Understanding Health Reform CHOICE Regional Health Network.

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Presentation transcript:

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

What questions for clarification do you have?

The End Presented by: Kristen West