FIXING WHAT AILS HEALTH CARE IN AMERICA TODAY PATIENTS OVER POLITICS

INCREASING NUMBER OF AMERICANS UNINSURED 54 million people 47 million people Over 50 million people are uninsured An additional 72 million people have inadequate insurance Only 71%of small businesses with workers and 48% of businesses with fewer than 10 workers offer coverage

WHAT PREVENTS PEOPLE FROM GETTING ADEQUATE INSURANCE?

THE SKYROCKETING COST OF HEALTH CARE The annual health care cost for an American family is more than $20,728 : That’s a new car! Medical bills contribute to at least 62% of bankruptcies in the United States

30% OF HEALTH CARE COSTS ARE WASTED Totaling over $600 billion More and more people can’t afford to see a doctor

EVEN IF YOU COULD AFFORD INSURANCE... Your children could only stay on your insurance until age 19 or until they finished school – whichever came first Lifetime spending limits: once you became too expensive, insurance companies could stop paying for treatment Insurance companies could drop coverage once you became sick

DIABETES ASTHMA HEART MURMUR HEARTBURN WAS ONCE PREGNANT ALLERGIC TO PEANUTS BACK PAIN DEPRESSION HIGH BLOOD PRESSURE PRE - EXISTING = CONDITIONS BIRTH DEFECT

more Americans without insurance get sick - wait to see a doctor get sicker go to emergency room get expensive emergency care can’t pay medical bills everyone else covers cost insurance rates go up The Wheel of Burden

HOW DO WE ENSURE ACCESS TO HIGH QUALITY AND AFFORDABLE HEALTH CARE?

Introducing:

THE ACA FOCUSES ON 3 KEY CHALLENGES Helping Patients Getting people insured Controlling Costs Improving Quality

32 million Americans will be insured under the Affordable Care Act ! 32 million Americans will be insured under the Affordable Care Act !

HOW DO WE GET PEOPLE COVERED? Medicaid expansion Tax credits for small businesses Subsidies to buy into the exchange Allowing over 5 million young adults to stay on their parents’ plan

HEALTH INSURANCE EXCHANGES Creates a marketplace to compare health plans Open to everyone – required for members of Congress Standardizes a minimum benefits package to eliminate flimsy plans Increases transparency and negotiating ability Begins on January 1 st, 2014 = supermarkets for health insurance

INDIVIDUAL MANDATE If you have health insurance you are good to go If you cannot afford it, you will qualify for subsidies to purchase it in the exchange If you can afford it and still choose not to get it, you will pay a fine

NEW CONSUMER PROTECTIONS Protect people from unfair insurance practices Full implementation by 2014 No more lifetime limits on coverage No “pre-existing condition” discrimination 80+% of premiums must be spent on care– or you get $$ back

No more discrimination against women by charging higher rates Starts January 1 st, 2014 NEW CONSUMER PROTECTIONS Protect people from unfair insurance practices

PREVENTION AND WELLNESS Invest in Prevention and Healthy Choices *National Prevention Council will create a National Prevention Strategy.

Starts January 1 st, 2014 THE ACA IS GOOD FOR DOCTORS Less uncompensated care Less fragmented care Ability to provide quality care Better care for your patients Pilot programs To foster innovation Incentives for medical students to choose P RIMARY C ARE

WORKFORCE STRENGTHING Educational incentives established for: –Doctors –Nurses –Other health care professionals –Focus on Primary Care –MORE NEEDED! Educational incentives established for: –Doctors –Nurses –Other health care professionals –Focus on Primary Care –MORE NEEDED!

GETTING MORE VALUE FOR OUR MONEY Programs and incentives are put in place for doctors and hospitals to: –Communicate better –Decrease complications –Study what treatments work best –Help patients stay healthy/get well Programs and incentives are put in place for doctors and hospitals to: –Communicate better –Decrease complications –Study what treatments work best –Help patients stay healthy/get well

REAL STORIES, REAL PEOPLE Baby Jax He and his twin brother were born in August of 2011 Jax was born with a genetic disorder and a serious heart condition He underwent open heart surgery at only 2 months old His first day in the Neonatal Intensive Care Unit cost $150,000 – he stayed for 21 days Baby Jax He and his twin brother were born in August of 2011 Jax was born with a genetic disorder and a serious heart condition He underwent open heart surgery at only 2 months old His first day in the Neonatal Intensive Care Unit cost $150,000 – he stayed for 21 days

REAL STORIES, REAL PEOPLE Baby Jax Thanks to the ACA, Jax’s family doesn’t have to worry about his “pre-existing” conditions They also don’t have to worry about reaching a lifetime cap on coverage – which he would have in his first year of life Jax’s family will be able to keep their house, pay their bills, and afford to care for all three of their children. Jax can live a healthy life and pursue his dreams. Baby Jax Thanks to the ACA, Jax’s family doesn’t have to worry about his “pre-existing” conditions They also don’t have to worry about reaching a lifetime cap on coverage – which he would have in his first year of life Jax’s family will be able to keep their house, pay their bills, and afford to care for all three of their children. Jax can live a healthy life and pursue his dreams.

The ACA and the US 3.1M more young adults are now covered under their parents’ plan 5.2M Medicare beneficiaries received $3.9M in drug rebates to close the ‘donut hole’ 54M more Americans received free preventative services 12.8M Americans have qualified for a $1.1B rebate from insurance companies

THE ACA IS AT RISK Politicians are endangering your health for political gain, calling for repeal If the ACA is compromised…

32 million Americans will lose their insurance 32 million Americans will lose their insurance

Jax could lose his insurance based on his pre-existing condition and lifetime spending limit. THE ACA IS AT RISK

A 23 year old graduate looking for a job will no longer be insured through her parents THE ACA IS AT RISK A 60 year old grandmother with breast cancer will reach her lifetime insurance limit and be denied life saving treatment Families will continue to struggle with medical bills

WHAT CAN YOU DO? Contact your elected officials, asking them to protect the ACA Tell a friend what you learned today Invite one of our members to give a presentation Learn about healthy choices for everyday life Continue to be informed about your health care Take advantage of preventive care offered through the ACA

THANK YOU!