1. Understanding Health Reform CHOICE Regional Health Network

2. Health Reform An overview of the impact of the Patient Protection and Affordable Care Act in the United States

3. Federal Poverty Level High-risk Pool Health Insurance Exchange Insurance Subsidies Individual Mandate Essential Benefits

4. 1.Sources of coverage Health Reform

5. more Americans with health insurance coverage

6. more Americans with health insurance coverage Source of coverageNow2014Change Employer59%57%-2% Individual Private6%2%-4% Other3% None Medicaid/CHIP15%18%+3% Uninsured17%6%-11% Exchange0%14%+14%

7. 1.Sources of coverage 2.Financial Implications Health Reform

8. health reform is intended to be budget reducing Fees, Taxes and Penalties Medicaid Insurance Premium Subsidies Medicare Savings +/- 1 trillion

9. 1.Sources of coverage 2.Financial Implications 3.Major change components Health Reform

10. Changes in Public Coverage Changes in Private Coverage Improving Health Care Quality Improving Health

11. Medicaid expansion Changes in Public Coverage

12. Insurance Regulation Health Insurance Exchanges Changes in Private Coverage

13. Best information Coordinated care Provider incentives and penalties Improving Health Care Quality

14. National health strategy Research and public health innovation Mandatory preventative care Healthier communities Improving Health

15. 1.Sources of coverage 2.Financial Implications 3.Major change components 4.Timeline Health Reform

16. 2010 2011201220132014 Insurance Regulation Tax and Spending Changes Insurance Regulation Tax and Spending Changes

17. 2010 2011 201220132014 Improving Quality Measures Additional Tax and Spending Changes Improving Quality Measures Additional Tax and Spending Changes

18. 20102011 2012 20132014 Reduced Payments – Medicare Quality Incentives and Demonstration Projects Reduced Payments – Medicare Quality Incentives and Demonstration Projects

19. 201020112012 2013 2014 Additional Tax and Spending Changes

20. 2010201120122013 2014 Coverage Expansions Individual Mandates Enacted Additional limits, fees, incentives Coverage Expansions Individual Mandates Enacted Additional limits, fees, incentives

21. 20102011201220132014 Changes in 2015 and beyond

22. 1.Sources of coverage 2.Financial Implications 3.Major change components 4.Timeline Health Reform

23. What questions for clarification do you have?

24. The End Presented by: Kristen West westk@crhn.org