The ACA and Women's Health Quiz

http://smtp01.kff.org/t/36889/433146/43034/0/

This is a challenging quiz.  I only got 6 of 10 right. 

Hot spotters update; Wide variations in hospital prices; Obamacare implementation

1) The Hot Spotters Sequel: Population Health Heroes

http://t.co/0ya5wywUWw

Last year I reported on Atul Gawande's article in the New Yorker about Hot spotters.  That article is one of the most widely acclaimed.  This article provides an important addition to that story.  

 Here is my review of his article

http://healthreformaction.blogspot.com/2011/02/hot-spotters-by-atul-gawande-in-new.html  

And a subsequent review of a talk he gave

http://healthreformaction.blogspot.com/2011/04/cap-talk-by-atul-gawande-42911-reducing.html 

2) Wide variations in hospital prices

http://smtp01.kaiserhealthnews.org/t/36859/430110/43029/0/  

Kaiser health News provides a link to a number of newspaper articles that discuss the wide variations in hospital prices. 

 3) ACA 101: What You Need to Know

http://www.allhealth.org/briefing_detail.asp?bi=281

The Alliance for Health Reform held a session on 4/26 which gave an overview of the Administrations plans for implementing Obamacare.  Looks like a lot of good plans, but concerned that there is much to be done that might not get done.  

Consumers lack knowledge of Obamacare - A Critical Issue

Here are key sources on this issue, an important upcoming event, an a request for help.  

1) Worries Mount About Enrolling Consumers In Federally Run Insurance Exchanges.

http://www.kaiserhealthnews.org/Stories/2013/April/08/health-insurance-exchanges-marketing.aspx

Few consumers know what they'll need to do to sign up for the new health insurance marketplaces. Advocates worry about this.

2) Poll : 3 years later Americans still don't understand health law

http://capsules.kaiserhealthnews.org/index.php/2013/03/poll-three-years-later-americans-still-dont-understand-health-law/

3)  How Will Consumers Navigate New Health Care Options?

Kaiser Family Foundation is hosting a session on 4/18 at thier offices in D.C. See the following for details 

 http://4182013.eventbrite.com/#

--------------------------------------------


So this is one of the major issues facing Obamacare this coming year as we gear up to implementing the major provisions of the bill .I have been asked to provide advise to some key folks dealing with this issue. So I welcome suggestions on

o   Issues to address
o   Persons and organizations to consult
o   Literature to review
o   Any work done on focus groups

Re focus groups, my understanding is that many consumers do not know many of the key facts and myths re Obamacare.  For instance, many still think there are death panels.  When you explain the bill, consumers get it.  So what is needed to bridge the gap.  Does anyone know focus group work that has been done. 

Talk of Medicare Changes Could Open Way to Budget Pact

Talk of Medicare Changes Could Open Way to Budget Pact

http://tinyurl.com/cxqht3x


This appears to be a major change proposed by the administration, which Obama first made in 2011.  This is a very significant change and appears from the article to be gaining much traction recently.  While the proposal makes a lot of sense, I am concerned that the increase in the deductible for physician office visits and related part B services will be a significant increase to many beneficiaries.  This could discourage the use of such services.  I hope a way is figured out to reduce the proposed increase for such services.  The overall concept of combining parts A and B seems very appropriate.  What do you think? 

News from 32613

Here are 5 articles that were posted in different sources yesterday that are of value. 

 

1) From Commonwealth Fund 32613

Confronting Costs: Stabilizing U.S. Health Spending While Moving Toward a High Performance Health Care System

http://www.commonwealthfund.org/Publications/Fund-Reports/2013/Jan/Confronting-Costs.aspx

 2) From Kaiser Health News 32613

a) 
Temp Agencies See Opportunity In Health Law

http://www.kaiserhealthnews.org/Stories/2013/March/26/temporary-employees-health-law-insurance-coverage.aspx 

   b)
Large Companies Are Increasingly Offering Workers Only High Deductible Health Plans

 http://www.kaiserhealthnews.org/Features/Insuring-Your-Health/2013/032613-Michelle-Andrews-on-high-deductible-plans-and-large-employers.aspx

 c)
Score Can Predict Risk For Hospital Readmission

http://www.kaiserhealthnews.org/Daily-Reports/2013/March/26/hospital-news.aspx

3) Washington Post

Employee health-plan options shrinking to one with a high deductible

http://www.washingtonpost.com/national/health-science/employee-health-plan-options-shrinking-to-one-with-a-high-deductible/2013/03/25/7573cd58-9194-11e2-bdea-e32ad90da239_story.html

3rd anniversary and related items

This blog captures a number of thoughts as we celebrate the 3^rd anniversary of Obamacare.

  1) This video from Kaiser is wonderful

http://healthreform.kff.org/the-animation.aspx 
 

   2)      Here are a set of blogs from Secretary Sebelius for the 3^rd anniversary

http://www.healthcare.gov/blog/2013/03/anniversary-looking-forward.html

http://www.healthcare.gov/blog/2013/03/anniversary-savings-for-seniors.html

http://www.healthcare.gov/blog/2013/03/anniversary-insurance-accountability.html

   3)      Here is an article that raises issues re Obamacare

Health-care law uncertainty grips Old Town Alexandria cafe — and other small businesses

http://www.washingtonpost.com/business/on-small-business/health-care-law-uncertainty-grips-old-town-alexandria-cafe--and-other-small-businesses/2013/03/20/64bfd218-8a69-11e2-8d72-dc76641cb8d4_story.html

4) Kaiser Poll: Public still does not understand Obamacare

http://healthreformaction.blogspot.com/2013/03/kaiser-poll-public-still-does-not.html

As indicated in this blog

I am particularly looking for ideas on how to educate consumers more effectively on Obamacare.  This is critical!! 

I hope to develop such a project and welcome any ideas and advice, including persons who might be good to work with on such a project or ways to find such ideas and persons.

5) This blog posting discusses

1) The high price of health care; 2) Obamacare priorities

http://healthreformaction.blogspot.com/2013/03/1-high-price-of-health-care-2-obamacare.html

The good news is that health care inflation has lower the last 4 years than previous years.  What is not fully known is how much Obamacare is contributing, but it is speculated that it is playing a factor.   If nothing else it builds on the trends by encouraging more work on accountable care organizations, pay for performance, etc.  that are contained in the bill.

6)      These blog entries contain useful info on explaining Obamacare.

http://healthreformaction.blogspot.com/2013/03/summary-of-key-benefits-and-myths-re.html  

http://healthreformaction.blogspot.com/2012/07/obamacare-party-handout-with-revised.html

http://healthreformaction.blogspot.com/2012/10/consumer-reports-health-reform-seven.html

http://healthreformaction.blogspot.com/2010/04/revised-list-of-reform-summaries.html

Summary of Key Benefits and Myths re Obamacare

This was written in October 2011, so does not take into account the Supreme Court decision. 

The Affordable Care Act

Highlights

·       By 2014, 32 million will have health insurance who now do not  

·        The Affordable Care is not a Federal government run program as it will expand access to private insurance.

·       The non partisan Congressional Budget Office says the Affordable Care Act will reduce the deficit.

·        There are no death panels, and the Federal government is not paying for any abortion services. 

·       As of 2011

o   children  can stay on their parents insurance plan until the age of 26.

o   Children cannot be denied health insurance coverage.

o   seniors will have expanded preventive care 

o   seniors who have prescription drug plans will have reduced drug costs

o   small businesses will get a 35% tax credit to cover employees

·       In 2014, there will be a wider range of insurance choices with better coverage at better costs.

KEY BENEFITS AND MYTHS OF THE AFFORDABLE CARE ACT (ACA)

I.                  What are some of the key benefits of the Affordable Care Act

The law is already benefiting many Americans:

·       Children can stay on their parents' health plan until they turn 26 .

·       Insurance companies cannot deny or cancel children’s coverage for current or previous medical problems

·       Insurers can no longer put a dollar maximum on health insurance coverage or cancel a plan if a person gets sick

·       Seniors who have Medicare prescription drug plans and have high prescription drug costs now will pay less for these drugs, and by 2019 all prescription drug costs will be covered

·       All 46 million seniors with Medicare will get coverage for several preventive services, such as yearly checkups and mammograms.

·       Small businesses get a 35% tax credit to help pay for employees' coverage.

·       CLASS:  Community living assistance services and supports.  This is a long term care insurance program for nonmedical services.  However, the Secretary of HHS has just indicated that they cannot ensure that it is fiscally sound and will not implement.

Additional benefits and savings in 2014, when the law is fully in place:

·       32 million people who are currently uninsured will get health insurance

·       Insurance companies won't be able to deny anyone coverage for medical conditions or place a limit on your coverage.  Now only kids cannot be denied.

·       People who don't get health coverage at work will choose among a number of health plans, in a new marketplace run by state governments.  These will be better health insurance plans than now available, and people will pay based on their income and other financial criteria.

·       The Act will also improve quality, make health care more efficient, and reduce the deficit.

II.               Myths: Is there any misleading information being said about the law?

·       Charge: The law creates death panels

Ø This is a totally false charge.

·       Charge: The Federal government will pay for abortions

Ø The bill specifically states that no Federal funds can be used for abortion services.

·       Charge:  The law covers undocumented or illegal immigrants

Ø This is a totally false charge.

·       Charge: This is program run by the Federal Government.

Ø The bill specifically states that the Federal Government will not operate any new insurance programs. 

·       Charge: the law increase deficits

Ø The Congressional Budget Office (CBO), which has always been regarded by both parties until now as a unbiased scorekeeper says the law will reduce the deficit by a trillion in 20 years.  This is the only time that Republicans have questioned the Congressional Budget Office.

III.            What is the impact on businesses?

·                   Small businesses get tax credit in 2011

·                   Small businesses employees under 100 can get insurance thru exchanges in 2014

·                   Need to reduce rate of health care inflation, which is twice as high as rest of developed world, seriously hurting small and large businesses

·                   Better health care makes more productive employees which is good both for the employees and their families

·                   More health care jobs

IV.           What about the individual mandate and court challenges?

·       This is the main issue being challenged in court

·       Requires everyone to have insurance,  same as auto insurance

·       If a person gets sick, avoids doctors, and ends up in the emergency room, this costs everyone more money

·       With everyone insured, it spreads the costs to everyone, and makes it cheaper for all of us

·       If a person chooses not to get insurance, why should we bear the burden when they gets sick.

·       As indicated the main court challenge is on the individual mandate, we won’t know until supreme court rules

·       Congress can revise the law if the mandate is rejected

V.               What if the law is repealed?

·       Then 32 million will not have health insurance  and will have trouble getting health care. This is morally wrong, everyone is entitled to education and to health care, it is a basic right

·       Insurance companies will be able to deny if person has had previous medical condition or to set lifetime limits

·       We will have a much greater deficit, poorer quality, and less efficient care. 

·       We can’t let this happen