who reach the doughnut hole to get a 50% discount on brand name drugs.
* Primary care doctors and general surgeons practicing in underserved areas, such as inner city and rural communities to get a 10% bonus.
* Medicare Advantage plans begin having payments frozen.
Other:
* Yearly fee for brand-name drug manufacturers.
* Start of voluntary long-term care insurance program giving a cash benefit to help those with disabilities stay in their homes or pay nursing home cost: benefit starts 5 years after paying coverage fee.
* Increased funding for community health centers to provide care for many low-income and uninsured people.
2012
* Hospitals, doctors and payers encouraged to join forces in “accountable care organizations”.
* Hospitals with high rates of preventable readmissions facing reduced Medicare payments.
2013
* Individuals making 0,000 a year or couples making 0,000 would have a higher Medicare payroll tax of 2.35% on earned income – up from the current 1.45%. A new 3.8% tax on unearned income, such as dividends and interest, also added.
* Contributions to flexible spending accounts (FSAs) limited to ,500 a year – indexed for inflation. And the threshold for deducting medical expenses on taxes goes from 7.5% to 10% income.
* Medical device
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