Healthcare Reform 2011: The Good, the bad and the ugly (Part 2)

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Interpreting these new laws and regulations are complex but their affect on insurers, employers, medical professionals, and patients is even more confusing. Join HOW for a unique look at these changes and their influence on healthcare decisions for the coming years.

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Healthcare Reform 2011: The Good, the bad and the ugly (Part 2)

  1. 1. Healthcare Reform 2011: The good, the bad and the ugly (Part 2)<br />www.healthoptionsworldwide.com<br />
  2. 2. Introduction to Part 2<br />Current Issues<br />Recap of Part 1<br />Medicaid<br />1099 Repealed<br />States find reform “Unconstitutional”<br />New Laws & Coverage <br />Requirements<br />Cadillac Taxes<br />Tax Credits for Small <br />Businesses<br />Pay or Play<br />
  3. 3. Funding of Healthcare Reform<br />Will Healthcare reform be “shutdown”?<br />What are the possible effects on the 2012 presidential elections?<br />
  4. 4. Medical Loss Ratio<br />Incurred claims + activities that improve health care quality<br />MLR=<br />Total premium – Federal and State taxes and licensing or regulatory fees (and accounting for risk adjustment, risk corridors and reinsurance)<br />
  5. 5. Healthcare Reform & Insurance Companies<br />Non- Claim Costs<br />Agent broker commissions<br />Marketing expenses<br />Profits<br />Putting Carriers Out of Business<br />Pre-Existing Conditions<br />Nobody gets turned away<br />
  6. 6. Medicare – Donut Hole<br />Rebate<br />50% Discount<br />Closed by 2020<br />Free Preventative Care<br />Advantage Plans – No Lifetime Limits<br />*Steve Shore Insurance http://www.steveshoreinsurance.com<br />
  7. 7. Medicare - Baby Boomers<br />Doctor’s Overhead<br />Medicare Payments<br />Patients Actually Seen<br />Ability to Find a Doctor<br />
  8. 8. Wellness Programs & Healthcare Reform<br />
  9. 9. Question & Answer<br />For Additional Information:<br />Phone: 1-877-234-1345<br />Email: info@healthoptionsworldwide.com<br />Website: http://www.Healthoptionsworldwide.com<br />
  10. 10. Health Engagement and Wellness Programs<br />

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