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I created this slide deck to educate clients, financial planners and tax preparers about how the Affordable Care Act subsidies work, including several examples of how significant the dollars can be.
Greenstone Farm Financing for Northern Michigan - Ben MahlichBill Palladino
This presentation was provided to the Northwest Michigan Food & Farming Network at their council study session on March 20, 2014. It is the property of Greenstone Farm Credit Services. It includes the video of Ben's presentation embedded at the front of the SlideShare deck. You can click the "next slide" arrow to advance to the PPT slides. And here's the YouTube link alone: http://youtu.be/1fy5OANTQu4
Haynes and Boone, LLP Oil Patch Bankruptcy Monitor - June 2016 editionMarcellus Drilling News
A list (as of June 30, 2016) of 85 oil and gas companies that filed for bankruptcy protection in 2015 and 2016. The downturn in prices has affected many O&G companies. Law firm Haynes and Boone track the list, and warn that others may yet be added to it before the end of 2016.'
A list (as of November 2015) of 36 oil and gas companies that filed for bankruptcy protection in 2015. The downturn in prices has affected many O&G companies. Law firm Haynes and Boone track the list, and warn that others may yet be added to it before the end of 2015.
Haynes and Boone, LLP Oil Patch Bankruptcy Monitor - April 2016 editionMarcellus Drilling News
A list (as of April 2016) of 59 oil and gas companies that filed for bankruptcy protection in 2015 and 2016. The downturn in prices has affected many O&G companies. Law firm Haynes and Boone track the list, and warn that others may yet be added to it before the end of 2016.
Get all the details about healthcare premium and it's rise over the last few years. Find The factors which determined your health insurance premiums before affordable care act are different from what they are now. For more info on health insurance premium https://truecoverage.com/
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This is from a brief workshop we did at Arizona SkySong for local health care executives. All about the current state of value-based care, accountable care organizations, and general trends we're seeing within the health care delivery space.
Haynes and Boone, LLP Oil Patch Bankruptcy Monitor - April 2016 editionMarcellus Drilling News
A list (as of April 2016) of 59 oil and gas companies that filed for bankruptcy protection in 2015 and 2016. The downturn in prices has affected many O&G companies. Law firm Haynes and Boone track the list, and warn that others may yet be added to it before the end of 2016.
Get all the details about healthcare premium and it's rise over the last few years. Find The factors which determined your health insurance premiums before affordable care act are different from what they are now. For more info on health insurance premium https://truecoverage.com/
Critical Illness Sales Presentation created by Catherine Chaney BowmanCatherine Chaney Bowman
Here's a compelling sales presentation for the less well known but essential insurance product that provides protection in the event of a critical illness
"Implementing the Affordable Care Act in Georgia" presented by Dr. Bill Custer on September 23, 2013 at 2014 is Now: Addressing Healthcare Access, Cost & Quality in Georgia.
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Retirement Planning- Case studyPart 1A) SMART Goal Setting.docxronak56
Retirement Planning- Case study
Part 1
A) SMART Goal Setting
Specific
What: They should to achieve debt freedom and save enough money before age 65. They supposed to decrease his daily expense to save more money, to pay off the current loan and some credit debts. Then they need to start RESPs for their children.
Why: Their Net cash flow was negative, it means they have more expense than income. They must find a way to solve these problem, even through they have 308879.63 net worth, but it is useless. They have too many loan and mortgage need to repayment.
Where: They should focus on house mortgage first, because that $300000 mortgage with interest rate is 4.75%.
Who: their children. When they do this financial planning, their kids is inherently involved in.
Which: They have some constraints which is that they need to pay education for kids, they have economic pressure, so saving money is hard thing for them.
Measurable:
They want to save $2000 per month to pay off their mortgage $1897.57 monthly.
Achievable:
We suggest saving money from Entertainment and Transportation.
· Yearly expense
Travel $120, Activities $360, Alcohol $120 totally is $600
We also can decrease expense form car insurance, Colin and Jill can use one car and suspend the car insurance saving $1440 yearly.
They already saving $2040 for one year.
Realistic:
That is realistic because they can easily to save money form their income, they need to know how to budgeting their money, especially they already have two kids.
Time-Limited:
They will save money form their daily life for $2040 for one year, their yearly mortgage is $1897.57*12= $22770.84, they need to saving 10 years money to pay off one year mortgage.
B) Cash Flow Statement & Net Worth Statement
According to the expense statement for retirement planning, I estimate the expense after Colin and Jill retirement is $28546.68. It means they need income after tax is same amount.
Electricity/water: When they are after 65 year old, they should sleep so early that compare with before. That’s why their electricity usage rate is going down. Change $150 to $100 per month
Internet: they don’t use internet after 65 years old, because they always watching TV or reading book, no time to use internet. Change $100 to $50 per month
Groceries: it will change some because they want to be health, and will buy many nourishment and fruits,and more milk. Not changed.
Eat-out: eat-out cost will be decrease, they usually cook at home. Change $100 to $50 per month
Colin&Jill car insurance: They don’t need two cars for driving, so they can just drive one car with one car insurance, so the cost will be decrease. Decrease $110 per month
Gas fee: gas cost also decrease because two cars in stead of one car.
Medical: Colin has high blood pressure, his medicines cost will increase.
Travel: Colin and Jill like to long-distance travel every month,so that’s why travel cost is increased. Change $50 to $ ...
Officially titled, "Financial Planning Strategies for Women & Families" - Barry Mendelson gave this presentation to the East Bay chapter of American Society of Women Accountants in February.
Presentation from Robert Allen, Deputy Superintendent For Operations, Ann Arbor Public Schools, on the financial overview of the school system and its budget
How much money have the Meaningful Use Incentive Programs paid so far? Which states are the biggest adopters of new health care technology and which ones are behind? Discover the total amount providers, hospitals and eligible professionals are getting paid in Medicare and Medicaid incentives.
The Oregon Office of Economic Analysis forecasts the state economy and General Fund and Lottery Fund revenues. This slide presentation is a part of the June 2018 forecast (released May 23rd).
Similar to MSSP ACO Results Performance Period 1 (20)
The dimensions of healthcare quality refer to various attributes or aspects that define the standard of healthcare services. These dimensions are used to evaluate, measure, and improve the quality of care provided to patients. A comprehensive understanding of these dimensions ensures that healthcare systems can address various aspects of patient care effectively and holistically. Dimensions of Healthcare Quality and Performance of care include the following; Appropriateness, Availability, Competence, Continuity, Effectiveness, Efficiency, Efficacy, Prevention, Respect and Care, Safety as well as Timeliness.
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2. Shared Savings Performance Years
ACO Start Date
Performance Year 1
Reporting Period 1
Performance Year 1
Reporting Period 2
Performance Year 2
Reporting Period 3
Performance Year 3
Reporting Period 4
Shared Savings
ProgramACOs
(April 2012 start)
April 1, 2012 to
December 31, 2013
January 1, 2012 to
December 31, 2012
April 1, 2012 to
December 31,2013
January 1, 2013 to
December 31,2013
January 1, 2014 to
December 31, 2014
Same
January 1, 2015 to
December 31, 2015
Same
Shared Savings
ProgramACOs
(July 2012 start)
July 1, 2012 to
December 31, 2013
January 1, 2012 to
December 31,2012
July 1, 2012 to
December 31, 2013
January 1, 2013 to
December 31, 2013
January 1, 2014 to
December 31, 2014
Same
January 1, 2015 to
December 31, 2015
Same
Shared Savings
ProgramACOs
(January 2013 start)
NA
January 1, 2013 to
December 31, 2013
Same
January 1, 2014 to
December 31, 2014
Same
January 1, 2015 to
December 31, 2015
Same
Pay for Reporting /
Pay for
Performance
Pay for Reporting Pay for Reporting
Pay for Performance
Phase-in
Pay for Performance
phase-in
3. Winners and Losers
Generated
Savings
Count of
ACOs
And the implications are….
$0 150
Received no shared savings payment. May
still be responsible for Advance Payment
repayment.
Losses 1
Responsible for loss repayment and
Advance Payment repayment.
Savings 53 / 49
All received shared savings payment except
4 which did not meet the quality reporting
requirements.
TBD 16 To be determined…
Total 220
4. Winners by State
ACOs by
State
ACOs Earning
Savings
Shared Savings
Payments*
TX 7 $62.87
FL 11 $50.83
NY 3 $28.06
MI 2 $20.66
CA 4 $17.30
NJ 2 $15.64
VA, TN 2 $13.61
MA, NH 2 $11.91
NC 1 $10.54
GA 1 $9.74
WI 1 $8.67
MA 2 $7.46
ACOs by State
ACOs Earning
Savings
Shared Savings
Payments*
MA 2 $7.46
OH 1 $5.78
NJ, NY 1 $5.27
IA, PA, CT, MA, CA 1 $5.16
MO, KS 1 $5.01
TN, LA, FL 1 $4.72
IA 1 $4.43
MA, RI 1 $3.56
KY, IL 1 $2.81
KY 1 $2.76
VA 1 $2.33
NV 1 $1.64
Total 49 $300.76 * In millions
5. The Winners by ACO
# ACOs with Savings and Payments
Shared
Savings
Payments*
Percent of
Total
Cumulative
Percent of
Total
1 Memorial Hermann Accountable Care Organization $28.34 9% 9%
2 Palm Beach Accountable Care Organization, LLC $19.34 6% 16%
3 Catholic Medical Partners-Accountable Care IPA, Inc. $13.68 5% 20%
4 Southeast Michigan Accountable Care, Inc. $12.09 4% 24%
5 RGV ACO Health Providers, LLC $11.90 4% 28%
6 ProHEALTH Accountable Care Medical Group, PLLC $10.74 4% 32%
7 Triad Healthcare Network, LLC $10.54 4% 35%
8 WellStar Health Network, LLC $9.74 3% 39%
9 Accountable Care Coalition of Texas, Inc. $9.36 3% 42%
10 Accountable Care Coalition of Southeast Wisconsin, LLC $8.67 3% 45%
Grand Total 49 $300.76 * In millions
6. By Start Date
#ACOs by
Start Date
Shared
Savings
Payments /
Losses*
4/1/2012 27 $64.00
7/1/2012 87 $165.77
1/1/2013 106 $67.03
Total 220 $296.80
* In millions
# ACOs by
Start Date
Shared
Savings
Payments*
4/1/2012 8 $64.00
7/1/2012 22 $169.73
1/1/2013 19 $67.03
Total 49 $300.76
* In millions
7. Track 1 vs Track 2
# ACOs by
Track
Shared
Savings
Payments /
Losses*
Track 1 215 $283.85
Track 2 5 $12.95
Total 220 $296.80
* In millions
# ACOs by
Track
Shared
Savings
Payments*
Track 1 47 $283.85
Track 2 2 $16.91
Total 49 $300.76
* In millions
8. Track 1 vs Track 2
# ACOs by Track Shared Savings Payments
/ Losses*
Track1 215 $283.85
Track2 5 $12.95
Grand Total 220 $296.80
Only 5 Track 2 ACOs Savings
/ Losses
Shared Savings
Payments /
Losses
Dean Clinic and St. Mary's Hospital ACO (WI) ($9.97) ($3.96)
Physicians of Cape Cod ACO (MA) $0.00 $0.00
Accountable Care Coalition of DeKalb. (GA) $0.00 $0.00
Heartland Regional Medical Center (MO/KS) $8.53 $5.01
RGV ACO Health Providers* (TX) $20.24 $11.90
*Participate in Advance Payment Model
9. Advance Payment ACOs
# Advance
Payment ACOs
Shared
Savings
Payments /
Losses*
No 184 $266.13
Yes 36 $30.67
Total 220 $296.80
* In millions
# Advance
Payment ACOs
Shared
Savings
Payments *
No 41 $270.09
Yes 8 $30.67
Total 49 $300.76
* In millions
10. Advance Payment ACOs
# Advance Payment ACOs Shared Savings Payments
/ Losses
No 184 $266.13
Yes 36 $30.67
Grand Total 220 $296.80
11 Advance Payment ACOs with Savings or TBD Savings / Losses
RGV ACO Health Providers-TX $20.24
Physicians ACO-TX $12.01
Coastal Medical-MA, RI $7.27
National ACO-CA $6.19
Rio Grande Valley Health Alliance-TX $6.01
Jackson Purchase Medical Associates, PSC-KY, IL $5.74
Reliance Health Network-FL $4.96
Bay Area Florida Physicians Trust-FL $4.56
Integrated ACO LLC-TX $3.57
Medical Mall Services of Mississippi-MS, AL TBD
North Country ACO-NH, VT TBD
11. Advance Payment ACOs with No Savings
25 Advance Payment ACOs with No Savings
NOMS ACO-OH Texoma ACO-TX
Primary Partners-FL Fort Smith Physicians Alliance ACO-AR, OK
Coastal Carolina Quality Care-NC ACO Health Partners-FL
Golden Life Healthcare-CA American Health Alliance-FL
MPS ACO Physicians-CT Nature Coasts ACO-FL
PriMed-CT Physicians Collaborative Trust ACO-FL
Accountable Care Partners-FL Primary Partners ACIP-FL
Quality Independent Physicians-KY, IN Owensboro ACO-KY, IN
Harbor Medical Associates-MA KCMPA-ACO-MO, KS
Maryland ACO Eastern Shore-MD SERPA ACO-NE
Maryland ACO Western MD-MD, PA, WV American Hlth Network of Ohio Care Org, OH
Cumberland Ctr for Healthcare Innovation-TN Lower Shore ACO-VA, MD, DE
St. Thomas Medical Group-TN
12. Quality Reporting
# ACOs Reporting
Quality
Shared
Savings
Payments /
Losses*
No 11 $0.00
Yes 209 $296.80
Total 220 $296.80
* In millions
# ACOs Reporting
Quality
Shared
Savings
Payments*
No 0 $0.00
Yes 49 $300.76
Grand Total 49 $300.76
* In millions
13. Quality Reporting
# ACOs Reporting Quality
Shared Savings Payments
/ Losses
No 11 $0.00
Yes 209 $296.80
Grand Total 220 $296.80
11 ACOs Not Meeting Quality Reporting Requirement Savings / Losses
Nevada Primary Care Network, ACO-NV $21.69
Physicians ACO-TX $12.01
Independent San Diego ACO-CA $7.96
Morehouse Choice ACO and Education System-GA $1.92
Florida Physicians Trust-FL $0.00
Accountable Healthcare Alliance-MI $0.00
Meridian Holdings-NC, GA, FL, SC, DC, CA, MD, TX $0.00
Accountable Care Organization of Puerto Rico-PR $0.00
NOMS ACO-OH $0.00
Allcare Options-FL TBD
Medical Mall Services of Mississippi-MS, AL TBD