meaningfuluse-atlecturesllc.ppt

Why do we Care About Medicaid Expansion??? Positive: More Americans are Covered!!! All adults up to 133% of the FPL will gain Medicaid coverage. Should promote healthier life styles--Example Starting in 2014, Medicaid programs that provide prescription drugs must cover tobacco cessation medications. Those who are low-income and uninsured are more likely to use tobacco. These enrollees will now have access to six cessation counseling sessions a year. Negative: * Possible Influx of Insureds with poor health. * Incentives to Primary Care Physicians to Accept Medicaid are running out. * Cost of expanded Medicaid passed onto tax payers? ACA—Positives Five Years Later - Individuals 2.3 million young adults gained coverage from 2010 through Sept. 2013 by staying on their parents plan. 11 million Individuals have insurance through a state or federal exchanges. 7.7 million Individuals receiving tax subsidies for coverage through an exchange. ACA—Negatives Five Years Later - Individuals 900,000 Americans’ individual or employer-sponsored health policies were cancelled for 2015 because they did not comply with the ACA. Individual Premiums have increased dramatically. 1 in 2 Number of American households eligible for a premium subsidy in 2014, paid some money back to the government in 2015 because of income changes… $794 Estimated average payment these households will owe the government in 2015. ACA--Five Years Later Large Corporations Group Health Insurance Premiums have Skyrocketed. Corporations with 50 Employees must provide Health Insurance to 95% of emplyees Both of the Above have caused Corporations to: Be cautious in hiring If they do hire, keeping hours below 30/wk. Sent more job overseas Future uncertainties have curbed other forms of corporate spending Accountable Care Organizations (ACO’s) In section 2706 3022 of the ACA An ACO is a network of physicians, hospitals, and other health providers that collaborate to improve care and