Reforms pending for providers.
A number of provisions in the Patient Protection and Affordable Health Care Act could affect hospitals and other health-care providers in New Hampshire in 2011.
Beginning July 1, 2011, Medicaid will no longer reimburse for care associated with conditions acquired in health-care settings, such as infections or injuries due to a fall.
This provision will probably "piggyback" on a similar law passed in 2008 prohibiting Medicare from reimbursing for health-care acquired conditions, said corporate and health-care attorney Hannah Zaitlin of the Manchester law firm of McLane, Graf, Raulerson & Middleton.
"Many private insurers have also followed suit," said Zaitlin.
Insurers also have new reform requirements to meet in 2011.
Beginning Jan. 1, insurers offering small-group health plans must spend at least 80 percent of premiums on care, known as the "medical loss ratio," or will have to send a rebate to subscribers. Those offering plans in the large-group market must spend at least 85 percent on care.
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|Publication:||New Hampshire Business Review|
|Article Type:||Brief article|
|Date:||Dec 31, 2010|
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