With the passage of the reconciliation bill on Thursday by a 220-207 vote in the House and a 56-43 vote in the Senate comes changes to the increase in the Medicare payroll tax, set to take effect in 2013. The vote also means a delay until 2018 on a tax for more expensive, employer-sponsored health plans, as well as the elimination of the "doughnut hole" for Medicare prescription drug coverage. Furthermore, Medicare Advantage plans will see reduced payments, beginning in 2012. Article