Health Care Reform: A Big DealBy Brian Yusem

AGENDA

Overview of Health Care Reform Legislation’s Impact on Rural Physicians

Impact on Physician Practice as Employer – Even in Rural Area Insurance market reforms Threshold Issues Reflections on Insurance Market Reforms

Impact on Physician Practice as Health Care Supplier In Rural Area Governmental payment reforms: Medicare and Medicaid Entrepreneurial Impact New delivery models Revised compliance requirements

Overview of Health Care Reform Legislation’s Impact on Rural Physicians

Reform legislation addresses four major areasInsurance market reformsMedicare provider cutsMedicaid expansionTax increases

Impact on Physician Practice as Health Care Supplier in Rural Area

Accountable Care Organizations: Shared Savings

Other New ModelsPediatric accountable care organizations

(ACOs) – Medicaid demonstration project – 2012-2016Incentive payments (as in Medicare ACOs) for

saving in excess of annual minimum level of savings established by the Secretary

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