–Applications for federal high risk pool will cease when funding runs out.
–Effective July 1, 2010, a temporary reinsurance program to provide reimbursement to employer-based plans for early retirees. People over 55 not eligible for Medicare are eligible. Plans can receive 80% of the costs of claims between $15,000 and $90,000.
–Internet website is available July 1, 2010, for all people to find affordable health insurance options in their state.
–Standardized format to be required for insurers to disclose information including percentage of premium used for health care, eligibility for and availability of plans, premiums rates, and cost sharing.
–Individuals should know cost and coverage of services prior to or at the point of care.
–Reduce the number and complexity of forms and data entry required by patients and providers. As much uniformity as possible.
–By July 1, 2011, health claim status transactions shall be adopted and then implemented by Janaury 1, 2013. Machine readable ID cards.
–Electronic claims filing ready by July 1, 2012 and implemented by January 1, 2014.
–Health plans need to be certified by December 31, 2013, that their data and information systems are in compliance, including eligibility, health claim status, payment and remittance advice; and by December 31, 2015, they need to include referral certification and authorization, enrollment and disenrollment, and encounter information. There are significant penalties for noncompliance.