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OVERVIEW AFFORDABLE CARE ACT

OVERVIEW AFFORDABLE CARE ACT. Delaware Health Care Commission September 2, 2010. “BUCKETS”. INSURANCE REFORMS HEALTH CARE COVERAGE WORKFORCE LONG TERM CARE MEDICAID MEDICARE QUALITY IMPROVEMENT/SYSTEM REFORM PREVENTION & WELLNESS. OVERALL APPROACH.

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OVERVIEW AFFORDABLE CARE ACT

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  1. OVERVIEWAFFORDABLE CARE ACT Delaware Health Care Commission September 2, 2010

  2. “BUCKETS” • INSURANCE REFORMS • HEALTH CARE COVERAGE • WORKFORCE • LONG TERM CARE • MEDICAID MEDICARE • QUALITY IMPROVEMENT/SYSTEM REFORM • PREVENTION & WELLNESS

  3. OVERALL APPROACH • Require most to have health insurance • Create Health Benefit Exchanges to purchase coverage • Premium subsidies based on income • Require most employers to offer coverage • Tax credits for small business • Expand Medicaid to 133% FPL • Insurance Reforms

  4. OVERALL APPROACH • Tax changes • Restructure Medicare payments – quality • Accountable Care Organizations • Center for Innovation – Medicare, Medicaid CHIP – payment structures to reduce cost, improve quality

  5. OVERALL APPROACH • Comparative Effectiveness Research • Long Term Care • CLASS Act • Workforce Training and Development • Increased $ FQHC’s and school based centers • Prevention and wellness

  6. SUMMARY • Expanded coverage • Insurance Reforms • Tax credits and premium subsidies • Exchanges to purchase insurance and integrate with public programs • Investment in workforce • Investment in quality improvement • Investment in public health & prevention

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