1. Health Care Reform: Another time around Andrew D. Hyman NAMI 2008 Annual Convention June 16, 2008

2. 2 October 21, 2015 What I’ll cover: RWJF – what we do Prospects for Reform What’s in store for 2009 (and beyond)

3. 3 October 21, 2015 About RWJF Mission: To improve the health and health care of all Americans Some stats* Total Assets―$10 billion Total Grants and Contracts Awarded—823 Total Active Grants—2,191 *January 1 - December 31, 2007

4. 4 October 21, 2015 RWJF’s Areas of Focus: Reverse the rise of childhood obesity Improve our public health system Build Human capital Drive higher quality and greater equality Expand health insurance coverage Improve outcomes for Vulnerable Populations Pioneer/Innovation

5. 5 October 21, 2015 Why Coverage Matters Harm to the individual  Fewer preventive services  Foregone needed medical care  Poor outcomes  Higher risk of death Harm to the family Harm to the community Harm to the health care system

6. 6 October 21, 2015 Coverage Programming StateExpansions FederalReform Maximizing Enrollment

7. 7 October 21, 2015 Coverage Programming Federal Reform Goal: to protect, inform, advance, and sustain the debate

8. 8 October 21, 2015 Ingredients of Health Care Reform

9. 9 October 21, 2015 Ingredients of Health Care Reform

10. 10 October 21, 2015 Some other ingredients Crisis

11. 11 October 21, 2015 The Crisis 8 out of 10 uninsured from working families Number of UNDERinsured. Vulnerability of middle class. Cost

12. 12 October 21, 2015 Some other ingredients Crisis Public opinion polls

13. 13 October 21, 2015 2007-2008 Ranking of Issues Source: Kaiser Family Foundation. “Kaiser Health Tracking Poll: Election 2008” (April 2008). Thinking about the campaign for the presidential election in 2008, what two issues would you most like to hear the presidential candidates talk about?

14. 14 October 21, 2015 2008 Economic Issue Rankings Which of these is the single most important economic issue facing you and your family? Source: The Washington Post. “The Washington Post-ABC News Poll,” (January 2008).

15. 15 October 21, 2015 Some other ingredients Crisis Public opinion polls Bipartisan interest Strange Bedfellows Impact on business and economy Some state success Momentum Experience of past failure(s)

16. 16 October 21, 2015 Elements of Reform Cost containment Health information technology Quality Payment reform Coverage expansions/mandates Financing Risk pools/insurance reform Benefit design

17. 17 October 21, 2015 Contact information Andy Hyman ahyman@rwjf.org 609-627-5764 Nathaniel Hyman nrhyman@gmail.com