Health Care Reform: Challenges and Opportunities Marian Mulkey, MPP, MPH California HealthCare Foundation www.chcf.org State Association of County Retirement.

Slides:



Advertisements
Similar presentations
Private Health Insurance: Challenges for Reform Karen Pollitz Research Professor Georgetown University Health Policy Institute Alliance for Health Reform.
Advertisements

The Health Uninsured Some Statistical Information July 27, 2007 Charles Maxey, Ph. D.
Prospects for Reform in Health Insurance Coverage and Workers’ Compensation E. Richard Brown, PhD Professor, UCLA School of Public.
Prepared for the Committee for Health Care for Massachusetts December 14, 2005 ACTION COSTS LESS The Health Care Amendment Standards and Options for Reform.
We are funded by generous grants from the California Wellness Foundation, the California Endowment, Blue Shield of California Foundation, California Community.
Labor’s Fight to Get Medicare for All Reg Clark & Matthew Kogan Labor United for Universal Health Care Healthy California Campaign 3 rd Annual Summer Conference.
The Affordable Care Act Reduces Premium Cost Growth and Increases Access to Affordable Care Before ACA, Small Employers Faced Many Obstacles to Covering.
1 National Health Insurance Kenneth Brummel-Smith, M.D. Charlotte Edwards Maguire Professor & Chair, Department of Geriatrics Florida State University.
Americans’ Views of the Uninsured Issue Surveys developed in collaboration with the Robert Wood Johnson Foundation and Kaiser Family Foundation Robert.
Government and Health Care Roughly 15 cents of every dollar spent in US is on health care US health care spending equaled $5841 per person in 2002 Governments.
Overview of the U.S. Health Care System American Medical Student Association.
Government and Health Care Roughly 15 cents of every dollar spent in US is on health care US health care spending equaled $5841 per person in 2002 Governments.
Obama’s Heath Reform Proposal Helen Halpin, PhD. Professor of Health Policy UC Berkeley, SPH.
Health Care Reform in California Steven P. Wallace, Ph.D. UCLA Center for Health Policy Research & UCLA School of Public Health UCLA Center for Health.
Major Health Issues The Affordable Healthcare Act.
Consumer Advocacy Organizations and Chartered Value Exchanges: How the Two Can Support Each Other A Presentation for Consumer Advocates.
Health Insurance Coverage of California’s Working Latinos Howard Greenwald Suzanne O'Keefe Mark DiCamillo University of Southern California California.
 You pay a premium into an insurance pool. In the event that you are sick or injured, the insurance policy pays all or part of your medical expenses.
Return to KaiserEDU Tutorials
Section 24.2 Participating in Your Healthcare Slide 1 of 18 Objectives Describe how to choose and participate fully in your healthcare. Compare different.
Health Insurance Coverage of the Nonelderly, 2010 * Medicaid also includes other public programs: CHIP, other state programs, Medicare and military-related.
Exhibit 2. Medicare Enrollment, 1970–2080 Enrollment in millions Source: Centers for Medicare and Medicaid Services, 2013 Annual Report of the Boards of.
Health Reform: What It Means to Our Community. Health Reform: Key Provisions o Provides coverage to 32 million uninsured people by o Changes insurance.
LESSON 11.3: HEALTH INSURANCE Module 11: Health Policy Obj. 11.3: Calculate the cost of health care based on health insurance plan.
CHCWG DRAFT March 2, 2006 Hearing from the American People: Preliminary Overview of Sources and Reports March 2006 Caution: Preliminary Data Do not cite.
Wisconsin Health Care Partnership Plan Health Care That Works for Wisconsin A Labor/Management Partnership Solution to our Health Care Crisis.
Health care reform in the Netherlands – role of the employer
+ The Affordable Care Act. + Outcomes Participants will: Gain knowledge of the history of the Affordable Care Act; Understand the benefits for children.
How Americans Pay for Health Care: A Brief Overview October 12, 2010 Merton D. Finkler, Ph.D. John R. Kimberly Distinguished Professor in the American.
Affordable Care Act and Public School Employees Health Insurance November 1, 2012.
Health Care Reform in America Facing Up:. President Obama and Healthcare Reform “Health care reform is no longer just a moral imperative, it’s a fiscal.
Exhibit 1. “Medicare Extra” Benefits vs. Current Medicare Benefits Current Medicare benefits*“Medicare Extra” Deductible Hospital: $1024/benefit period.
Spotlight on the Federal Health Care Reform Law. 2. The Health Care and Education Affordability Reconciliation Act of 2010 was signed March 30, 2010.
HEALTH CARE REFORM UPDATE FOR AVOYELLES PARISH SCHOOL BOARD EMPLOYEES Prepared by: APSB Finance Department.
Peterson-Kaiser Health System Tracker How has U.S. spending on healthcare changed over time?
The Patient Protection and Affordable Care Act Our Healthcare Reform Law Why do we need it? What does it do for us?
United States Domestic Policy By Alyssia, Trey, and David.
“Cost Sharing Not Just About Sharing Costs” Washington Business Group on Health Helen Darling, President December 3, 2003.
Managed Care & Health Care Reform Cost of Health Care $2.4 trillion in 2008 ($7.900 per person) 17% of GDP US 10.9% Switzerland 10.7% Germany 9.7% Canada.
National Leader The state of Maryland, hospitals, and insurance companies partnered Applied to the federal government for a 5 year “demonstration project”
System Wide Strategies: Controlling Costs Health Care Coverage in Hawaii Turning Point or Tipping Point October 17, 2005 Enrique Martinez-Vidal Deputy.
Health Care Reform Post-Election : What is “Realistic”? Leonard Rodberg, PhD Urban Studies Dept., Queens College/CUNY and NY Metro Chapter, Physicians.
Reforming Health Care: Making Sense of Health Care Finance amid Growing Underinsurance Leonard Rodberg, PhD Urban Studies Dept., Queens College/CUNY Prepared.
Wisconsin’s Challenges in Health Care Access and Cost: A Look at the Numbers March 22, 2006 Donna Friedsam, MPH Associate Director for Health Policy University.
State & Federal Approaches to Health Reform: What works for the working poor? June 9, 2008 Ellen Meara Meredith Rosenthal Anna Sinaiko Katherine Baicker.
Health Insurance and the Uninsured in Kansas February 2008 Kansas Health Institute This chartpack may be used as a presentation in its entirety. Individual.
A Roadmap for Health Reform in Colorado Recommendations of the Blue Ribbon Commission for Health Care Reform William N. Lindsay III Blue Ribbon Commission.
Comprehensive Health Care Reform in Vermont: The Policy and Politics Jim Maxwell, PhD Herb Olson, JD JSI Research & Training Institute, Inc. Vermont Department.
1 Comprehensive Health Care Reform in Vermont: The Policy and Politics Jim Maxwell, PhDHerb Olson, JD JSI Research & Training Institute, Inc. Vermont Department.
Appendices. Appendix 1: Supplementary Data Tables Trends in the Overall Health Care Market.
Dennis & Patten Participation in Government Mepham High School Health Care Reform in America.
Modeling Health Reform in Massachusetts John Holahan June 4, 2008 THE URBAN INSTITUTE.
 Agreed upon fees paid for coverage of medical benefits for a defined benefit period. Premiums can be paid by employers, unions, employees, or shared.
Figure ES-1. Features of Leading Candidates’ Approaches to Health Care Reform ClintonEdwardsObamaGiulianiHuckabeeMcCainRomney Individual Mandate Yes Children.
HEALTH INSURANCE How does health insurance work in the US?
Healing Our Broken Healthcare System Why nurses support a single-payer plan.
1 WOMEN AND HEALTH REFORM: LESSONS FROM MASSACHUSETTS November 9, 2010 American Public Health Association Annual Meeting Tracey Hyams, JD, MPH, Director.
Universal Health Care without Private Health Insurance? Single Payer: The Only Affordable, Lifelong, Comprehensive, Quality Health Care Plan for Every.
1 September 25, 2007 State Coverage Institute: Minnesota.
New York's Medicaid Expansion of : Implications for Other States under the ACA Michael Birnbaum Vice President United Hospital Fund June 14, 2011.
Health Reform: An Overview Unit 4 Seminar. The Decision The opinions spanned 193 pages, upholding the individual insurance mandate while reflecting a.
HEALTHCARE FINANCE Tracy Grant Viterbo University.
The Affordable Care Act  AKA, “Obamacare”  Goals:  Increase the quality affordability of health insurance  Decrease the number of uninsured people.
California Health Reform Proposal
Health Care Reform in America
The Connecticut Economy CBIA Forum
Trends in Insurance Coverage
Overview of State Efforts Toward Health Reform
Presentation transcript:

Health Care Reform: Challenges and Opportunities Marian Mulkey, MPP, MPH California HealthCare Foundation State Association of County Retirement Systems Spring Conference May 15, 2009

C ALIFORNIA H EALTH C ARE F OUNDATION The Problems  Rising health care costs  Growing population of uninsured  Declining rate of employer-sponsored insurance  Ongoing concerns with health care quality

C ALIFORNIA H EALTH C ARE F OUNDATION Health spending represents a growing share of the US economy. Slide #3 of HC Costs 101, 2008

C ALIFORNIA H EALTH C ARE F OUNDATION In the US, health care spending is split between private and public sector.

C ALIFORNIA H EALTH C ARE F OUNDATION Most non-elderly Californians receive health coverage through employment… Source: California HealthCare Foundation, Snapshot: California’s Uninsured, Subsitute Slide 4, Unins snapshot 2008

C ALIFORNIA H EALTH C ARE F OUNDATION Yet employer-based coverage is steadily declining, and more are uninsured. Source: California HealthCare Foundation, Snapshot: California’s Uninsured,

C ALIFORNIA H EALTH C ARE F OUNDATION The uninsured are less likely to get the care they need. Source: Kaiser Family Foundation, The Uninsured: A Primer, October 2006

C ALIFORNIA H EALTH C ARE F OUNDATION Nationwide, on average adults receive recommended care less than half the time. Percentage of Adults Receiving Recommended Care, by Type 54.9% = Overall care 54.9% = Preventive care 53.5% = Acute care 56.1% = Chronic care Source: McGlynn EA, et al., “The Quality of Health Care Delivered to Adults in the United States,” New England Journal of Medicine, Vol. 348, No. 26, June 26, 2003, pp

C ALIFORNIA H EALTH C ARE F OUNDATION Higher spending doesn’t necessarily mean higher quality California

C ALIFORNIA H EALTH C ARE F OUNDATION Premium and out-of-pocket expenses add up for consumers

C ALIFORNIA H EALTH C ARE F OUNDATION Health care expenses represent a substantial share of income

C ALIFORNIA H EALTH C ARE F OUNDATION Some policy approaches and ideas  Broad coverage expansion  Employers required to provide coverage (“pay or play”)  Individuals mandated to buy, insurers required to sell  Single payer (all participate, broad tax-based financing)  Other proposals  Reduce insurance and/or employer regulation  Make consumers more aware of prices  Reduce health care provider administrative burden  Use health information technology to better manage care  Change provider payments to reward “performance” rather than volume  Directly regulate new technology, and/or prices  And on, and on…

C ALIFORNIA H EALTH C ARE F OUNDATION Many groups have a stake in the health reform debate  Hospitals, doctors, and other health care providers  Employers  Labor unions  Insurance companies  Government agencies: federal, state, local  Consumer advocates  Citizens It’s much easier to agree that current system needs reform, than to agree on who should pay more or be obligated to behave differently to change it.

C ALIFORNIA H EALTH C ARE F OUNDATION Health Reform: Key Issues and Challenges  Coverage expansion addresses one aspect of larger set of problems  Who should pay? Who should be subject to mandates or other new requirements?  How should “affordability” be defined for:  Employers  Employees/ Individuals  Government  How should “quality” be defined and monitored?  How can costs be contained and quality improved, now and in future?

C ALIFORNIA H EALTH C ARE F OUNDATION What’s next?