Leading Through Health Reform
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Leading Through Health Reform Karen Minyard, Ph.D.
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Leading Through Health Reform . Karen Minyard, Ph.D. . Health Reform An overview of the impact of the Patient Protection and Affordable Care Act in the United States. Federal Poverty Level High-risk Pool Health Insurance Exchange Insurance Subsidies Individual Mandate Essential Benefits . - PowerPoint PPT Presentation
Transcript of Leading Through Health Reform
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.
