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The Contenders

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Presentation by Cedric Dark, MD, MPH & Rosalia Guerrero-Luera
for the Third Annual Policy Prescriptions® Symposium

Cedric Dark is the founder and executive editor at Policy Prescriptions® and an assistant professor at Baylor College of Medicine Section of Emergency Medicine

The symposium is designed for clinicians, healthcare workers, and healthcare executives interested in exploring the major themes that will emerge in health policy throughout the year. This year, the symposium will emphasize value in healthcare, health information technology, gun violence, insurance choices, the Affordable Care Act, and the viewpoints of the Presidential candidates on health care.

Published in: Health & Medicine
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The Contenders

  1. 1. The Contenders Cedric Dark, MD, MPH Founder and Executive Editor, Policy Prescriptions® Rosalia Guerrero-Luera University of Texas School of Public Health
  2. 2. Source: CNN.com
  3. 3. Objectives • Learners will list three key components to each candidates healthcare plan
  4. 4. The Following Presenters Have Disclosed Relevant Financial Relationships: Cedric Dark, MD MPH FAAEM FACEP Community Health Choice, Event Sponsorship; Schumacher Clinical Partners, Event Sponsorship Seth Trueger, MD MPH Emergency Physicians Monthly, Employee, Salary The Following Presenters Have Disclosed No Financial Relationships: Megan Douglas, JD Elena M. Marks, JD MPH Laura Medford-Davis, MD Bich-May Nguyen, MD MPH The Following Planners Have Disclosed Relevant Financial Relationships: Cedric Dark, MD MPH FAAEM FACEP Community Health Choice, Event Sponsorship; Schumacher Clinical Partners, Event Sponsorship The Following Planning Committee Members and Staff Have Disclosed No Relevant Financial Relationships: Emily DeVillers, CAE Kay Whalen, MBA CAE Janet Wilson, CAE
  5. 5. The 2016 Presidential Contenders Democrat • Hillary Clinton • Bernie Sanders Republican • Donald Trump
  6. 6. The 2016 Presidential Contenders The 2 016 Pr esident ial Candidat es Po l ic y Pr esc r ipt io n s® Heal t hc ar e Sc o r ec ar d On the Issues: Drug Prices The Cadillac Tax Gun Violence & Mental Health Value in Healthcare Consumer Insurance Issues Medicare Part D Negotiation Don’t Repeal it Replace with Cap on ESHI Permit to Purchase Universal Background Checks Firearm Registration Price Transparency Quality Transparency High Deductible Health Plans are too costly for consumers Insurance Networks Too Narrow Out of pocket costs Too high for patients Democrat Hillary Clinton Bernie Sanders Republican Donald Trump ^ A check mark indicates a candidate has expressed agreement with the issue, and ‘x’ indicates opposition. ^Donald Trump initially endorsed this idea but it is no longer listed in his healthcare strategy.
  7. 7. On the Issues that matter to Policy Wonks Medicare Part D Negotiation • All three candidates want Medicare to negotiate prices with drug companies Cadillac Tax • All three candidates want to repeal the Cadillac Tax ✓ ✗
  8. 8. On the Issues that matter to Patients Price Transparency • All three candidates want better price transparency in healthcare HDHPs • All three candidates think they are too costly to patients ✓ ✓
  9. 9. All else being equal… …the candidates’ approach to the gun violence epidemic is a major distinguishing factor Source: Pixabay
  10. 10. On the Gun Violence Epidemic Universal Background Checks • Both Democrats want universal background checks • Trump does not Firearm Registration • Hillary Clinton wants firearm registration • Bernie Sanders does not • Don’t know about Trump Permits-to-Purchase • Unknown positions
  11. 11. HEALTHCARE PLANS 2016 Presidential Candidates
  12. 12. Source: HillaryClinton.com
  13. 13. Hillary Clinton • Defend the Affordable Care Act and build on it to slow the growth of out- of-pocket costs. • Crack down on rising prescription drug prices and hold drug companies accountable so they get ahead by investing in research, not jacking up costs. • Protect women’s access to reproductive health care, including contraception and safe, legal abortion. • Make premiums more affordable and lessen out-of-pocket expenses for consumers purchasing health insurance on the Obamacare exchanges • Support new incentives to encourage all states to expand Medicaid. • Invest in navigators, advertising and other outreach activities to make enrollment easier. • Expand access to affordable health care to families regardless of immigration status. • Continue to support a “public option”—and work to build on the Affordable Care Act to make it possible.
  14. 14. Hillary Clinton • Defend the Affordable Care Act and build on it to slow the growth of out- of-pocket costs. • Crack down on rising prescription drug prices and hold drug companies accountable so they get ahead by investing in research, not jacking up costs. • Protect women’s access to reproductive health care, including contraception and safe, legal abortion. • Make premiums more affordable and lessen out-of-pocket expenses for consumers purchasing health insurance on the Obamacare exchanges • Support new incentives to encourage all states to expand Medicaid. • Invest in navigators, advertising and other outreach activities to make enrollment easier. • Expand access to affordable health care to families regardless of immigration status. • Continue to support a “public option”—and work to build on the Affordable Care Act to make it possible.
  15. 15. Hillary Clinton • Defend the Affordable Care Act and build on it to slow the growth of out- of-pocket costs. • Crack down on rising prescription drug prices and hold drug companies accountable so they get ahead by investing in research, not jacking up costs. • Protect women’s access to reproductive health care, including contraception and safe, legal abortion. • Make premiums more affordable and lessen out-of-pocket expenses for consumers purchasing health insurance on the Obamacare exchanges • Support new incentives to encourage all states to expand Medicaid. • Invest in navigators, advertising and other outreach activities to make enrollment easier. • Expand access to affordable health care to families regardless of immigration status. • Continue to support a “public option”—and work to build on the Affordable Care Act to make it possible.
  16. 16. Hillary Clinton • Defend the Affordable Care Act and build on it to slow the growth of out- of-pocket costs. • Crack down on rising prescription drug prices and hold drug companies accountable so they get ahead by investing in research, not jacking up costs. • Protect women’s access to reproductive health care, including contraception and safe, legal abortion. • Make premiums more affordable and lessen out-of-pocket expenses for consumers purchasing health insurance on the Obamacare exchanges • Support new incentives to encourage all states to expand Medicaid. • Invest in navigators, advertising and other outreach activities to make enrollment easier. • Expand access to affordable health care to families regardless of immigration status. • Continue to support a “public option”—and work to build on the Affordable Care Act to make it possible.
  17. 17. Hillary Clinton • Defend the Affordable Care Act and build on it to slow the growth of out- of-pocket costs. • Crack down on rising prescription drug prices and hold drug companies accountable so they get ahead by investing in research, not jacking up costs. • Protect women’s access to reproductive health care, including contraception and safe, legal abortion. • Make premiums more affordable and lessen out-of-pocket expenses for consumers purchasing health insurance on the Obamacare exchanges • Support new incentives to encourage all states to expand Medicaid. • Invest in navigators, advertising and other outreach activities to make enrollment easier. • Expand access to affordable health care to families regardless of immigration status. • Continue to support a “public option”—and work to build on the Affordable Care Act to make it possible.
  18. 18. Hillary Clinton • Defend the Affordable Care Act and build on it to slow the growth of out- of-pocket costs. • Crack down on rising prescription drug prices and hold drug companies accountable so they get ahead by investing in research, not jacking up costs. • Protect women’s access to reproductive health care, including contraception and safe, legal abortion. • Make premiums more affordable and lessen out-of-pocket expenses for consumers purchasing health insurance on the Obamacare exchanges • Support new incentives to encourage all states to expand Medicaid. • Invest in navigators, advertising and other outreach activities to make enrollment easier. • Expand access to affordable health care to families regardless of immigration status. • Continue to support a “public option”—and work to build on the Affordable Care Act to make it possible.
  19. 19. Hillary Clinton • Defend the Affordable Care Act and build on it to slow the growth of out- of-pocket costs. • Crack down on rising prescription drug prices and hold drug companies accountable so they get ahead by investing in research, not jacking up costs. • Protect women’s access to reproductive health care, including contraception and safe, legal abortion. • Make premiums more affordable and lessen out-of-pocket expenses for consumers purchasing health insurance on the Obamacare exchanges • Support new incentives to encourage all states to expand Medicaid. • Invest in navigators, advertising and other outreach activities to make enrollment easier. • Expand access to affordable health care to families regardless of immigration status. • Continue to support a “public option”—and work to build on the Affordable Care Act to make it possible.
  20. 20. Hillary Clinton • Defend the Affordable Care Act and build on it to slow the growth of out- of-pocket costs. • Crack down on rising prescription drug prices and hold drug companies accountable so they get ahead by investing in research, not jacking up costs. • Protect women’s access to reproductive health care, including contraception and safe, legal abortion. • Make premiums more affordable and lessen out-of-pocket expenses for consumers purchasing health insurance on the Obamacare exchanges • Support new incentives to encourage all states to expand Medicaid. • Invest in navigators, advertising and other outreach activities to make enrollment easier. • Expand access to affordable health care to families regardless of immigration status. • Continue to support a “public option”—and work to build on the Affordable Care Act to make it possible.
  21. 21. Source: HillaryClinton.com
  22. 22. Source: BernieSanders.com
  23. 23. Bernie Sanders • Federally administered single-payer health care program • Bernie’s plan will cover the entire continuum of health care, from inpatient to outpatient care; preventive to emergency care; primary care to specialty care, including long-term and palliative care; vision, hearing and oral health care; mental health and substance abuse services; as well as prescription medications, medical equipment, supplies, diagnostics and treatments • No more copays, No more deductibles • A 6.2 percent income-based health care premium paid by employers • A 2.2 percent income-based premium paid by households • Savings from health tax expenditures
  24. 24. Bernie Sanders • Federally administered single-payer health care program • Bernie’s plan will cover the entire continuum of health care, from inpatient to outpatient care; preventive to emergency care; primary care to specialty care, including long-term and palliative care; vision, hearing and oral health care; mental health and substance abuse services; as well as prescription medications, medical equipment, supplies, diagnostics and treatments • No more copays, No more deductibles • A 6.2 percent income-based health care premium paid by employers • A 2.2 percent income-based premium paid by households • Savings from health tax expenditures
  25. 25. Bernie Sanders • Federally administered single-payer health care program • Bernie’s plan will cover the entire continuum of health care, from inpatient to outpatient care; preventive to emergency care; primary care to specialty care, including long-term and palliative care; vision, hearing and oral health care; mental health and substance abuse services; as well as prescription medications, medical equipment, supplies, diagnostics and treatments • No more copays, No more deductibles • A 6.2 percent income-based health care premium paid by employers • A 2.2 percent income-based premium paid by households • Savings from health tax expenditures
  26. 26. Bernie Sanders • Federally administered single-payer health care program • Bernie’s plan will cover the entire continuum of health care, from inpatient to outpatient care; preventive to emergency care; primary care to specialty care, including long-term and palliative care; vision, hearing and oral health care; mental health and substance abuse services; as well as prescription medications, medical equipment, supplies, diagnostics and treatments • No more copays, No more deductibles • A 6.2 percent income-based health care premium paid by employers • A 2.2 percent income-based premium paid by households • Savings from health tax expenditures
  27. 27. Bernie Sanders • Federally administered single-payer health care program • Bernie’s plan will cover the entire continuum of health care, from inpatient to outpatient care; preventive to emergency care; primary care to specialty care, including long-term and palliative care; vision, hearing and oral health care; mental health and substance abuse services; as well as prescription medications, medical equipment, supplies, diagnostics and treatments • No more copays, No more deductibles • A 6.2 percent income-based health care premium paid by employers • A 2.2 percent income-based premium paid by households • Savings from health tax expenditures
  28. 28. Bernie Sanders • Federally administered single-payer health care program • Bernie’s plan will cover the entire continuum of health care, from inpatient to outpatient care; preventive to emergency care; primary care to specialty care, including long-term and palliative care; vision, hearing and oral health care; mental health and substance abuse services; as well as prescription medications, medical equipment, supplies, diagnostics and treatments • No more copays, No more deductibles • A 6.2 percent income-based health care premium paid by employers • A 2.2 percent income-based premium paid by households • Savings from health tax expenditures
  29. 29. Source: BernieSanders.com
  30. 30. Source: DonaldJTrump.com
  31. 31. Donald Trump • Completely repeal Obamacare • Modify existing law that inhibits the sale of health insurance across state lines • Allow individuals to fully deduct health insurance premium payments from their tax returns under the current tax system • Allow individuals to use Health Savings Accounts (HSAs) • Require price transparency from all healthcare providers, especially doctors and healthcare organizations like clinics and hospitals • Block-grant Medicaid to the states • Remove barriers to entry into free markets for drug providers that offer safe, reliable and cheaper products
  32. 32. Donald Trump • Completely repeal Obamacare • Modify existing law that inhibits the sale of health insurance across state lines • Allow individuals to fully deduct health insurance premium payments from their tax returns under the current tax system • Allow individuals to use Health Savings Accounts (HSAs) • Require price transparency from all healthcare providers, especially doctors and healthcare organizations like clinics and hospitals • Block-grant Medicaid to the states • Remove barriers to entry into free markets for drug providers that offer safe, reliable and cheaper products
  33. 33. Donald Trump • Completely repeal Obamacare • Modify existing law that inhibits the sale of health insurance across state lines • Allow individuals to fully deduct health insurance premium payments from their tax returns under the current tax system • Allow individuals to use Health Savings Accounts (HSAs) • Require price transparency from all healthcare providers, especially doctors and healthcare organizations like clinics and hospitals • Block-grant Medicaid to the states • Remove barriers to entry into free markets for drug providers that offer safe, reliable and cheaper products
  34. 34. Donald Trump • Completely repeal Obamacare • Modify existing law that inhibits the sale of health insurance across state lines • Allow individuals to fully deduct health insurance premium payments from their tax returns under the current tax system • Allow individuals to use Health Savings Accounts (HSAs) • Require price transparency from all healthcare providers, especially doctors and healthcare organizations like clinics and hospitals • Block-grant Medicaid to the states • Remove barriers to entry into free markets for drug providers that offer safe, reliable and cheaper products
  35. 35. Donald Trump • Completely repeal Obamacare • Modify existing law that inhibits the sale of health insurance across state lines • Allow individuals to fully deduct health insurance premium payments from their tax returns under the current tax system • Allow individuals to use Health Savings Accounts (HSAs) • Require price transparency from all healthcare providers, especially doctors and healthcare organizations like clinics and hospitals • Block-grant Medicaid to the states • Remove barriers to entry into free markets for drug providers that offer safe, reliable and cheaper products
  36. 36. Donald Trump • Completely repeal Obamacare • Modify existing law that inhibits the sale of health insurance across state lines • Allow individuals to fully deduct health insurance premium payments from their tax returns under the current tax system • Allow individuals to use Health Savings Accounts (HSAs) • Require price transparency from all healthcare providers, especially doctors and healthcare organizations like clinics and hospitals • Block-grant Medicaid to the states • Remove barriers to entry into free markets for drug providers that offer safe, reliable and cheaper products
  37. 37. Donald Trump Committee for a Responsible Federal Budget
  38. 38. Donald Trump • Completely repeal Obamacare • Modify existing law that inhibits the sale of health insurance across state lines • Allow individuals to fully deduct health insurance premium payments from their tax returns under the current tax system • Allow individuals to use Health Savings Accounts (HSAs) • Require price transparency from all healthcare providers, especially doctors and healthcare organizations like clinics and hospitals • Block-grant Medicaid to the states • Remove barriers to entry into free markets for drug providers that offer safe, reliable and cheaper products
  39. 39. Donald Trump Committee for a Responsible Federal Budget
  40. 40. Source: DonaldJTrump.com
  41. 41. Summary Hillary Clinton • Framework of ACA stays intact • Requires significant money for subsidies • Expand coverage to immigrants Bernie Sanders • Change to Medicare-for-All • Most likely to become ‘universal health care’ • Requires price regulation to lower costs Donald Trump • 18 million lose coverage • Insurance across state lines & HSAs already law • Medicaid block grant structure is key
  42. 42. Questions? Source: CNN.com

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