June 2011

Rising Cost Inadequate Quality Declining Access HEALTH

Control Cost Improve Quality Improve Access HEALTH

 Insurance regulation  State Insurance Exchanges  Subsidies  Medicaid Expansion  Individual Mandate and Employer Responsibility  Primary Care and Health Care Workforce  Prevention  Delivery system changes  Paying for reform

 Insurance regulation  State Insurance Exchanges  Subsidies  Medicaid Expansion  Individual Mandate and Employer Responsibility  Primary Care and Health Care Workforce  Prevention  Delivery system changes  Paying for reform

 Expand National Health Service Corps  Increased funding, increases annual award $35K to $50K, can be part-time, 20% teaching time counts  10% Medicare payment bonus ( )  Medicaid primary care payments at 100% Medicare rates (2013 and 2014)  Medical Homes (Medicare and Medicaid)  Grants to expand primary care residency programs  Teaching Health Centers for residency AAMC:

 Rural general surgeons  10% Medicare payment bonus  Community Health Centers  Increased funding to reach 2x as many patients  $263 million to CA (10/18/2010)

 Insurance regulation  State Insurance Exchanges  Subsidies  Medicaid Expansion  Individual Mandate and Employer Responsibility  Primary Care and Health Care Workforce  Prevention  Delivery system changes  Paying for reform

 National Prevention Council  National Prevention Strategy (3/23/2011)  $20 billion investment in prevention and public health over 10 years starting 2010

 Insurance regulation  State Insurance Exchanges  Subsidies  Medicaid Expansion  Individual Mandate and Employer Responsibility  Primary Care and Health Care Workforce  Prevention  Delivery system changes  Paying for reform

 Linking Payment to Quality Outcomes  Hospital Value-Based Purchasing Program (starts 10/1/2012)  30-day Hospital Readmission (starts 10/1/2012)  Hospital-Acquired Conditions (starts 10/1/2014)  CMS Center for Innovation (pilot programs)  Accountable Care Organizations  Patient-Centered Medical Home  Bundled Payments  Independence at Home Programs

 National Strategy to Improve Health Care Quality  National Prevention Strategy  Independent Payment Advisory Board (starts 2020)  Comparative Effectiveness Research  Grants for states to run tort reform pilots

 Healthcare.gov:  Kaiser Family Foundation:  Robert Wood Johnson Foundation:  Commonwealth Fund: Reform.aspx Reform.aspx  New England Journal of Medicine Health Reform Center:  Doctors for America: