2. THE AFFORDABLE CARE ACT CRYSTAL DAVIS FRANK GRAESER NABIL HAMAM MARY ANN JORDAN THOMAS KEITH THERESA STRAUCH

3. AFFORDABLE CARE ACT Federal initiative approved March, 23, 2010, encompassing 2,409 pages of law aimed at reforming the entire healthcare system (McClanahan, 2013) Many terms including, Patient Protection and Affordable Care Act, Health Care Reform, “Obama Care,” and the Affordable Care Act as it will be referred in this presentation. Highly controversial, but was largely upheld by the Supreme Court. Public perceptions are mixed, but the value is clear

4. AFFORDABLE CARE ACT The Affordable Care Act has many benefits. This presentation will examine some of them in the form of: Cost Quality Access Issues

5. COST AFFORDABLE CARE ACT Affordable Care Act is paid for through collected taxes, penalties, spending cuts and reformations to the health care industry, estimated at a net cost of $1.36 trillion by 2023. Affordable Care Act does not sell health insurance, it creates a marketplace for Americans. To purchase regulated, subsidize private insurance. Affordable Care Act will provide around one trillion in subsidies to low and middle income Americans over the next decade to help them pay for health insurance.

6. HOW WILL WE PAY FOR AFFORDABLE CARE ACT SUBSIDIES It is designed to offset the cost of these subsidies Half of the cost is offset by projected savings in Medicare payments to insurers with projected revenues of $416 billion dollars Another source is a tax on the wealthiest American (families with incomes over $250,000 a year) with projected revenues of $210 billion dollars and other miscellaneous revenues which will produce $149 billion dollars Projected provisions will make the bill a net positive for the federal budget Affordable Care Act will produce a surplus to the budget if it is successful that is projected to lower the deficit by $100 billion

7. THE PENALTIES PHASE Projected revenues of $149 billion will be charged to those who choose not to have health care under the Affordable Care Act The Penalty for 2014 is $95.00 per adult and $37.50 per child for low income insured with a maximum of $285.00 a year per family and 1% of income for families with income over $250,000 The fees on insurance providers and medicine producers will produce a projected revenue of $107 billion Manufactures of medical devices will pay an excise tax of 2.3% a year Excise tax on Cadillac health plans for $32 billion Educational reforms for $52 billion

8. www.TaxFoundation.org

9. QUALITY There are many well-known improvements in the quality of care associated with the reform act. The Affordable Care Act expands the affordability, quality, and availability of private and public health insurance through consumer protections, regulations, subsidies, taxes, insurance exchanges, and other reforms.

10. AFFORDABLE CARE ACT/ COST There is no single solution to reducing the rate of growth in health care costs and the Affordable Care Act employs a wide range of strategies that can achieve the goal of greater value, including provisions to: - Improve the quality of care, - Reform our health care delivery system, - Appropriately price services and modernize financing systems, and - Fight waste, fraud and abuse

11. ELDERLY Elderly people will definitely benefit from the new health care reform in three areas: 1-The Patient Safety / Abuse Prevention Act: 2-The Elder Justice Act: 3-The Nursing Home Transparency and Improvement Act:

12. MEDICARE/QUALITY - Medicare is changing the way it pays hospitals for services provided to people with Medicare. Instead of only paying for the number of services a hospital provides, Medicare is also paying hospitals for providing high quality services. -Medicare now has information about how the quality of a hospital's care affects the payments it gets from Medicare.

13. PREVENTIVE SERVICES There are many significant areas of the Affordable Care Act, especially in preventive services: Preventive Services for Women Preventative Services for Adults Preventive Services for Kids

14. ACCESS Over 47 million non elderly Americans were uninsured in 2012 Decreasing the number of uninsured in the a key goal of the ACA High cost is main reason people go without coverage Majority are low income working families Adults are more likely to be uninsured than children People of color are at higher risk of being uninsured

15. AMERICAN MEDICAL ASSOCIATION Access to medical care for all people is the cornerstone of the AMA Access to health care means timely use of personal health services for best outcomes Access to health care impacts: Physical, social and mental health Prevention of disease and disability Detection and treatment of health conditions Quality of life Preventable death and life expectancy

16. BARRIERS TO ACCESS Multiple barriers which include lack of health insurance Other barriers include: High cost of insurance Lack of insurances do not receive medical care for preventative diseases Lack of availability to health care When they do get care…burdened with large medical bills

17. ISSUES Although the healthcare policy has become a bit more favorable, people still face the challenges that may derail their chances of acquiring adequate healthcare. Because the new focus is to address cost, quality, and access for individuals of all ages and demographics, issues within a law this large are bound to occur. Privacy concerns Cost

18. ISSUES Privacy Concerns – One major concern is that of the younger adults who continue to use their parent’s healthcare insurance policy. They also typically give up sexually transmitted impurity screening and treatments along with other subtle services related to family planning and mental health handling because the clarification of medical benefit forms will inform their parents, who are also their policyholders. Cost – To help cope with costs, the ACA has offered subsides. About half of the public who currently purchases their own healthcare will be eligible for these subsidies, but not offered to those who’s wages are four times above the poverty level ($50,000 for individuals, $92,000 for a family of four). The subsidies average $6,000 per household, and would discount the price of insurance by two- thirds on average.

19. CONCLUSION  Affordable Care Act (ACA)  Provides health care to all  Despite negative press, will prove to be efficient  Funded by higher paying tax brackets – Penalties for those un-insured  Benefits embedded into the act to care for the elderly Patient safety/abuse prevention act The elder justice act The nursing home transparency and improvement act  Total health care will impact the overall physical, social and mental health of our population which will prevent diseases, disabilities and help with the detection and treatment of health conditions that will provide quality of life and a longer life expectancy for all

20. REFERENCES Administration implements new health reform provision to improve care quality lower costs. (2011). Included in affordable care act. American Psychological Association. The Elder Justice Act (S.1070/H.R. 1783). Retrieved July 22, 2012 from: http://www.apa.org/about/gr/issues/aging/elder-justice-facts.aspx How the Affordable Care Act pays for Insurance Subsidies. (2013). http://ww.npr.org/blogs/health McClanahan, C. (2013). An overview of the affordable care act. The Planner, 29(3), 8-10. Retrieved from http://search.proquest.com/d ocview/1436886708?accountid=28644 The Patient Protection and Affordable Care Act: An Overview of Its Potential Impact onState Health Programs (2010). http://www.lao.ca.gov/reports Health insurance reform and Medicare: making Medicare stronger for America’s seniors. Obama Care Facts. N.d, Web. 2 Feb 2014. http://obamacarefacts.com/obamacare. http://www.cms.gov/apps/docs/aca-update- PPACA will drive quality health care reform, (2010). Legal News: Health Care. Retrieved from http://www.foley.com/ppaca- will-drive-quality-health-care-reform-05-21-2010/http://www.foley.com/ppaca- will-drive-quality-health-care-reform-05-21-2010/ Slive, L., & Cramer, R. (2012, Summer 1). Health Reform and the Preservation of Confidential Health Care for Young Adults. pp. 383-90. Take health care into your own hands. (2012, July). Newsroom fact sheets. Retrieved from http://www.healthcare.gov/news/factsheets/2 010/07/preventive-services- U.S. Department of Health & Human Services. (2010, March 23). About Us: U.S. Department of Health & Human Services. Retrieved from U.S. Department of Health & Human Services : www.hhs.gov