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Published byBelinda Neal Modified over 9 years ago
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Texas Health Care Reform Coverage Institute September 26, 2007
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The Texas Health Care System Employer-based health insurance (~50%) –Non-group (No guaranteed issue, full medical underwriting & pre-existing condition exclusions allowed) –Small group (guaranteed issue & renewability, limited medical underwriting & allowed) –Large group (limited rate/underwriting regulation) Public programs (~25%) –Medicaid (~12%, 2.8M) Uninsured (~25%)
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Primary Challenges National Challenges –Access –Affordability –Costs –Fragmentation (horizontal) Texas-specific Challenges –Demographics –Industry structure –Fragmentation (vertical) –Regulation
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Framework for Reform Health Care Delivery Risk & Cost Distribution Patient & Consumer Dynamics
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Sample of Recent Activities Health Care Delivery –House Bill 1066 (health information technology) Risk & Cost Distribution –Senate Bill 10 (Medicaid reform) Patient & Consumer Dynamics –Senate Bill 1731 (Price & quality transparency)
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Considerations for Texas Health System Reform Health Care Delivery –Regulatory review –Aligned incentives for quality, safety, and efficiency Risk & Cost Distribution –Health insurance market reform –Health insurance market support –Health insurance market infrastructure –System integration –Eligibility changes Patient & Consumer Dynamics –Personal responsibility –Consumer empowerment
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