OVERVIEWAFFORDABLE CARE ACT

Delaware Health Care Commission

September 2, 2010

“BUCKETS”

• INSURANCE REFORMS• HEALTH CARE COVERAGE• WORKFORCE• LONG TERM CARE• MEDICAID MEDICARE• QUALITY IMPROVEMENT/SYSTEM

REFORM• PREVENTION & WELLNESS

OVERALL APPROACH

• Require most to have health insurance

• Create Health Benefit Exchanges to purchase coverage– Premium subsidies based on income

• Require most employers to offer coverage– Tax credits for small business

• Expand Medicaid to 133% FPL

• Insurance Reforms

OVERALL APPROACH

• Tax changes

• Restructure Medicare payments – quality– Accountable Care Organizations

• Center for Innovation – Medicare, Medicaid CHIP – payment structures to reduce cost, improve quality

OVERALL APPROACH

• Comparative Effectiveness Research

• Long Term Care– CLASS Act

• Workforce Training and Development

• Increased $ FQHC’s and school based centers

• Prevention and wellness

SUMMARY

• Expanded coverage• Insurance Reforms• Tax credits and premium subsidies• Exchanges to purchase insurance and

integrate with public programs• Investment in workforce• Investment in quality improvement• Investment in public health & prevention