health care reform affordable care act robert morris ms, mph vice president health initiatives...
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Health Care ReformAffordable Care Act
Robert Morris MS, MPHVice President Health Initiatives
American Cancer Society
WHY HEALTH CARE REFORM• The lack of adequate and affordable health insurance has serious
consequences for cancer, diabetes, heart disease, and stroke patients and survivors.
• Individuals without health insurance are less likely to receive preventative treatment or early detection screenings and are morelikely to delay treatment.
• For example, in a 2010 ACS poll of individuals under age 65 who Have cancer or a history of cancer, 34 percent reported delaying care because of cost in the past 12 months. AMERICAN CANCER SOCIETY CANCER ACTION NETWORK, A National Poll: Facing Cancer in the Health Care System (2010). More specifically, 29 percent delayed needed health care, 19 percent delayed getting a recommended cancer test or treatment, and 22 percent delayed a routine cancer check-up.
WHY HEALTH CARE REFORM
• At every level of education, individuals with health insurance are about twice as likely as those without it to have access to key cancer early detection procedures, such as mammography or colorectal screenings. Elizabeth Ward, et al., Association of Insurance with Cancer Care Utilization and Outcomes,58 CANCER J. FOR CLINICIANS 9 (2008).
The Politics of Health Care
The Political Landscape
Affordable Care Act Protecting Provisions for Cancer Patients and their Families • Banning pre-existing condition exclusions• Eliminating annual and lifetime benefit limits• Guaranteeing health coverage to all
applicants• Prohibiting insurers from charging people
more for coverage because of their health status
• Refocusing the health care system on disease prevention and early detection
• Exchanges
Health Insurance Coverage - 2014
57% 56%
11% 18%
12%18%
19%8%
Without Health Reform With Health Reform
UninsuredUninsured
Employer-SponsoredInsurance
Medicaid/CHIP
Medicaid/CHIP
Private Non-group/
Other
Employer-SponsoredInsurance
Exchanges/Private Non-group/Other
SOURCE: Congressional Budget Office, March 20, 2010
Total Nonelderly Population = 282 million
Patient Protection and Affordable Care Act
Enrolled in Exchange 24 million
Subsidized in Exchange 19 million
Premium Subsidies Cost $464 billion
Additionally Covered by Medicaid/CHIP 16 million
Medicaid Expansion Cost $434 billion
Remaining Uninsured 23 million
Total 10-Year Cost of Coverage Provisions $938 billion
10-Year Federal Deficit Savings $124 billion
Health Reform by the Numbers, 2010-2019
SOURCE: Congressional Budget Office, 2010.
Right Now….
•Young adults can now stay on their parent’s health plan up to age 26.
•Some small businesses with fewer than 25 employees can get help paying for the cost of providing health insurance.
•Insurance companies can’t deny health coverage to kids with pre-existing conditions.
•Adults who have been uninsured for at least 6 months and have been denied coverage because of a pre-existing condition may now get coverage.
Right Now….
•Insurance companies can’t place dollar limits on the health care they cover in your lifetime
•Those in Medicare can get preventive services and screenings, such as mammograms and colonoscopies, at no cost to them. •New health plans must offer preventive and screening services, such as mammograms and colonoscopies, at no cost to the patient.
Views On Health Reform Remain DividedAs you may know, a health reform bill was signed into law early last year. Given what you know about the health reform law, do you have a generally favorable or generally unfavorable opinion of it?
44% 45% 44%
50%48%
46%
41%44%
46%43%
14% 14%
10%
14%12% 11%
15%18% 18%
9% 8%
13%
18%
14%12%
15%
46%48%
50% 49%
42% 42%
40% 41%
35%
40% 40% 41%41%43% 42% 41%
43% 42% 41% 42% 42% 42%
0%
20%
40%
60%
80%
Mar Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun Jul
Favorable Unfavorable Don’t know/Refused
ACA signed into law on March
23, 2010
2010 2011
Source: Kaiser Family Foundation Health Tracking Polls
About Half Remain Confused About ACA; Three In Ten Enthusiastic Or Angry
Percent who say that each of the following describes their feelings about the health reform law:
30% 30% 28%33%
27%
0%
20%
40%
60%
AprMayJun Jul AugSep Oct NovDec Jan Feb MarAprMayJun Jul
ENTHUSIASTIC
32%28%
32% 34% 34%
28%
31%30%
34%
0%
20%
40%
60%
AprMayJun Jul AugSep Oct NovDec Jan Feb MarAprMayJun Jul
ANGRY
42%45% 47%
43%46%
52%55% 53%
53%
0%
20%
40%
60%
AprMayJun Jul AugSep Oct NovDec Jan Feb MarAprMayJun Jul
CONFUSED
2010
Source: Kaiser Family Foundation Health Tracking Polls
2011
2010
2011 2010
2011
66%
63%
33%
0%
20%
40%
60%
80%
Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May
BlackHispanicWhite
44%
47%
36%
0%
20%
40%
60%
80%
Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May
< $40K$40-$90K$90K+
Favorability of the ACA Among Key SubgroupsPercent who say they have a favorable opinion of the health reform law:
44%
36%
0%
20%
40%
60%
80%
Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May
18-64
65+
43%
44%
0%
20%
40%
60%
80%
Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May
Insured
Uninsured
2010 2011 2010 2011
2010 2011 2010 2011
Source: Kaiser Family Foundation Health Tracking Polls
BY AGE BY RACE/ETHNICITY
BY INCOME BY INSURANCE STATUS (<65)