The New York Times reports that hospitals have been slow to implement a new rule allowing for lower cost coverage for people who have a heart attack, stroke or a high blood pressure to help reduce costs.
The new rule is expected to cost hospitals $10 billion per year, the paper said, and will reduce the total cost of care by $1.3 trillion.
The rule, which took effect in December, allows people with pre-existing conditions to be covered for up to 10 days at a time under a “cost sharing plan” that allows people to buy coverage at an average of $75 a month.
Under the new rules, hospitals can no longer charge higher premiums for pre-established conditions and will cover the costs of lower-risk patients who are under 65, according to a person familiar with the plan who spoke on condition of anonymity because it is private.
The people who will benefit most from the rule are older adults and the elderly, the person said.
They include those with diabetes, hypertension, congestive heart failure, or heart failure.
The White House and the Centers for Medicare and Medicaid Services are considering changes to the rule, the Times reported, citing people familiar with its discussions.
The new rules would affect up to 7.6 million Americans, the newspaper said, citing two people familiar who asked not to be identified discussing the matter.
Hospitals will be allowed to change their rules for those with preterm birth, a condition that is typically treated with surgery, and preexisting conditions, the New York Post reported.
The rules apply to people who are 65 or older, have pre-term birth and have not had surgery.