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Understanding Health Reform

Understanding Health Reform. CHOICE Regional Health Network. 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

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Understanding Health Reform

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  1. Understanding Health Reform CHOICE Regional Health Network

  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. Health Reform • Sources of coverage

  5. more Americans with health insurance coverage

  6. more Americans with health insurance coverage

  7. Health Reform • Sources of coverage • Financial Implications

  8. health reform is intended to be budget reducing Insurance Premium Subsidies Medicare Savings +/- 1 trillion +/- 1 trillion Fees, Taxes and Penalties Medicaid

  9. Health Reform • Sources of coverage • Financial Implications • Major change components

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

  11. Changes in Public Coverage Medicaid expansion

  12. Changes in Private Coverage Insurance Regulation Health Insurance Exchanges

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

  14. Improving Health National health strategy Research and public health innovation Mandatory preventative care Healthier communities

  15. Health Reform • Sources of coverage • Financial Implications • Major change components • Timeline

  16. Insurance Regulation Tax and Spending Changes 2010 2011 2012 2013 2014

  17. Improving Quality Measures Additional Tax and Spending Changes 2011 2010 2012 2013 2014

  18. Reduced Payments – Medicare Quality Incentives and Demonstration Projects 2012 2010 2011 2013 2014

  19. Additional Tax and Spending Changes 2013 2010 2011 2012 2014

  20. Coverage Expansions Individual Mandates Enacted Additional limits, fees, incentives 2014 2010 2011 2012 2013

  21. Changes in 2015 and beyond 2010 2011 2012 2013 2014

  22. Health Reform • Sources of coverage • Financial Implications • Major change components • Timeline

  23. What questions for clarification do you have?

  24. The End Presented by: Kristen West westk@crhn.org

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