Leading Through Health Reform Karen Minyard, Ph.D.

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Presentation transcript:

Leading Through Health Reform Karen Minyard, Ph.D.

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 (non-elderly)

more Georgians with health insurance coverage (non-elderly)

more Georgians with health insurance coverage Source of coverage Now Fully ImplementedChange Employer57%54%-3% Individual Private4%2%-2% Other8% None Medicaid/CHIP12%17%+5% Uninsured19%5%-14% Exchange0%14%+14%

1.Sources of coverage 2.Financial Implications Health Reform

funding and spending 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

Small Employer Tax Credits Subsidies for Individuals in the Exchange 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 preventive 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?

Strategic System Changers Are Needed to Help Navigate Health Reform

Areas of Actions to Consider

The End Presented by: Karen Minyard, Ph.D.

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