HITECH Act
-provides incentives to encourage meaningful use of electronic health records
- widespread use of EHRs can help improve record keeping, interdisciplinary care, and minimize errors
-was sunset by CMS and replaced with quality improvement program
PPACA
-individual mandate, medicaid expansion, health insurance marketplace, dependent coverage up to age 26
- offered premium subsidies, cost sharing subsidies, made insurance plans cover 10 essential categories of benefits.
illegal to reject applicants with preexisting conditions, closed donut hole, required insurances to have MLR of 85%
What were some major changes of PPACA?
Medical loss ration (MLR)
-the proportion of total revenue spent on reimbursing health insurance claims
MACRA
-reinvented physician payment mechanisms in medicare part B and streamlined quality incentives through the quality payment program
MIPS & APM
-voluntary programs for individual providers or groups where they're performance is measured
- depending on performance; they either qualify for an incentive or penalty
Patient centered medical home (PCMH)
-an effort to bring interdisciplinary collaborative practice to ambulatory care and primary care
-includes doctors, nurses, pharmacists, and other health professionals
-provides incentives for providers to register as PCMH through APM programs
central clearing house
The PCMH model aims to serve as a _________ for all patient medical records to help share information and improve continuity of care.
ACOs
- groups of providers that choose to bill together, report quality performance and assume risk for patient care through incentives and penalties
21st century cures act
-streamline drug and device approval and encourage innovations in medical technology
Inflation reduction act
-lower the cost of insulin to $35 a month
-no 5% coinsurance
-medicare required to negotiate prices for select drugs
-removed cost-sharing for all vaccines in medicare, medicaid, and chip