Your SlideShare is downloading. ×
Health Care #1
Upcoming SlideShare
Loading in...5
×

Thanks for flagging this SlideShare!

Oops! An error has occurred.

×

Saving this for later?

Get the SlideShare app to save on your phone or tablet. Read anywhere, anytime - even offline.

Text the download link to your phone

Standard text messaging rates apply

Health Care #1

180
views

Published on

Toastmaster\'s Presentation (HealthCare)

Toastmaster\'s Presentation (HealthCare)


0 Comments
1 Like
Statistics
Notes
  • Be the first to comment

No Downloads
Views
Total Views
180
On Slideshare
0
From Embeds
0
Number of Embeds
0
Actions
Shares
0
Downloads
0
Comments
0
Likes
1
Embeds 0
No embeds

Report content
Flagged as inappropriate Flag as inappropriate
Flag as inappropriate

Select your reason for flagging this presentation as inappropriate.

Cancel
No notes for slide
  • 10/23/11
  • Transcript

    • 1. Health Care Reform Act 2010 Patient Protection Act Affordable Health Care Act
    • 2. Health Care Reform
      • Are these opinions true:
      • this legislation is socialist, unconstitutional and will bankrupt Medicare ?
      • this legislation is a declaration of war on doctors and bring about a healthcare apocalypse?
      Simplified Facts for Individuals
    • 3. Health Care Reform Act
      • Facts for individuals :
      • forces insurance companies to change unfair policies.
      • forces Medicare and Medicare Advantage to reward quality of services not volume of services.
      • enables millions to get health insurance.
    • 4. Already in 2010
      • Insurance companies:
      • cannot drop your coverage if you become seriously ill.
      • cannot place “Lifetime Limits” on payments due to illness.
      • cannot place “Annual Limits” on payments due to illness. (Gradual Increase Annual Limits 2010-14)
    • 5. Already in 2010
      • Insurance company plans must allow:
      • children to remain on their parents policy until 26.
      • previously children over 19 or college graduates were dropped, leaving many younger adults uninsured.
      • Included are Grandfathered Plans and young adults who no longer qualify as “dependents”
    • 6. Already in 2010
      • Insurance company plans:
      • cannot deny children under 19 coverage due to Pre-Existing conditions (Such as diabetes, asthma or injuries).
      • By 2014, Insurance plans
      • cannot deny or raise premiums for adults with Pre-Existing conditions (Such as cancer, high blood pressure, or heart conditions).
    • 7. In 2011
      • Any “New” Insurance company plans:
      • must include “Preventative Services” for free, with no out-of-pocket costs. (Pre-natal, Well-Baby, Vaccines, Blood Pressure and Cholesterol)
      • Not include are Grandfathered Plans. There are many “loopholes” to this Preventative Services section until 2018.
    • 8. By 2012
      • Insurance companies must:
      • standardize billing.
      • implement electronic health information.
      • any increases health insurance premiums must be tied directly to medial care and quality improvements (Premium Ratio)
    • 9. Already in 2010
      • Seniors with Medicare (Age 65 or older)
      • Part D or Private Advantage Prescription Plans no longer have “Donut Hole Gap” $2,700 - $6,154.
      • Seniors receive 50% discount on Brand Name drugs within this $4,000 gap.
    • 10. In 2011
      • Seniors with Medicare
      • - Insurance must cover full cost of “Annual Wellness Visits and Cancer Screenings”
      • Government payments to “Advantage Plans” frozen at 2010 levels (Private insurers who manage portion Medicare programs)
      • These laws should help reward “quality of care” instead of “volume of services”.
    • 11. By 2012
      • Seniors with Medicare
      • Medicare begins tracking Re-Admission Rates to hospitals.
      • Physicians encouraged to form Accountable Care Organization. These groups should coordinate care between doctors, hospitals, and social services
      • These actions should help elderly and chronically ill avoid repetitive emergency room visits and hospital stays”
    • 12. Finally 2014
      • Critical Facts for Individuals
      • must have Medical Insurance or be fined
      • (Individual $95 or 1% income).
      • By 2016, fines increased to $695 or 2.5% income.
      • Exemptions made for Financial Hardship or Religion
    • 13. Finally 2014
      • Critical Facts for Individuals:
      • Employers not offering insurance or Employees that cannot afford insurance can purchase from National Carriers within SHOPS.
      • Anyone earning less 400% FPL qualify for free choice voucher from employer to pay for SHOP’s.
      • (400% FPL Individual <$11,800 Families < $24,000)
      • SHOPs (Small Business Health Option Programs) State Run Health Insurance Exchanges.
    • 14. Finally 2014
      • Critical Facts for Individuals
      • Self Employed qualify for “Refundable” Tax Credit.
        • (Phase Out Individual >$43,320 Family >$88,200)
      • Earning less 133% FPL qualify for Medicaid
    • 15.
      • Facts for individuals :
      • forces insurance companies to change unfair policies.
      • forces Medicare and Medicare Advantage to reward quality care not volume services.
      • enables millions to get health insurance.
      Health Care Reform
    • 16. Go forth and passionately state your opinions!