1. Page 1 Recording of this session via any media type is strictly prohibited. ACA Impact on Workers’ Compensation

2. Page 2 The panel Kimberly George Sedgwick Mark Walls Marsh Misty Hambright American Airlines

3. Page 3 Background of ACA Healthcare environment in the U.S. Massachusetts Healthcare reform in 2006 Passage of Affordable Care Act in 2010 The Affordable Care Act today

4. Page 4 Medicaid expansion 2014: states to watch

5. Page 5 Uninsured population

6. Page 6 Physicians per population GREECE AUSTRIA ITALY SPAIN PORTUGAL SWEDEN GERMANY SWITZERLAND NORWAY CZECH REPUBLIC ICELAND DENMARK AUSTRALIA FRANCE SLOVAK REPUBLIC ESTONIA FINLAND ISRAEL OECD AVERAGE NETHERLANDS HUNGARY BELGIUM UNITED KINGDOM LUXEMBOURG IRELAND NEW ZEALAND SLOVENIA UNITED STAES CANADA JAPAN MEXICO POLAND KOREA TURKEY CHILE 0 1 2 3 4 5 6

7. Page 7 Network considerations Managed care versus quality care Incentives aligned with outcomes Cost shifting Treatment guidelines

8. Page 8 Employer watch areas More individuals seeking care Anticipated physician shortage Productivity impact Healthier workforces

9. Page 9 Health plan performance Premium refunds

10. Page 10 Emerging trends

11. Page 11 Questions & Answers ACA Impact on Workers’ Compensation

12. Page 12 Recording of this session via any media type is strictly prohibited. Please complete the session survey on the RIMS14 mobile application