Innovations in Value-Based Insurance Design Improving Care and Bending the Cost Curve. A. Mark Fendrick, MD
|
|
|
- William West
- 8 years ago
- Views:
Transcription
1 Innovations in Value-Based Insurance Design Improving Care and Bending the Cost Curve A. Mark Fendrick, MD University of Michigan Center for Value-Based Insurance Design IOM Roundtable on Value & Science-Driven Health Care
2 Improving Care and Bending the Cost Curve Our Goal is to Improve Health, Not Save Money Cost growth remains the principle focus of health care reform discussions Despite unequivocal evidence of clinical benefit, substantial underutilization of high-value services persists across the spectrum of clinical care Wellness Screenings and Preventive Care Therapy Diagnostic Monitoring
3 Improving Care and Bending the Cost Curve A Needed Shift From How Much? to How Well? There is little disagreement over the fact there is enough money in the US health care system Therefore, payers should shift the focus from how much - to how well - we spend on health care in order to maximize the amount of health produced for the expenditure made (value)
4 Improving Care and Bending the Cost Curve Interventions to Control Costs Disease Management Prior Authorization Information Technology Payment Reform Make Beneficiaries Pay More High Deductible Health Plans
5
6 Cost Containment Efforts Should NOT Produce Avoidable Reductions in Quality of Care Increased patient cost-sharing leads to decreases in non-essential and essential care which, in some cases, lead to greater overall costs
7 Value-Based Insurance Design Inspiration I can t believe you had to spend a million dollars to show that if you make people pay more for something they will buy less of it. Barbara Fendrick (my mother)
8 Using Clinical Nuance to Reallocate Spending Principles of Value-Based Insurance Design The archaic one-size-fits-all approach to patient cost-sharing fails to acknowledge the differences in clinical value among medical interventions Medical services differ in the benefit provided The clinical benefit derived from a specific service depends on the patient using it V-BID premise: the more clinically beneficial the service, the lower the patient's cost share and the higher the payment for a given service
9 Value-Based Insurance Design Reallocation Based on Clinical Nuance An opportunity exists for a cost-saving reallocation within any health budget, through increasing use of high-value interventions and simultaneously reducing the use of interventions that offer little or no benefit relative to their cost
10 Institute of Medicine, Essential Health Benefits Report Emphasis of V-BID Principles The EHB must be affordable, maximize the number of people with insurance, protect the most vulnerable individuals, promote better care, ensure stewardship of limited financial resources by focusing on high value services of proven effectiveness, promote shared responsibility for improving our health, and address the medical concerns of greatest importance to us all.
11 PPACA Sec. 2713: Selected Preventive Services be Provided without Patient Cost Sharing Receiving an A or B rating from the United States Preventive Services Taskforce Immunizations recommended by the Advisory Committee on Immunization Practices Preventive care and screenings supported by the Health Resources Administration (HRSA) for infants, children and adolescents Additional preventive care and screenings recommended by HRSA for women
12 2011 Kaiser Family Foundation s Employer Health Benefits Survey: Profound Impact of Sec Approximately 54 million Americans have received expanded coverage of some preventive services due to the Affordable Care Act
13 Value-Based Insurance Design Beyond Primary Prevention Most private-sector led V-BID programs focus on removing barriers to evidence-based services to treat chronic conditions As barriers are reduced, utilization increases Financial impact of carrot V-BID programs are cost neutral, not cost-saving V-BID programs that discourage use of low-value services are being implemented Innovative V-BID programs have broad multistakeholder and bipartisan political support
14 ACA Sec. 2713c Interim Final Regulation July 2010 Broad Definition of V-BID Value-based insurance designs include the provision of information and incentives for consumers that promote access to and use of higher value providers, treatments, and services.
15 Innovations in Value-Based Insurance Design More than Prescription Drugs Prevention/Screening Diagnostic tests/monitoring Treatments Clinician visits Physician networks Hospitals
16 Lowe's is offering employees incentives in the form of reduced out-of-pocket costs to come to the Cleveland Clinic for heart procedures.
17 Innovations in Value Based Insurance Design Align V-BID with Other Health Reform Initiatives Wellness Programs Disease Management Comparative Effectiveness Research Health Information Technology As electronic medical records expand, the feasibility to target specific conditions/patients groups will increase Payment Reform Consumer Directed Low Deductible Health Plan Accountable Care Organizations Patient-Centered Medical Home
18 Innovations in Value-Based Insurance Design Connecticut State Employees Health Enhancement Plan Participating employees receive a reprieve from higher premiums if they commit to: Yearly physicals Age-appropriate screenings/preventive care Two free dental cleanings Employees must participate in disease management programs (which include free office visits and lower drug co-pays) if they have one of five chronic conditions 98% of employees actively moved into HEP over 1 week open enrollment Link to PCMH initiative in progress
19 Innovations in Value-Based Insurance Design Blue Shield of California Blue Groove Combines wellness programs, advanced member engagement, value-based insurance design, and high-performing providers Qualify for lower co-payments only if you have one or more conditions and use a high-value provider: End-stage renal disease Congestive Heart failure Coronary artery disease Cancer Diabetes Hypertension Osteoarthritis Aligns clinical goals of supply-side (ACO) and demand-side (V-BID) initiatives
20 Innovations in Value-Based Insurance Design Clinically Nuanced, Fiscally Responsible The use of clinically nuanced incentives [and disincentives] to encourage [and discourage] patient and provider behavior to redistribute medical expenditures will produce more health at any level of health expenditure Consumer engagement initiatives must be aligned with ongoing payment reform and delivery system transformation Regulators should allow payers to adjust patient costsharing and payment based on clinical evidence
21
Determining the Role for Value-Based Insurance Design in Healthy Michigan
Determining the Role for Value-Based Insurance Design in Healthy Michigan A. Mark Fendrick, MD University of Michigan Center for Value-Based Insurance Design www.vbidcenter.org @um_vbid Value-Based Insurance
Value-Based Insurance Design. Using Smarter Cost-sharing to Align Consumer Incentives with Alternative Payment Models
Value-Based Insurance Design: Using Smarter Cost-sharing to Align Consumer Incentives with Alternative Payment Models A. Mark Fendrick, MD University of Michigan Center for Value-Based Insurance Design
THE ROLE. Testimony United. of the. University. practicing. primary care. of care.
THE ROLE OF VALUE BASED INSURANCE DESIGN IN HEALTH CARE DELIVERY INNOVATION Testimony United States Senate Committee on Health, Education, Labor and Pensions A. Mark Fendrick, MD Professor of Internal
How To Improve Health Care In A Diabetic Community
Health Care Transformation and Benefit Design: Translating Research into Policy A. Mark Fendrick, MD University of Michigan Center for Value-Based Insurance Design www.vbidcenter.org @um_vbid Improving
S. ll IN THE SENATE OF THE UNITED STATES A BILL
TH CONGRESS ST SESSION S. ll To establish a demonstration program requiring the utilization of Value- Based Insurance Design in order to demonstrate that reducing the copayments or coinsurance charged
The alignment of clinical and financial. Applying Value-Based Insurance Design To Low-Value Health Services. Value-Based Insurance Design
By A. Mark Fendrick, Dean G. Smith, and Michael E. Chernew Applying Value-Based Insurance Design To Low-Value Health Services doi: 10.1377/hlthaff.2010.0878 HEALTH AFFAIRS 29, NO. 11 (2010): 2017 2021
Accountable Care Organization Workgroup Glossary
Accountable Care Organization Workgroup Glossary Accountable care organization (ACO) a group of coordinated health care providers that care for all or some of the health care needs of a defined population.
Brandeis University The Heller School for Social Policy and Management
Health Care Cost Management in Massachusetts: A Discussion of Options Meeting #3: Boston, MA Conference Report Sponsored by: Health Care Cost Containment and Value-Based Insurance Design Presenter: Michael
How Health Reform Will Help Children with Mental Health Needs
How Health Reform Will Help Children with Mental Health Needs The new health care reform law, called the Affordable Care Act (or ACA), will give children who have mental health needs better access to the
ACP Analysis of the Essential Health Benefits Bulletin, Issued by the HHS Center for Consumer Information and Insurance Oversight (CCIIO)
ACP Analysis of the Essential Health Benefits Bulletin, Issued by the HHS Center for Consumer Information and Insurance Oversight (CCIIO) Introduction and background: Summarizes the essential benefit package
Health Care Incentives - The 4.1 Billion Dollar Bill
Presentation to the Health Care Cabinet Business Plan Work Group Laurel Pickering, President & CEO Northeast Business Group on Health May 7, 2012 1 Northeast Business Group on Health Network of employers,
Senate-Passed Bill (Patient Protection and Affordable Care Act H.R. 3590)**
Prevention and Screening Services Cost-sharing Eliminates cost sharing requirements for requirements for all preventive services (including prevention and colorectal cancer screening) that have a screening
Improving traditional Medicare s benefit design. Rachel Schmidt April 1, 2010
Improving traditional Medicare s benefit design Rachel Schmidt April 1, 2010 Changes from March presentation Discussion of changing context in which beneficiaries take up supplemental coverage Less discussion
An Internist s Practical Guide to Understanding Health System Reform
An Internist s Practical Guide to Understanding Health System Reform Prepared by: ACP s Division of Governmental Affairs and Public Policy Updated October 2013 How to cite this guide: American College
Fact Sheet: The Affordable Care Act s New Rules on Preventive Care July 14, 2010
Fact Sheet: The Affordable Care Act s New Rules on Preventive Care July 14, 2010 Chronic diseases, such as heart disease, cancer, and diabetes, are responsible for 7 of 10 deaths among Americans each year
Appendix VI. Patient-Centered Medical Homes (Initiative Memorandum) APRIL 2013
Appendix VI. Patient-Centered Medical Homes (Initiative Memorandum) APRIL 2013 http://berkeleyhealthcareforum.berkeley.edu 1 Appendix VI. Patient-Centered Medical Homes (Initiative Memorandum) See Appendix
Health Insurance Buyers Guide. What You Need to Know to Get Started
Health Insurance Buyers Guide What You Need to Know to Get Started Time to Enroll The Affordable Care Act has changed the way that many people get health insurance. You may have more options and more ways
Who We Are We re a coalition of concerned Kentuckians, over 250 organizations and individuals, who believe that the best health care solutions are found when everyone works together to build them. Right
Accountable Care Organizations (ACOs): Potential to Foster Quality While Reducing Costs
Accountable Care Organizations (ACOs): Potential to Foster Quality While Reducing Costs Debra Ness Co-Chair, Consumer-Purchaser Disclosure Project President, National Partnership for Women & Families David
Informational Series. Community TM. Glossary of Health Insurance & Medical Terminology. (855) 624-6463 HealthOptions.
Informational Series Glossary of Health Insurance & Medical Terminology How to use this glossary This glossary has many commonly used terms, but isn t a full list. These glossary terms and definitions
Plan Type Incentive Mechanisms Recommended for: All plans
V-BID EXPANDED PLAN TEMPLATE This template provides recommendations for a comprehensive V-BID benefit plan design to be implemented by employers. It includes recommended core benefits (in yellow) to be
Guide to the Summary and Benefits of Coverage
Guide to the Summary and Benefits of Coverage The Affordable Care Act (ACA) makes health insurance available to nearly all Americans. Each state has a health insurance marketplace, also known as a health
Choosing the Best Plan for You: A Tool for Purchasing Coverage in the Health Insurance Exchange
Choosing the Best Plan for You: A Tool for Purchasing Coverage in the Health Insurance Exchange The Affordable Care Act (ACA) makes health insurance available to nearly all Americans and the law requires
Senate Finance Committee Health Care Reform Bill
Senate Finance Committee Health Care Reform Bill Below is a review of those measures contained in the Senate Finance Committee s draft on health care reform that correspond to issues contained in the NLN
LEARNING WHAT WORKS AND INCREASING KNOWLEDGE
About This Series In February 2010, the George Washington University School of Public Health and Health Services, Department of Health Policy released Changing po 2 licy: The Elements for Improving Childhood
Refer to https://www.bcbsal.org/providers/hcreform/hcrpreventivecod ing.pdf for the Quick Reference Guide for HCR Preventive Care Services
Refer to https://www.bcbsal.org/providers/hcreform/hcrpreventivecod ing.pdf for the Quick Reference Guide for HCR Preventive Care Services Name of Policy: Preventive Care Services under Health Care Reform
FAQS ABOUT AFFORDABLE CARE ACT IMPLEMENTATION (PART XVIII) AND MENTAL HEALTH PARITY IMPLEMENTATION January 9, 2014
FAQS ABOUT AFFORDABLE CARE ACT IMPLEMENTATION (PART XVIII) AND MENTAL HEALTH PARITY IMPLEMENTATION January 9, 2014 Set out below are additional Frequently Asked Questions (FAQs) regarding implementation
Delivery System Innovation
Healthcare Transformation Concepts and Definitions Our healthcare transformation process is invigorated by many stakeholders with differing backgrounds. To help them with new terms and all of us to use
ASQ s Healthcare Update: published in collaboration with the ASQ Healthcare Division
Guest Essays Opportunities for Quality Professionals in the Accountable Care World by Donald E. Lighter, M.D., corporate medical director for healthcare quality and safety, Shriners Hospitals for Children
The Evolving Landscape of Payment Care Delivery and Manufacturer Implications of Coverage Expansion
November 2013 Edition Vol. 7, Issue 10 The Evolving Landscape of Payment Care Delivery and Manufacturer Implications of Coverage Expansion By Gordon Gochenauer, Director, Oncology Commercial Strategies,
Aon Hewitt Health & Benefits Consulting
Aon Risk Solutions Aon Hewitt Health & Benefits Consulting Better Health. Better Results. Risk. Reinsurance. Human Resources. Empower Results Game-Changing Strategies to Achieve Better Results As population
Preventive Services. Essential Health Benefits. Exceptions. The Affordable Care Act: A Working Guide for MCH Professionals. Section 6 BENEFITS
The Affordable Care Act: A Working Guide for MCH Professionals Section 6 BENEFITS In addition to expanding access to affordable health coverage options, the Affordable Care Act (ACA) makes several changes
Advancing Accountable Care
Advancing Accountable Care Sean McBride Project Manager, Engelberg Center for Health Care Reform; Project Manager, ACO Learning Network Agenda 2. 4. Overview of national ACO Implementation: growing private
Massachusetts Health Connector logo. What Does National Health Care Reform Mean for You?
Massachusetts Health Connector logo What Does National Health Care Reform Mean for You? 1 National health care reform offers more opportunities for individuals, families, and small businesses to save on
I. Insurance Reforms and Expansion of Coverage. Implementation Date Plan years beginning on or after six months after passage of the Act.
University of Wisconsin Center for Tobacco Research and Intervention (UW-CTRI) Summary of Selected Tobacco, Prevention, and Public Health Provisions from H.R. 3590, the Patient Protection and Affordable
Key Strategic and Tactical Steps to Excel as Community Hospital May 2011
Key Strategic and Tactical Steps to Excel as Community Hospital May 2011 1 2 3 Pillars of Excellence 4 Transformation from Hospital-Centric to Community-Centric with Triple Aim as Framework 5 Objectives
Center for Medicare & Medicaid Innovation Request for Information on Health Plan Innovation Initiatives at CMS
Center for Medicare & Medicaid Innovation Request for Information on Health Plan Innovation Initiatives at CMS Agency/Office: Type of Notice: Department of Health and Human Services Centers for Medicare
Colorado Springs Health Partners INDIVIDUAL & FAMILY PLANS
Colorado Springs Health Partners INDIVIDUAL & FAMILY PLANS WHEN IT COMES TO HEALTH INSURANCE, WE KNOW WHAT MATTERS MOST: YOU. No one plans to be sick or injured, but if something happens, we want you to
Hospitals and the Affordable Care Act (ACA)
Hospitals and the Affordable Care Act (ACA) General Housekeeping If you experience any technical difficulties during the webinar, please contact GoToMeeting.com Corporate Account Customer Support at: 1-888-259-8414
Value-Based Purchasing Literature Survey August 2012
Value-Based Purchasing Literature Survey August 2012 This document highlights a selection of briefs, reports, and commentaries on value-based purchasing payment reform methods as well as how payment reforms
ONLINE IMPACT TRAINING LEARNING OBJECTIVES
ONLINE IMPACT TRAINING LEARNING OBJECTIVES & LEARNER S CHECKLIST IMPORTANT INSTRUCTIONS It is the learner s responsibility to track your progression through the training modules. The AIMS Center does not
Report to Benefits Administration Committee
Report to Benefits Administration Committee Agenda of: FEBRUARY 24, 2015 From: Thomas Moutes, General Manager ITEM: III SUBJECT: STRATEGIC PLAN HEALTH PLAN DATA INITIATIVE AND DASHBOARDS Recommendation:
Patient Centered Medical Home
Patient Centered Medical Home 2013 2014 Program Overview Florida Blue is a trade name of Blue Cross and Blue Shield of Florida Inc., an Independent Licensee of the Blue Cross and Blue Shield Association.
Committee on Ways and Means Subcommittee on Health U.S. House of Representatives. Hearing on Examining Traditional Medicare s Benefit Design
Committee on Ways and Means Subcommittee on Health U.S. House of Representatives Hearing on Examining Traditional Medicare s Benefit Design February 26, 2013 Statement of Cori E. Uccello, MAAA, FSA, MPP
How To Improve Health Care For All
TIMELINE FOR IMPLEMENTATION OF THE AFFORDABLE CARE ACT 2010: NEW CONSUMER PROTECTIONS Eliminated pre-existing coverage exclusions for children: under age 19. Prohibited insurers from dropping coverage:
Submitted electronically to http://www.regulations.gov
Submitted electronically to http://www.regulations.gov Centers for Medicare and Medicaid Services Department of Health and Human Services Attention: CMS-3288-NC P.O. Box 8016 Baltimore, MD 21244-8016 RE:
Arkansas Health Care Payment Improvement Initiative
Arkansas Health Care Payment Improvement Initiative Joseph W. Thompson, MD, MPH Arkansas Surgeon General Director, Arkansas Center for Health Improvement Arkansas System Transformation Strategy Workforce
Accountable Care Platform
The shift toward increased collaboration, outcome-based payment and new benefit design is transforming how we pay for health care and how health care is delivered. UnitedHealthcare is taking an industry
ENSURING STABLE AND CONTINUOUS HEALTH INSURANCE COVERAGE FOR CHILDREN WITH ASTHMA
About This Series In February 2010, the George Washington University School of Public Health and Health Services, Department of Health Policy released Changing po 2 licy: The Elements for Improving Childhood
Continuity of Care Guide for Ambulatory Medical Practices
Continuity of Care Guide for Ambulatory Medical Practices www.himss.org t ra n sf o r m i ng he a lth c a re th rou g h IT TM Table of Contents Introduction 3 Roles and Responsibilities 4 List of work/responsibilities
Making the most of Medicare
Making the most of Medicare S5743_102714_K04_RE Internal Approval 10/27/2014 Today s Topics What is Medicare Who s eligible Medicare coverage Options to fill coverage gaps When you can enroll Finding the
Catherine Dodd, RN, PhD Director, Health Service System
Catherine Dodd, RN, PhD Director, Joint Labor Management Wellness Committee Presentation January 2013 Total Medical Premium Costs 2011-12 Kaiser $282.6M Blue Shield $275.6M City Plan $65.5M Kaiser and
Obama Administration Record on Health Care
Obama Administration Record on Health Care Today, two years after we passed health care reform, more young adults have insurance, more seniors are saving money on their prescription drugs, and more Americans
Medicare Economics. Part A (Hospital Insurance) Funding
Medicare Economics Medicare expenditures are a substantial part of the federal budget $556 billion, or 15 percent in 2012. They also comprise 3.7 percent of the country s gross domestic product (GDP),
The Affordable Care Act: Overview & Impact on Adult Immunizations
The Affordable Care Act: Overview & Impact on Adult Immunizations Adult Immunization Leadership Summit February 1, 2013 Barbara Flye, Senior Health Policy Advisor Office of the Insurance Commissioner 1
Tobacco Cessation and the Affordable Care Act. Jennifer Singleterry Director, National Health Policy American Lung Association
Tobacco Cessation and the Affordable Care Act Jennifer Singleterry Director, National Health Policy American Lung Association Background on ACA Acronyms ACA = Affordable Care Act (healthcare reform) HHS
Medicare s fee-for-service benefit design. Julie Lee, Joan Sokolovsky, and Scott Harrison April 7, 2011
Medicare s fee-for-service benefit design Julie Lee, Joan Sokolovsky, and Scott Harrison April 7, 2011 Context for discussion of Medicare s benefit design Fee-for-service (FFS) benefit design leads to
INSIGHT on the Issues
INSIGHT on the Issues AARP Public Policy Institute Medicare Beneficiaries Out-of-Pocket for Health Care Claire Noel-Miller, PhD AARP Public Policy Institute Medicare beneficiaries spent a median of $3,138
Final Rule on Essential Health Benefits, Actuarial Value, Accreditation. February 26, 2013
Final Rule on Essential Health Benefits, Actuarial Value, Accreditation February 26, 2013 Prepared by ACP s Health Policy and Regulatory Affairs Department On February 20, 2013, the Department of Health
Value-Based Insurance Design in the Medicare Prescription Drug Benefit / An Analysis of Policy Options
Value-Based Insurance Design in the Medicare Prescription Drug Benefit / An Analysis of Policy Options Lisa Murphy / Jenny Carloss / Ruth E. Brown / Erika Heaton / Tanisha Carino, PhD / Avalere Health
The Health Care Law s Impact on the Medicare Program and its Beneficiaries
MEDIA ADVISORY February 10, 2011 Contact: David Kinsman, (202) 261 4554 dkinsman@acponline.org Jacquelyn Blaser, (202) 261 4572 jblaser@acponline.org Statement of the American College of Physicians for
How Health Reform Will Affect Health Care Quality and the Delivery of Services
Fact Sheet AARP Public Policy Institute How Health Reform Will Affect Health Care Quality and the Delivery of Services The recently enacted Affordable Care Act contains provisions to improve health care
Principles on Health Care Reform
American Heart Association Principles on Health Care Reform The American Heart Association has a longstanding commitment to approaching health care reform from the patient s perspective. This focus including
Health Insurance Reform at a Glance Implementation Timeline
Health Insurance Reform at a Glance Implementation Timeline 2010 Access to Insurance for Uninsured Americans with a Pre-Existing Condition. Provides uninsured Americans with pre-existing conditions access
Strengthening Community Health Centers. Provides funds to build new and expand existing community health centers. Effective Fiscal Year 2011.
Implementation Timeline Reflecting the Affordable Care Act 2010 Access to Insurance for Uninsured Americans with a Pre-Existing Condition. Provides uninsured Americans with pre-existing conditions access
While health care reform has its foundation and framework at
CENTER FOR HEALTHCARE RESEARCH & TRANSFORMATION Policy Brief June 2010 The Patient Protection and Affordable Care Act at the State and Local Level While health care reform has its foundation and framework
Nuts and Bolts Accountable Care Organizations: A New Care Delivery Model for New Expectations
Nuts and Bolts Accountable Care Organizations: A New Care Delivery Model for New Expectations Presented to The American College of Cardiology October 27, 2012 1 Franciscan Alliance Overview Franciscan
HEALTH INSURANCE CHOICES FOR AMERICAN INDIANS
HEALTH INSURANCE CHOICES FOR AMERICAN INDIANS HEALTH INSURANCE IS AN IMPORTANT RESOURCE THAT CAN KEEP YOU AND YOUR FAMILY HEALTHY. If you have ongoing health issues, health insurance can help pay for treatment
Improving Value and Investing in Prevention: Encouraging Value-Based Insurance Designs in State Health Insurance Exchanges
(Final Version - 11/14/11) Improving Value and Investing in Prevention: Encouraging Value-Based Insurance Designs in State Health Insurance Exchanges A white paper prepared for the Executive Board of Maryland
Proven Innovations in Primary Care Practice
Proven Innovations in Primary Care Practice October 14, 2014 The opinions expressed are those of the presenter and do not necessarily state or reflect the views of SHSMD or the AHA. 2014 Society for Healthcare
REPORT TO THE 28 TH LEGISLATURE STATE OF HAWAIʻI 2015
REPORT TO THE 28 TH LEGISLATURE STATE OF HAWAIʻI 2015 Pursuant to Act 224, Session Laws of Hawaiʻi (SLH) 2013 RELATING TO HEALTH CARE ADMINISTRATIVE UNIFORMITY Prepared by: The Office of the Governor/Health
Timeline: Key Feature Implementations of the Affordable Care Act
Timeline: Key Feature Implementations of the Affordable Care Act The Affordable Care Act, signed on March 23, 2010, puts in place health insurance reforms that will roll out incrementally over the next
Colorado Springs Health Partners INDIVIDUAL & FAMILY PLANS. MK647-A-R10/01/14þ
Colorado Springs Health Partners INDIVIDUAL & FAMILY PLANS MK647-A-R10/01/14þ WE UNDERSTAND COLORADO. WE UNDERSTAND YOU. Rocky Mountain Health Plans, a Colorado-based, not-for-profit health plan, understands
ACHA Medicaid Advocacy Primer 1 : A Proposal for Providing Medicaid Eligible Students with an Option for Student Health Insurance Coverage
MAY 2013 ACHA Medicaid Advocacy Primer 1 : A Proposal for Providing Medicaid Eligible Students with an Option for Student Health Insurance Coverage Background American College Health Association began
Access to Coverage and Care: Targeting Implementation of the Affordable Care Act to Improve Health in Connecticut
AETNA FOUNDATION CHILDREN S FUND OF CONNECTICUT CONNECTICUT HEALTH FOUNDATION DONAGHUE MEDICAL RESEARCH FOUNDATION FOUNDATION FOR COMMUNITY HEALTH UNIVERSAL HEALTH CARE FOUNDATION OF CONNECTICUT KEY Findings:
Acknowledgments. We also appreciate the support of the Patient-Centered Primary Care Collaborative Board of Directors:
Acknowledgments This white paper was developed by the National Business Coalition on Health in collaboration with the Patient- Centered Primary Care Collaborative s Center for Employer Engagement. AUTHORS:
Affordable Care Act Policy and Implementation Briefing
HEALTHCARE.GOV Affordable Care Act Policy and Implementation Briefing Family Planning Council s Reproductive Health Conference April 27, 2012 Joanne Corte Grossi,, MIPP Regional Director U.S. Department
A GUIDE TO UNDERSTANDING, GETTING AND USING HEALTH INSURANCE. The. Health Insurance
A GUIDE TO UNDERSTANDING, GETTING AND USING HEALTH INSURANCE The of Health Insurance THE ABC S OF HEALTH INSURANCE: WHY IS HEALTH INSURANCE IMPORTANT? Even if you are in GOOD HEALTH, you will need to
Is Your System Ready for Population Health Management? By Dale J. Block, MD, CPE
Population Health Is Your System Ready for Population Health Management? By Dale J. Block, MD, CPE In this article Health care organizations will need to migrate to population health management sooner
October 15, 2010. Re: National Health Care Quality Strategy and Plan. Dear Dr. Wilson,
October 15, 2010 Dr. Nancy Wilson, R.N., M.D., M.P.H. Senior Advisor to the Director Agency for Healthcare Research and Quality (AHRQ) 540 Gaither Road Room 3216 Rockville, MD 20850 Re: National Health
Your Medicare Options
H H FOR GUIDE ESSENTIAL AN H H AN ESSENTI Your Medicare Options H MEDICARE BENEFICIARIES IN ALABAMA RIES IN ALABAMA Y0106_GBKLT_15 Accepted Thank you for your interest in Blue Cross and Blue Shield of
Comparative Analysis of State Health Plans
Comparative Analysis of State Health Plans Board of Trustees Meeting January 26, 2016 Presentation Overview Executive Summary Selected States for Comparison Comparative Analysis Methodology Comparative
Affordable Care Act 101: Understanding Federal Healthcare Reform
Affordable Care Act 101: Understanding Federal Healthcare Reform As of July 16, 2013 For more Information, please contact the Office of Countywide Healthcare Planning by e-mail: healthcareplanning@miamidade.gov
PRINCIPAL DEPUTY ADMINISTRATOR, DEPUTY ADMINISTRATOR FOR INNOVATION AND QUALITY, AND CHIEF MEDICAL OFFICER, CENTERS FOR MEDICARE & MEDICAID SERVICES
STATEMENT OF PATRICK CONWAY, MD, MSc ACTING PRINCIPAL DEPUTY ADMINISTRATOR, DEPUTY ADMINISTRATOR FOR INNOVATION AND QUALITY, AND CHIEF MEDICAL OFFICER, CENTERS FOR MEDICARE & MEDICAID SERVICES ON EXAMINING
Advancing Accountable Care
Advancing Accountable Care April 19, 2012 S. Lawrence Kocot, JD, LLM, MPA Deputy Director, Engelberg Center for Health Care Reform; Senior Counsel, SNR Denton Sean McBride Project Manager, Engelberg Center
HEALTH REFORM and VACCINES: Review of Federal Legislation
HEALTH REFORM and VACCINES: Review of Federal Legislation The Patient Protection and Affordable Care Act (PPACA) And The Health Care and Education Reconciliation Act Alexandra Stewart June 2, 2012 1 Presentation
Health Reform and the AAP: What the New Law Means for Children and Pediatricians
Health Reform and the AAP: What the New Law Means for Children and Pediatricians Throughout the health reform process, the American Academy of Pediatrics has focused on three fundamental priorities for
ADAP and Insurance: Purchasing/Continuing Insurance and Utilizing Pharmacy Benefits Managers/Insurance Benefits Managers
ADAP and Insurance: Purchasing/Continuing Insurance and Utilizing Pharmacy Benefits Managers/Insurance Benefits Managers Amy Killelea and Britten Pund, NASTAD June 12, 2013 Agenda Overview of ADAPs ability
The Patient Protection and Affordable Care Act. Implementation Timeline
The Patient Protection and Affordable Care Act Implementation Timeline 2009 Credit to Encourage Investment in New Therapies: A two year temporary credit subject to an overall cap of $1 billion to encourage
THE AFFORDABLE CARE ACT: KEY POINTS FOR PHARMACISTS. Sarah M. Smith, Pharm.D., BCACP Douglas H. Kay Symposium June 11, 2014
THE AFFORDABLE CARE ACT: KEY POINTS FOR PHARMACISTS Sarah M. Smith, Pharm.D., BCACP Douglas H. Kay Symposium June 11, 2014 Objectives 1. Summarize the major changes the Affordable Care Act (ACA) will have
Understanding the New Health Insurance
Get Covered Guide Understanding the New Health Insurance Written by: Lucy Berrington and Jessica Kendall at Enroll America with input and support from: Kimberly Bemberis, Kathryn Bicego, Barbara DiPietro,
Patient Protection and Affordable Care Act (HR 3590) Selected Prevention, Public Health & Workforce Provisions
Patient Protection and Affordable Care Act (HR 3590) Selected Prevention, Public Health & Workforce Provisions Selected Prevention and Public Health Provisions Essential Health Benefits Requirements (Sec.
Affordable Care Act Employee Education Packet
Affordable Care Act Employee Education Packet Your Health Plan Options under the Affordable Care Act The Affordable Care Act (ACA) requires that most Americans be covered under a health plan by January
FINAL REPORT AND RECOMMENDATIONS. Johns Hopkins University Benefits Advisory Committee
FINAL REPORT AND RECOMMENDATIONS Johns Hopkins University Benefits Advisory Committee 2012 The Faculty and Staff Benefits Advisory Committee (BAC) was jointly appointed by Professor Sarah Woodson, Chair
www.thinkhr.com 877-225-1101 Employer Health Reform Checklist
www.thinkhr.com 877-225-1101 Employer Health ThinkHR grants the reader non-exclusive, non-transferable, and limited permission to use this document. The reader may not sell or otherwise use this document
Ohio Health Plans. Maximizing best practices & leading reform efforts. Search. Ohio Association of Health Plans
Ohio Association of Health Plans File Edit View History Bookmarks Tools Window Help http://www.oahp.com Ohio Health Plans Search Maximizing best practices & leading reform efforts HELPING OHIOANS GET NEEDED
Medicare Cost Sharing and Supplemental Coverage
Medicare Cost Sharing and Supplemental Coverage Topics to be Discussed Medicare costs to beneficiaries Review Medicare premiums and cost sharing Background on Medicare beneficiary income Current role of
2015 Orange County HICAP Medicare Advantage Special Needs Plans Comparison Chart
Brand New Day Brand New Day Brand New Day Brand New Day Bridges Drug Savings Bridges Extra Care Harmony Healthy Heart Drug Savings dementia. dementia. chronic and disabling mental health conditions. chronic
MEMORANDUM. Connecticut Health Insurance Exchange Advisory Committees
MEMORANDUM To: From: Re: Connecticut Health Insurance Exchange Advisory Committees Connecticut Health Insurance Exchange Staff Essential Health Benefits and Benchmark Plan Options Date: June 4, 2012 In
AFFORDABLE CARE ACT LARGE EMPLOYER HEALTH REFORM CHECKLIST. Edition: November 2014
AFFORDABLE CARE ACT Employers that offer health care coverage to employees are responsible for complying with many of the provisions of the Affordable Care Act (ACA). Most health reform changes apply regardless