June 2011

Rising Cost

InadequateQuality

Declining Access

HEALTH

Control Cost

Improve Quality

Improve Access

HEALTH

Insurance regulation State Insurance Exchanges Subsidies Medicaid Expansion Individual Mandate and Employer

Responsibility Primary Care and Health Care Workforce Prevention Delivery system changes Paying for reform

Insurance regulation State Insurance Exchanges Subsidies Medicaid Expansion Individual Mandate and Employer

Responsibility Primary Care and Health Care

Workforce Prevention Delivery system changes Paying for reform

Expand National Health Service Corps Increased funding, increases annual award

$35K to $50K, can be part-time, 20% teaching time counts

10% Medicare payment bonus (2011 - 2015)

Medicaid primary care payments at 100% Medicare rates (2013 and 2014)

Medical Homes (Medicare and Medicaid) Grants to expand primary care residency

programs Teaching Health Centers for residency

AAMC: http://www.aamc.org/workforce/healthcarereform.pdf

Rural general surgeons 10% Medicare payment bonus

Community Health Centers Increased funding to reach 2x as many

patients $263 million to CA (10/18/2010)

http://www.hhs.gov/recovery/programs/hrsa/california.html

Insurance regulation State Insurance Exchanges Subsidies Medicaid Expansion Individual Mandate and Employer

Responsibility Primary Care and Health Care Workforce Prevention Delivery system changes Paying for reform

National Prevention Council National Prevention Strategy (3/23/2011)

$20 billion investment in prevention and public health over 10 years starting 2010

Insurance regulation State Insurance Exchanges Subsidies Medicaid Expansion Individual Mandate and Employer

Responsibility Primary Care and Health Care Workforce Prevention Delivery system changes Paying for reform

Linking Payment to Quality Outcomes Hospital Value-Based Purchasing Program

(starts 10/1/2012) 30-day Hospital Readmission (starts 10/1/2012) Hospital-Acquired Conditions (starts 10/1/2014)

CMS Center for Innovation (pilot programs) Accountable Care Organizations Patient-Centered Medical Home Bundled Payments Independence at Home Programs

National Strategy to Improve Health Care Quality

National Prevention Strategy Independent Payment Advisory Board (starts

2020) Comparative Effectiveness Research Grants for states to run tort reform pilots

Healthcare.gov: www.healthcaree.gov Kaiser Family Foundation:  

http://healthreform.kff.org/ Robert Wood Johnson Foundation:

http://www.rwjf.org/healthreform/ Commonwealth Fund:

http://www.commonwealthfund.org/Health-Reform.aspx

New England Journal of Medicine Health Reform Center: http://healthcarereform.nejm.org/

Doctors for America: http://drsforamerica.org/