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Obamacare 2012 and Beyond


  • Part D cost sharing for full-benefit dual eligible beneficiaries receiving home and community-based care services will become equal to the cost for those who receive institutional care.
  • Medicare payments will be reduced to hospitals by specified percentages to account for excess (preventable) hospital readmissions.
  • Rebates for Medicare Advantage plans will be reduced but high-quality Medical Advantage plans will receive bonuses.
  • Collection and reporting of data on race, ethnicity, sex, primary language, disability status and for underserved rural and frontier populations will be required.


  • US citizens and legal residents will be mandated to have qualifying health coverage (phase-in tax penalty for those without coverage).
  • Employers with 50 or more employees that do not offer coverage and have at least one full-time employee who receives a premium tax credit will be assessed a fee pf $2,000 per full-time employees, excluding the first 30 employees.

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