HEALTHCAREREFORM幻灯片.pptVIP

Medicaid Changes Expands coverage to individuals / families w/ incomes up to 150% of poverty [$33,075/yr-family of 4] [ 100% FED 2013-14; 90/10% thereafter] Expands coverage to individuals / families w/ incomes up to 133% of poverty [$29,326/yr- family of 4] Insurance Reforms No denial of insurance based on pre-existing conditions; No higher premiums for pre-existing conditions or gender. Limits on level of premiums based on age. System Efficiencies, Bending the Cost Curve, and Rewards for High Quality Care Medicare Commission : to reduce the rate of growth in MC spending. Under some proposals Congress could only have up/down vote on recommendations of the Board. Goal is to encourage the adoption of best practices by providers and recommend cost savings…such as reducing hospital infection rates and encouraging better coordination between teams of providers; emphasizes Evidence Based Medicine, Incentives for doctors/hospitals to coordinate care; Tax on high-cost insurance; Bundling MC payments to providers; Comparative-Effectiveness Center; Delivery system ‘pilots’ [Accountable care organizations”; “medical home pilot”]; IOM study of geographic variations in h. spending. Contentious Issues Still Being Debated Abortion Guns ‘Death Panels’ Immigration Individual Mandate [Is it constitutional ?] among others. Is Strong, Effective Health Reform Going to be Enacted YES. What does that mean. The answer depends on how you define “reform” and which problems you want to fix. Thank You Linda Reivitz UW School of Nursing K6-326 UWHC 263-0469 * HEALTH REFORM: :Will It Happen ?What Are We Reforming Anyway ? Linda Reivitz Chaos and Complex Systems Seminar, Dec 1, 2009 12-1-09 LEC HCRefm Chaos Seminar Final.ppt For any policy change to occur, you need a : Problem (a recognized problem) Policies (solutions to the problems) Politics