1. Health Care Reform Lexicon John Dante, FSA, MAAA, FCA President and CEO Dante Actuarial Consulting, LLC Actuaries Club of Philadelphia Meeting November 19, 2009

2. Where we are today Senate HELP Committee bill passed on July 16th Senate Finance Committee bill passed on Oct 13th Senate bills have been merged House bill passed on November 7 th Conference Committee will work on merging final Senate and House bills It will likely take at least to the State of the Union address for President Obama to have something to sign

4. Single Payer “Medicare Part E” – Medicare for Everyone Single entity pays for health care services but is not involved with the delivery of services Critics are against what they term a Government takeover of health care Advantages – most recipients are satisfied with Medicare and having all the nation’s health care information in one place would prove beneficial Disadvantages – lacks cost controls, anti-fraud and provides inadequate reimbursements according to providers. Financially unsustainable. Adverse impact on Insurers.

6. Public Option Plan that is run by Federal Government and will compete with Private Insurers Meant to keep Private Insurers honest Both sides fear that they will get all the unhealthy lives Highly Dependent on structure and reimbursement When using Medicare reimbursement rates and administrative costs, The Lewin Group estimates that premiums for Public Option will be 30% to 40% less than premiums for comparable private coverage.

7. Public Option (continued) House Bill has Public Option with reimbursements that are negotiated with Providers (non-Medicare) No Public Option in Senate Bills yet but Sen. Reid says there will be one in the combined Bill with an Opt Out provision “Trigger” – provision that provides for a Public Option only if and when the uninsured do not fall below a threshold in a certain amount of time

8. Exchange A marketplace where individuals can purchase insurance provided that they are not enrolled in employer sponsored plans, Medicare or Medicaid Senate Finance Committee Bill has a state run version House Bill has national version but allows states to form their own Exchanges are open to small businesses and are expected to include larger businesses over time

9. Health Care Cooperative (CO-OP) A non-profit member run health insurance organization governed by a Board of Directors elected by its membership Both the Senate Finance Committee and House Bills have provisions for the development and funding of CO-OPs

10. Cadillac Tax An 40% excise tax in the Senate Finance Committee Bill that will apply to employer sponsored health coverage in excess of $8,500 individual and $23,000 family beginning in 2013 The CBO expects this to generate $10($7) and $46($35) billion in revenue in 2013 and 2019, respectively Threshold only increases each year by CPI + 1% Called “back loaded” and “a tax trap”

11. Millionaire Tax House Bill imposes a 5.4% income tax on individuals making more than $500,000 and couples making more that $1 million

12. Death Panels Myth Comes from a Medicare provision in House Bill to reimburse a doctor once every 5 years for a discussion with a patient on what kind of care they would want near the end of their life Example: I would like to die at home and not in a nursing home. Reality: Advanced Care Planning Consultations

13. The Rationing Commission Myth Reality: The Medicare Commission Senate Finance Committee Bill establishes an independent Medicare Commission to submit proposals to trim excess Medicare cost growth by targeted amounts Congress must act on these proposals but if they don’t, they are automatically enacted It applies to Doctors and Home Health Care Providers but not Hospitals

14. You Lie! You Lie! House and Senate both agree that taxpayers should not subsidize insurance for illegal aliens The question is if they can purchase it at all through the exchanges by paying for it with their own money The Senate Finance Committee Bill prohibits this The House Bill is silent on this

15. Rating Provisions Senate Finance Committee Bill Age: 3 to 1 limit Tobacco: 1.5 to 1 limit House Bill Age 2 to 1 limit Both Bills Geography and Family Composition

17. 1. Evidence Based Medicine 2. Coordination of Care 3. Electronic Health Records 4. Wellness/ Accountability 5. Tort Reform 6. Eliminate Medicare Fraud 7. Eliminate Preventable Infections 8. Promote Primary Care Physicians 9. Change Payment System We should control costs first! What did we miss?

18. Questions and Answers

19. Health Care Reform Lexicon John Dante, FSA, MAAA, FCA President and CEO Dante Actuarial Consulting, LLC E-mail: johndante@danteactuarial.com Phone: 570-417-9039