1. June 2011

2. Rising Cost Inadequate Quality Declining Access HEALTH

3. Control Cost Improve Quality Improve Access HEALTH

4.  Insurance regulation  State Insurance Exchanges  Subsidies  Medicaid Expansion  Individual Mandate and Employer Responsibility  Primary Care and Health Care Workforce  Prevention  Delivery system changes  Paying for reform

5.  Insurance regulation  State Insurance Exchanges  Subsidies  Medicaid Expansion  Individual Mandate and Employer Responsibility  Primary Care and Health Care Workforce  Prevention  Delivery system changes  Paying for reform

6.  Expand National Health Service Corps  Increased funding, increases annual award $35K to $50K, can be part-time, 20% teaching time counts  10% Medicare payment bonus (2011 - 2015)  Medicaid primary care payments at 100% Medicare rates (2013 and 2014)  Medical Homes (Medicare and Medicaid)  Grants to expand primary care residency programs  Teaching Health Centers for residency AAMC: http://www.aamc.org/workforce/healthcarereform.pdf

7.  Rural general surgeons  10% Medicare payment bonus  Community Health Centers  Increased funding to reach 2x as many patients  $263 million to CA (10/18/2010) http://www.hhs.gov/recovery/programs/hrsa/california.html

8.  Insurance regulation  State Insurance Exchanges  Subsidies  Medicaid Expansion  Individual Mandate and Employer Responsibility  Primary Care and Health Care Workforce  Prevention  Delivery system changes  Paying for reform

9.  National Prevention Council  National Prevention Strategy (3/23/2011)  $20 billion investment in prevention and public health over 10 years starting 2010

10.  Insurance regulation  State Insurance Exchanges  Subsidies  Medicaid Expansion  Individual Mandate and Employer Responsibility  Primary Care and Health Care Workforce  Prevention  Delivery system changes  Paying for reform

11.  Linking Payment to Quality Outcomes  Hospital Value-Based Purchasing Program (starts 10/1/2012)  30-day Hospital Readmission (starts 10/1/2012)  Hospital-Acquired Conditions (starts 10/1/2014)  CMS Center for Innovation (pilot programs)  Accountable Care Organizations  Patient-Centered Medical Home  Bundled Payments  Independence at Home Programs

12.  National Strategy to Improve Health Care Quality  National Prevention Strategy  Independent Payment Advisory Board (starts 2020)  Comparative Effectiveness Research  Grants for states to run tort reform pilots

13.  Healthcare.gov: www.healthcaree.govwww.healthcaree.gov  Kaiser Family Foundation: http://healthreform.kff.org/http://healthreform.kff.org/  Robert Wood Johnson Foundation: http://www.rwjf.org/healthreform/ http://www.rwjf.org/healthreform/  Commonwealth Fund: http://www.commonwealthfund.org/Health- Reform.aspx http://www.commonwealthfund.org/Health- Reform.aspx  New England Journal of Medicine Health Reform Center: http://healthcarereform.nejm.org/http://healthcarereform.nejm.org/  Doctors for America: http://drsforamerica.org/http://drsforamerica.org/