The National Healthcare Reform Agenda and the Impact on Health Networks

1
The National Healthcare Reform Agenda and the
Impact on Health Networks
Whats Next?
2
Healthcare Costs Too Much!
3
National Health Expenditures 1965 - 2017
SOURCE Centers for Medicare Medicaid Services,
Health and Human Services, "National Health
Expenditures Accounts, 19652017."
4
Health Care Costs in US Markedly Exceed that of
Other Countries and are Increasing More Rapidly
Source Commonwealth Fund National Scorecard on
U.S. Health System Performance, 2006
5
Demand for Healthcare is Growing
The Aging of the United States Population 1950-205
0
SOURCE NCHS, "Health, United States, 2007 With
Chartbook on Trends in the Health of Americans,"
Hyattsville, MD, 2007.
6
Too much variation in cost.
Total Rates of Reimbursement per Medicare Enrollee
7
Too Many Americans Without Health Insurance
Number of uninsured, in millions
Source The Commonwealth Fund Data calculated
from U.S. Census Bureau, March CPS Surveys 1988
to 2006. Estimates reflect the results of
follow-up verification questions and
implementation of Census 2000-based population
controls.
8
President Obamas Plan For Healthcare Reform
We want a seamless, value oriented, system that
offers affordable healthcare to everyone and it
must expand access, improve quality, and reduce
cost.
A single-payer payment system is not politically
doable.
Incremental change within the existing payment
system, driven by the Fed.
9
The Democratic Blueprint
Denied!
Gov. Kathleen Sebelius
10
President Barack Obama (Democrat)

• Pay or Play
• Small Business Health Tax Credits
• Catastrophic health coverage for employers
• Malpractice Insurance reform

11
President Barack Obama (Democrat)

• National Health Insurance Exchange
• Basic health coverage Based on benefits
  available to members of Congress
• Required coverage for children
• Guaranteed eligibility, portable, and no
  preexisting conditions
• Ensure everyone who needs it will receive a tax
  credit for their premiums.

12
President Barack Obama (Democrat)

• Pay for Performance
• Workforce Development
• Prevention and Disease Management
• Pharmaceutical Industry Reform
• Health Information Technology

13
Impact on Health Networks
We want a seamless, value oriented, system that
offers affordable healthcare to everyone and it
must expand access, improve quality, and reduce
cost.

• Seamless

• Value oriented

• System

• Affordable

• To everyone

• Expand access

• Reduce cost

• Improve quality

14
Impact on Health Networks

• Health Information Technology - EMR
• Balanced Performance Improvement
• Increasing Transparency
• Value High Quality Reduced Cost
• Prevention and Disease Management

15
Contact Information
Larry E. Leaming, DHA, FACHE President Institute
for Rural Health Leadership 715 Horizon Drive,
Suite 401 Grand Junction, CO 81506 (877) 783
5258 Larry.Leaming_at_Wha1.org Terry J.
Hill Executive Director Rural Health Resource
Center 600 East Superior St., Suite 404 Duluth,
MN  55802 (218) 727 - 9390 x232 thill_at_ruralcente
r.org