leading through health reform
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Leading Through Health Reform . Karen Minyard, Ph.D. . Health Reform An overview of the impact of the Patient Protection and Affordable Care Act in the United States. Federal Poverty Level High-risk Pool Health Insurance Exchange Insurance Subsidies Individual Mandate Essential Benefits . - PowerPoint PPT PresentationTRANSCRIPT
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Leading Through Health Reform Karen Minyard, Ph.D.
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Health ReformAn overview of the impact of the
Patient Protection and Affordable Care Act in the United States
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Federal Poverty LevelHigh-risk Pool
Health Insurance ExchangeInsurance SubsidiesIndividual MandateEssential Benefits
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1. Sources of coverage
Health Reform
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more Americans with health insurance coverage
(non-elderly)
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more Georgians with health insurance coverage
(non-elderly)
9.2.2010
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more Georgians with health insurance coverage
Source of coverageNow
Fully Implemented Change
Employer 57% 54% -3%
Individual Private 4% 2% -2%
Other 8% 8% None
Medicaid/CHIP 12% 17% +5%
Uninsured 19% 5% -14%
Exchange 0% 14% +14%
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1. Sources of coverage2. Financial Implications
Health Reform
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funding and spending
Fees, Taxes and Penalties
Medicaid
Insurance Premium SubsidiesMedicare Savings
~ 1 trillion ~ 1 trillion
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1. Sources of coverage2. Financial Implications3. Major change components
Health Reform
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Changes in Public
Coverage
Changes in Private
Coverage
Improving Health Care
Quality
Improving Health
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Medicaid expansionChanges in
Public Coverage
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Insurance RegulationHealth Insurance Exchanges
Changes in Private
Coverage
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Small Employer Tax CreditsSubsidies for Individuals in the Exchange
Changes in Private
Coverage
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Best informationCoordinated careProvider incentives and penalties
Improving Health Care
Quality
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National health strategyResearch and public health innovationMandatory preventive careHealthier communities
Improving Health
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1. Sources of coverage2. Financial Implications3. Major change components4. Timeline
Health Reform
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2010 2011 2012 2013 2014
Insurance Regulation
Tax and Spending Changes
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2010 2011 2012 2013 2014
Improving Quality Measures
Additional Tax and Spending Changes
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2010 2011 2012 2013 2014
Reduced Payments – Medicare
Quality Incentives and Demonstration Projects
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2010 2011 2012 2013 2014
Additional Tax and Spending Changes
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2010 2011 2012 2013 2014
Coverage Expansions
Individual Mandates Enacted
Additional limits, fees, incentives
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2010 2011 2012 2013 2014
Changes in 2015 and beyond
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1. Sources of coverage2. Financial Implications3. Major change components4. Timeline
Health Reform
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Strategic System Changers Are
Needed to Help Navigate Health
Reform
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Areas of Actions to Consider
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The EndPresented by:
Karen Minyard, Ph.D.