Leading Through Health Reform Karen Minyard, Ph.D.

Health ReformAn overview of the impact of the

Patient Protection and Affordable Care Act in the United States

Federal Poverty LevelHigh-risk Pool

Health Insurance ExchangeInsurance SubsidiesIndividual MandateEssential Benefits

1. Sources of coverage

Health Reform

more Americans with health insurance coverage

(non-elderly)

more Georgians with health insurance coverage

(non-elderly)

9.2.2010

more Georgians with health insurance coverage

Source of coverageNow

Fully Implemented Change

Employer 57% 54% -3%

Individual Private 4% 2% -2%

Other 8% 8% None

Medicaid/CHIP 12% 17% +5%

Uninsured 19% 5% -14%

Exchange 0% 14% +14%

1. Sources of coverage2. Financial Implications

Health Reform

funding and spending

Fees, Taxes and Penalties

Medicaid

Insurance Premium SubsidiesMedicare Savings

~ 1 trillion ~ 1 trillion

1. Sources of coverage2. Financial Implications3. Major change components

Health Reform

Changes in Public

Coverage

Changes in Private

Coverage

Improving Health Care

Quality

Improving Health

Medicaid expansionChanges in

Public Coverage

Insurance RegulationHealth Insurance Exchanges

Changes in Private

Coverage

Small Employer Tax CreditsSubsidies for Individuals in the Exchange

Changes in Private

Coverage

Best informationCoordinated careProvider incentives and penalties

Improving Health Care

Quality

National health strategyResearch and public health innovationMandatory preventive careHealthier communities

Improving Health

1. Sources of coverage2. Financial Implications3. Major change components4. Timeline

Health Reform

2010 2011 2012 2013 2014

Insurance Regulation

Tax and Spending Changes

2010 2011 2012 2013 2014

Improving Quality Measures

Additional Tax and Spending Changes

2010 2011 2012 2013 2014

Reduced Payments – Medicare

Quality Incentives and Demonstration Projects

2010 2011 2012 2013 2014

Additional Tax and Spending Changes

2010 2011 2012 2013 2014

Coverage Expansions

Individual Mandates Enacted

Additional limits, fees, incentives

2010 2011 2012 2013 2014

Changes in 2015 and beyond

1. Sources of coverage2. Financial Implications3. Major change components4. Timeline

Health Reform

Strategic System Changers Are

Needed to Help Navigate Health

Reform

Areas of Actions to Consider

The EndPresented by:

Karen Minyard, Ph.D.