The Obama-Biden Health Reform Plan

1. The Obama-Biden Health Reform Plan © Foley Hoag LLP 2008

2. Three Pronged Approach • Quality, Affordable and Portable Health Coverage for All • Modernizing the Health Care System to Improve Quality and Lower Costs • Promoting Prevention and Strengthening Public Health © Foley Hoag LLP 2008

3. 1. Coverage • Build on existing system of employer-sponsored health insurance & ensure greater employer participation • National Health Insurance Exchange • Similar to the Connector; clearinghouse & watchdog • Income-based sliding scale tax credits • Strengthen Medicare, SCHIP, Medicaid © Foley Hoag LLP 2008

4. 2. Modernization • Improve quality & lower costs • Health IT • Comparative Effectiveness • Transparency • Prescription Drugs • Malpractice Reform © Foley Hoag LLP 2008

5. 3. Prevention • Preventive Services Coverage • Chronic Disease Management • Mandated coverage by Employers • Best Practices • Coordination of Public Health Activities © Foley Hoag LLP 2008

6. Costs and Financing • Cost Estimates: • $50- $65 billion annually (Obama campaign) • $75+ billion annually (PWC) • $86+ billion annually (Tax Policy Center) • Save: $120-$200 billion (public and private) - $2500 per family. • Allow Bush tax cuts on the those making above $250,000 to expire & retain estate tax at 2009 level • “Pay or Play” Option © Foley Hoag LLP 2008

7. Research • Double Federal Funding for Basic Research • University-based Research • Biomedical Research • R&D Tax Credit • Stem Cell Research Enhancement Act © Foley Hoag LLP 2008

8. Advisors • Tom Daschle: Former Senate Majority Leader; potential HHS Secretary • Jeanne Lambrew: Fellow at the Center for American Progress, co-author with Sen. Daschle of Critical: What We Can Do About the Health-Care Crisis • David Cutler, PhD: Harvard professor and health economist, Institute of Medicine member, architect of the Obama health care reform plan • Dora Hughes, MD: Obama’s Senate health advisor, former staff to Sen. Kennedy on HELP Committee • David Blumenthal, MD: Director of the Massachusetts General Hospital Institute for Health Policy • Steven Pearson, MD: Founder of the Institute for Clinical and Economic Review; Vice-Chair, Medicare Evidence Development and Coverage Advisory Committee • Chris Jennings: Former Clinton White House health advisor © Foley Hoag LLP 2008

9. Transition Team • Tom Perez  HHS, VA, HUD, SSA • Bill Corr & Nicole Lurie  HHS Personnel Review Team Leads • Jonathan Moreno  Bioethics Review © Foley Hoag LLP 2008

10. Policy Options • Comprehensive Bill • Expand SCHIP, Reinforce Medicaid and Medicare • Separate components and pass one at a time over three years © Foley Hoag LLP 2008