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HealthCare.gov is a consumer website, through and through -- in look, feel, content, and user experience. It’s all about you.

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Presentation on theme: "HealthCare.gov is a consumer website, through and through -- in look, feel, content, and user experience. It’s all about you."— Presentation transcript:

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2 HealthCare.gov is a consumer website, through and through -- in look, feel, content, and user experience. It’s all about you.

3 Learn about your rights, how to navigate the insurance market, and how the new law will help you – tailored to your life situation, and drawing from 500+ pages of content written for the site

4 We gather user feedback throughout the site and will utilize it to continually improve HealthCare.gov

5 Our powerful insurance options finder is simple and easy to use. Just answer a few questions…

6 In addition, get the latest information about new benefits and resources provided by the Affordable Care Act.

7 Access the latest prevention tips…

8 … and information about quality of care – both areas of the website which will grow significantly over time.

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10 Selected Key Cost Containment Strategies in the Affordable Care Act - Reduces the number of hospital readmissions. - Reduces hospital acquired conditions. - Bundling payments for ESRD - Improves physician quality reporting Ten-Year Cost Savings $3.2 billion $1.7 billion $1.9 billion $8.2 billion Improve the quality of care

11 Reform our delivery system - Promotes Accountable Care Organizations - Establishes the Independent Payment Advisory Board (IPAB) Ten-Year Cost Savings $4.9 billion $23.7 billion

12 Appropriately price services and modernize financing systems - Ends overpayments to Medicare Advantage plans - Makes improvements to productivity and market basket adjustments in most provider settings. - Modifies payments for advanced imaging services - Further expands competitive bidding for Durable Medical 2010-2011 Cost Savings Ten Year Cost Savings $5.3 billion$145 billion $1.4 billion $0.1 billion $0.5 billion $205 billion $2.0 billion $17 billion

13 Fight waste, fraud, and abuse ExpandsRecovery Audit Contractors (RACs) Requires face encounters with physicians before receiving certain services Requires greater data matching capabilities $4.9 billion cost savings over ten years

14 Payments to Medicare Advantage Plans Frozen in 2011 Benchmarks vary Phased in over 3, 5, or 7 years MA benchmarks reduced in 2012 By 2014, 85% of funds plans receive must go to health care 14 ACA Section 3203

15 Authority to Deny Plan Bids  Secretary not required to accept any or every bid submitted by an MA organization  Secretary can deny a bid –Proposes significant increases in cost-sharing or –Decreases benefits offered by the plan  Applies to bids from prescription PDP sponsors  Effective for contract years on/after January 1, 2011 ACA Section 3209


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