stateandfederalhealthcarereformfjg州政府和联邦政府的医疗改革图.pptxVIP

Health Reform and the Longer ViewPresenters:Jeanne Keller, President of Keller Fuller, Inc.Catherine Hamilton, VP Planning, BCBSVTToday’s AgendaResults of 2010 VT legislative sessionKey federal reforms to understand between 2010 and 2014Grandfathering- Advantages/Disadvantages Small Business Tax Credit Employer Reporting Requirements The “Pay or Play” Decision General design of the State-based insurance exchanges What decisions does the State of Vermont need to make and how these decisions could impact employers1 2010 Vermont Legislative Action Health Care System Design and Implementation PlanStudy prepared for Legislative Commission on ReformFive months, $300,000 – hired in JuneTask: Design three options – (1) “a government-administered and publicly financed single-payer health benefits system decoupled from employment and allows for private insurance coverage only of supplemental health services. (2) a public health benefit option administered by state government, which allows individuals to choose between the public option and private insurance coverage and allows for fair and robust competition among public and private plans. (3) a third and any additional options shall be designed by the consultant, in consultation with the commission”?2Study - continued“Each design option shall include sufficient detail to allow the governor and the general assembly to consider the adoption of one design during the 2011 legislative session and to initiate implementation of the new system through a phased process beginning no later than July 1, 2012.”Conflicts with federal law already cited by state’s consultant: Affordable Care Act, ERISA, Fed Qualified Health Centers $, VA, Fed Employees, Medicaid, Medicare, Tricare3 2010 Legislative Action Blueprint Expansion and Payment Reform Pilots – create “medical home” model and examine alternatives to fee-for-serviceHospital Budget Caps2011 and 2012, “the commissioner shall aim to minimize rate increases for each hospital to ensure