1. Leading Through Health Reform Karen Minyard, Ph.D.

2. Health Reform An overview of the impact of the Patient Protection and Affordable Care Act in the United States

3. Federal Poverty Level High-risk Pool Health Insurance Exchange Insurance Subsidies Individual Mandate Essential Benefits

4. 1.Sources of coverage Health Reform

5. more Americans with health insurance coverage (non-elderly)

6. more Georgians with health insurance coverage (non-elderly) 9.2.2010

7. more Georgians with health insurance coverage Source of coverage Now Fully ImplementedChange Employer57%54%-3% Individual Private4%2%-2% Other8% None Medicaid/CHIP12%17%+5% Uninsured19%5%-14% Exchange0%14%+14%

8. 1.Sources of coverage 2.Financial Implications Health Reform

9. funding and spending Fees, Taxes and Penalties Medicaid Insurance Premium Subsidies Medicare Savings ~ 1 trillion

10. 1.Sources of coverage 2.Financial Implications 3.Major change components Health Reform

11. Changes in Public Coverage Changes in Private Coverage Improving Health Care Quality Improving Health

12. Medicaid expansion Changes in Public Coverage

13. Insurance Regulation Health Insurance Exchanges Changes in Private Coverage

14. Small Employer Tax Credits Subsidies for Individuals in the Exchange Changes in Private Coverage

15. Best information Coordinated care Provider incentives and penalties Improving Health Care Quality

16. National health strategy Research and public health innovation Mandatory preventive care Healthier communities Improving Health

17. 1.Sources of coverage 2.Financial Implications 3.Major change components 4.Timeline Health Reform

18. 2010 2011201220132014 Insurance Regulation Tax and Spending Changes Insurance Regulation Tax and Spending Changes

19. 2010 2011 201220132014 Improving Quality Measures Additional Tax and Spending Changes Improving Quality Measures Additional Tax and Spending Changes

20. 20102011 2012 20132014 Reduced Payments – Medicare Quality Incentives and Demonstration Projects Reduced Payments – Medicare Quality Incentives and Demonstration Projects

21. 201020112012 2013 2014 Additional Tax and Spending Changes

22. 2010201120122013 2014 Coverage Expansions Individual Mandates Enacted Additional limits, fees, incentives Coverage Expansions Individual Mandates Enacted Additional limits, fees, incentives

23. 20102011201220132014 Changes in 2015 and beyond

24. 1.Sources of coverage 2.Financial Implications 3.Major change components 4.Timeline Health Reform

25. What questions for clarification do you have?

26. Strategic System Changers Are Needed to Help Navigate Health Reform

27. Areas of Actions to Consider

28. The End Presented by: Karen Minyard, Ph.D.