The article discusses how tax rates are set to increase in 2013 due to the expiration of the Bush tax cuts and new tax provisions related to the health care law. It suggests ways to reduce income subject to the new taxes and strategies to lower taxes by shifting income and deductions between 2012 and 2013. The maximum income tax rates could be as high as 43.4% on ordinary income and 23.8% on long-term capital gains. CPAs can help clients navigate these changes and minimize the impact of the tax increases.