5 big health policy issues in 2014 julie barnes senior advisor leavitt partners n.
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5 Big Health Policy Issues in 2014 Julie Barnes, Senior Advisor Leavitt Partners
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  1. 5 Big Health Policy Issues in 2014Julie Barnes, Senior AdvisorLeavitt Partners Salt Lake City | Washington, DC | Chicago

  2. 3 Big Health Policy Drivers • Health Spending • Role Changes • Health Professional Workforce • Regulatory Overload • ACA implementation

  3. Health Spending – Big Driver of Policy • Omnibus Bill – 1st one since 2011 • House: 359-67 • Senate: 72 - 26 • Budget Legislation passed only after government shutdown – for 4th consecutive year, health care spending growth is low

  4. Health Spending • AHA underpayments • SGR repeal • Debt Ceiling

  5. Role Changes • Providers = Payers • Employers driving delivery system changes • Pharmadriving preventive health • Pharmacies as ACOs • Technology entrepreneurs asresearchers • Price transparency driving consumerism

  6. Regulatory Overload / ACA Implementation • CRS Report: 43 ACA-related proposed and final rules to be issued within the next 12 months • Additional 13 long-term rules are coming but will not be finalized in 2014 • January 9, 2014: DOL, Treasury and HHS issued FAQs on ACA implementation and Mental Health Parity • HIX… private insurance exchanges • Medicaid expansion

  7. More Work for Lawyers • FDA oversight of mHealth • HIPAA compliance / other privacy • ICD-10 coding system • Meaningful use of EHRs