% of income, for families with income 200–250% of FPL will be 6.5-8.4% of income, for families with income 250-300% of FPL will be 8.4-10.2% of income, for families with income from 300 to 400% of FPL will be 10.2% of income. In 2016,the federal poverty level is projected to equal about $11,800 for a single person and about $24,000 for family of four.[52] See Subsidy Calculator for specific dollar amount.[53]
* Most people required to obtain health insurance coverage or pay a tax if they don't.
* Health plans no longer can exclude people from coverage due to pre-existing conditions.
* Employers with 50 or more workers who do not offer coverage face a fine of $2,000 for each employee if any worker receives subsidized insurance on the exchange. The first 30 employees aren't counted for the fine.
* Health insurance companies begin paying a fee based on their market share.
[edit] Effective 2015
* Medicare creates a physician payment program aimed at rewarding quality of care rather than volume of services.
[edit] Effective 2018
* An excise tax on high cost employer-provided plans is imposed. The first $27,500 of a family plan and $10,200 for individual coverage is exempt from the tax. Higher levels are set for plans covering retirees and people in high risk professions.
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Post by sdtosf on Jan 16, 2011 23:13:05 GMT -8
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Post by aztecwin on Jan 17, 2011 14:29:56 GMT -8
I don't think that you or your Dr. will like the idea of having to get a prescription to go down to Rite Aide to get Band-aides and Tylenol. There is also a lower limit on what can be put away so you can no longer get big planned bills like Dental Work done under this plan. |
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