understanding health reform choice regional health network
TRANSCRIPT
Understanding Health Reform
CHOICE Regional Health Network
Health ReformAn overview of the impact of the
Patient Protection and Affordable Care Act in the United States
Federal Poverty LevelHigh-risk Pool
Health Insurance ExchangeInsurance SubsidiesIndividual MandateEssential Benefits
1. Sources of coverage
Health Reform
more Americans with health insurance coverage
more Americans with health insurance coverage
Source of coverage Now 2014 Change
Employer 59% 57% -2%
Individual Private 6% 2% -4%
Other 3% 3% None
Medicaid/CHIP 15% 18% +3%
Uninsured 17% 6% -11%
Exchange 0% 14% +14%
1. Sources of coverage2. Financial Implications
Health Reform
health reform is intended to be budget reducing
Fees, Taxes and Penalties
Medicaid
Insurance Premium SubsidiesMedicare Savings
+/- 1 trillion +/- 1 trillion
1. Sources of coverage2. Financial Implications3. Major change components
Health Reform
Changes in Public
Coverage
Changes in Public
Coverage
Changes in Private
Coverage
Changes in Private
Coverage
Improving Health Care
Quality
Improving Health Care
Quality
Improving Health
Improving Health
Medicaid expansion
Changes in Public
Coverage
Changes in Public
Coverage
Insurance RegulationHealth Insurance Exchanges
Changes in Private
Coverage
Changes in Private
Coverage
Best information
Coordinated careProvider incentives and penalties
Improving Health Care
Quality
Improving Health Care
Quality
National health strategyResearch and public health innovationMandatory preventative careHealthier communities
Improving Health
Improving Health
1. Sources of coverage2. Financial Implications3. Major change components4. Timeline
Health Reform
2010 2011 2012 2013 2014
Insurance Regulation
Tax and Spending Changes
Insurance Regulation
Tax and Spending Changes
2010 2011 2012 2013 2014
Improving Quality Measures
Additional Tax and Spending Changes
Improving Quality Measures
Additional Tax and Spending Changes
2010 2011 2012 2013 2014
Reduced Payments – Medicare
Quality Incentives and Demonstration Projects
Reduced Payments – Medicare
Quality Incentives and Demonstration Projects
2010 2011 2012 2013 2014
Additional Tax and Spending Changes
Additional Tax and Spending Changes
2010 2011 2012 2013 2014
Coverage Expansions
Individual Mandates Enacted
Additional limits, fees, incentives
Coverage Expansions
Individual Mandates Enacted
Additional limits, fees, incentives
2010 2011 2012 2013 2014
Changes in 2015 and beyondChanges in 2015 and beyond
1. Sources of coverage2. Financial Implications3. Major change components4. Timeline
Health Reform
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