The Patient Protection and Affordable Care Act (PPACA) or "Obamacare" is being rolled out over a period of years. The provisions which are going into effect as of January 1, 2013 are:
Preventive Care Coverage: New funding for Medicaid for States choosing to provide preventive care services.
Payment Bundling: Expands authority of hospitals, physicians and health care providers to bundle payments for items and services, by providing incentives and shared savings among providers and Medicare.
Medicaid Payments Increased for Primary Care Physicians: States are to pay PCPs no less than 100% of Medicare 2013 and 2014 rates for primary care services delivered to Medicaid patients.
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