By the end of 2016, Medicare aims to make 30% of all payments through alternate payment models, such as accountable care organizations and bundled payments, and tie 85% of fee-for-service hospital payments to quality or value.
In a major concession, federal authorities will allow Indiana to lock residents out of the program for six months if they fail to pay premiums.
Congressional Budget Office Director Douglas Elmendorf says the lower cost projections are the result of many factors, including the overall "slowdown in the growth of health care costs" and estimated lower coverage premiums that will be subsidized by the federal government.
More than $280 million of the funding would be devoted to efforts led by CDC to cut down on overprescribing and track outbreaks of antibiotic-resistant infections.
The high court remands the case back to an appeals court, finding that "[w]hen a contract is silent as to the duration of retiree benefits, a court may not infer that the parties intended those benefits to vest for life."