The Impact of Health Reform
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Transcript of The Impact of Health Reform
The Impact of Health Reform
The Impact of Health Reform
29 East Madison, Suite 602Chicago, Il 60602312-782-6006www.pnhp.org
HealthReform
Medical Bankruptcy
AdministrativeCosts
TheUninsured
The Underinsured
HealthcareCosts
Impact of Health Reform on:
The UninsuredNumber of Uninsured
Reduced from46 milliontoday to~23 millionin 2019
Safety Net Hospitals
Funding throughMedicare cutby $36 billionthrough 2019
Community Health Centers
Receive extra$1 Billionannually
Impact of Health Reform on:
The Underinsured
If you like your current coverage, you can keep it.
If you don’t like your current job-based coverage, you have to keep it.
Impact of Health Reform on:
Medical BankruptcyFor the 75% of medical bankruptcy
filers who have insuranceNo change
in bankruptcy rates
For the 25% of medically bankruptwho were uninsured in 2007
but will gain coverage under reform
Up to 50%reduction in
bankruptcy rates
Maximum expected reductionin bankruptcy rates
12.5%overall
Impact of Health Reform on:
Health Care Costs (Expansions)
All figures reflect spending through 2019
Impact of Health Reform on:
Health Care Costs (Savings)
All figures reflect spending through 2019
Impact of Health Reform on:
Cost Control Provisions
Health Reform Bill:
Proven Cost Control Provisions
Impact of Health Reform on:
Administrative Costs
Standardized claim forms: ????
Standardized claim forms: ????
IRS cost to enforce mandate: $5 - 10 billion
IRS cost to enforce mandate: $5 - 10 billion
Insurance overhead: ~13% of new premium revenues = $42
billion
Insurance overhead: ~13% of new premium revenues = $42
billion
Running insurance exchanges (based on MA):
~4% of premiums
Running insurance exchanges (based on MA):
~4% of premiums
Cap on insurance overhead: ????
Cap on insurance overhead: ????
Former VP of Public Policy for WellPoint/Anthem
Former VP of Public Policy for WellPoint/Anthem
Senate framework written by Liz Fowler
Senate framework written by Liz Fowler
Role Played by Health Industry
In Health Reform
Insurance company
ads
Insurance company
ads
Promoting reform
Promoting reformFavoring reformFavoring reform
Insurance company donations
Insurance company donations
RepublicansRepublicansDemocratsDemocrats
Pharma spent $100,000,000
supporting reform
The Impact of Health Reform
The Impact of Health Reform
29 East Madison, Suite 602Chicago, Il 60602312-782-6006www.pnhp.org