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Health Care Reform 2009 The Great American Debate   and the Massachusetts Experiment Mario Motta, MD President Alice Coombs, MD President-Elect
Federal Health  Care Reform
Federal Legislation ,[object Object],[object Object],[object Object]
Expanding Coverage Senate House Covers 31 million additional people (94% covered) Covers 36 million additional people (96% covered) Cost: $849 billion by 2019 Cost: $894 billion by 2019 Reduces deficit by $130 billion  by 2019 Reduces deficit by $109 billion  by 2019 State exchanges Federal exchange Subsidies up to 400% of poverty Subsidies up to 400% of poverty  (Higher premium subsidy than Senate bill) No mandate But employers surcharged if employees get coverage through the Exchange (> 50 employees) Employer mandate
Insurance Reforms Senate House Prohibit exclusions for pre-existing conditions Prohibit exclusions for pre-existing conditions Guarantee issue and renewal  (Bans recission) Guarantee issue and renewal  (Bans recission) No gender discrimination;  no lifetime caps No gender discrimination;  no lifetime caps Report medical loss ratios Report medical loss ratios House limits non-medical expenses; rebates excess to consumers
Physician Sections: House ,[object Object],[object Object],[object Object],[object Object]
Physician Sections: Senate ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Public Plan Option (Both Bills) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
H.R. 3961: The SGR Repeal ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
AMA Advocacy ,[object Object],[object Object],[object Object]
AMA House: Nov. 2009 ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
AMA House: Nov. 2009 ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Impact on Massachusetts? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Projected Timeline ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
www.massmed.org/PaymentReform www.massmed.org/HealthCareReform blog.massmed.org www.facebook.com/massmed www.twitter.com/massmedical

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Health Reform 2009: The Great American Debate

  • 1. Health Care Reform 2009 The Great American Debate and the Massachusetts Experiment Mario Motta, MD President Alice Coombs, MD President-Elect
  • 2. Federal Health Care Reform
  • 3.
  • 4. Expanding Coverage Senate House Covers 31 million additional people (94% covered) Covers 36 million additional people (96% covered) Cost: $849 billion by 2019 Cost: $894 billion by 2019 Reduces deficit by $130 billion by 2019 Reduces deficit by $109 billion by 2019 State exchanges Federal exchange Subsidies up to 400% of poverty Subsidies up to 400% of poverty (Higher premium subsidy than Senate bill) No mandate But employers surcharged if employees get coverage through the Exchange (> 50 employees) Employer mandate
  • 5. Insurance Reforms Senate House Prohibit exclusions for pre-existing conditions Prohibit exclusions for pre-existing conditions Guarantee issue and renewal (Bans recission) Guarantee issue and renewal (Bans recission) No gender discrimination; no lifetime caps No gender discrimination; no lifetime caps Report medical loss ratios Report medical loss ratios House limits non-medical expenses; rebates excess to consumers
  • 6.
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  • 15.  
  • 16. www.massmed.org/PaymentReform www.massmed.org/HealthCareReform blog.massmed.org www.facebook.com/massmed www.twitter.com/massmedical

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