Timeline of Legislative, Insurance and Information Reform in US Healthcare

Reform Efforts

1940's - Employer Based Healthcare emerges to attract and retain employees

1945

1965 - President Lyndon Johnson enacts Medicare

1965

1985 - The Consolidated Omnibus Budget Reconciliation Act (COBRA) becomes law

1985

1997 - The State Children's Health Insurance Program, or SCHIP, was established

1997

2009-American Recovery & Reinvestment Act includes HITECH (Meaningful Use-EHR)

2009

2010 - President Barack Obama's Affordable Care Act passes Congress

2010

2012 - Supreme Court Upholds Affordable Care Act

2012

2014 - Main Provisions of Affordable Care Act Begin

2014

2015 - Doctors get paid for performance as measured by improved patient outcome

2015

Insurance Reform

1950s - Rise of the Private Insurance Industry

1950

Mid 1980s - Rise of the Healthcare Maintainence Organization (HMO)

1985

2000's-Rise of Accountable Care Orgs (ACO) & Patient Centered Med Homes (PCMH)

2000

2012 - Insurance Companies Pilot Pay For Performance Compensation

2012

Information Reform

1990's Rise of Electronic Medical Records in Hospital Systems

1990

2000's Rise of Electronic Medical Records in Primary Care for early adapters

2002

2009 - HITECH Act (Meaningful Use) Spurs Implementation of EHR in Primary Care

2009

2012-Pay for Performance Spurs need for Evidence Based Medicine in Primary Care

2012