Understanding Health Reform CHOICE Regional Health Network
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
1.Sources of coverage Health Reform
more Americans with health insurance coverage
more Americans with health insurance coverage Source of coverageNow2014Change Employer59%57%-2% Individual Private6%2%-4% Other3% None Medicaid/CHIP15%18%+3% Uninsured17%6%-11% Exchange0%14%+14%
1.Sources of coverage 2.Financial Implications Health Reform
health reform is intended to be budget reducing Fees, Taxes and Penalties Medicaid Insurance Premium Subsidies Medicare Savings +/- 1 trillion
1.Sources of coverage 2.Financial Implications 3.Major change components Health Reform
Changes in Public Coverage Changes in Private Coverage Improving Health Care Quality Improving Health
Medicaid expansion Changes in Public Coverage
Insurance Regulation Health Insurance Exchanges Changes in Private Coverage
Best information Coordinated care Provider incentives and penalties Improving Health Care Quality
National health strategy Research and public health innovation Mandatory preventative care Healthier communities Improving Health
1.Sources of coverage 2.Financial Implications 3.Major change components 4.Timeline Health Reform
Insurance Regulation Tax and Spending Changes Insurance Regulation Tax and Spending Changes
Improving Quality Measures Additional Tax and Spending Changes Improving Quality Measures Additional Tax and Spending Changes
Reduced Payments – Medicare Quality Incentives and Demonstration Projects Reduced Payments – Medicare Quality Incentives and Demonstration Projects
Additional Tax and Spending Changes
Coverage Expansions Individual Mandates Enacted Additional limits, fees, incentives Coverage Expansions Individual Mandates Enacted Additional limits, fees, incentives
Changes in 2015 and beyond
1.Sources of coverage 2.Financial Implications 3.Major change components 4.Timeline Health Reform
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The End Presented by: Kristen West