HealthCare.gov is a consumer website, through and through -- in look, feel, content, and user...

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Transcript of HealthCare.gov is a consumer website, through and through -- in look, feel, content, and user...

Page 1: HealthCare.gov is a consumer website, through and through -- in look, feel, content, and user experience. It’s all about you.
Page 2: HealthCare.gov is a consumer website, through and through -- in look, feel, content, and user experience. It’s all about you.

HealthCare.gov is a consumer website, through and through -- in look, feel, content, and user experience. It’s all about you.

Page 3: HealthCare.gov is a consumer website, through and through -- in look, feel, content, and user experience. It’s all about you.

Learn about your rights, how to navigate the insurance market, and how the new law will help you – tailored to your life situation, and drawing

from 500+ pages of content written for the site

Page 4: HealthCare.gov is a consumer website, through and through -- in look, feel, content, and user experience. It’s all about you.

We gather user feedback throughout the site and will utilize it to continually improve HealthCare.gov

Page 5: HealthCare.gov is a consumer website, through and through -- in look, feel, content, and user experience. It’s all about you.

Our powerful insurance options finder is simple and easy to use. Just answer a few questions…

Page 6: HealthCare.gov is a consumer website, through and through -- in look, feel, content, and user experience. It’s all about you.

In addition, get the latest information about new benefits and resources provided by the Affordable Care Act.

Page 7: HealthCare.gov is a consumer website, through and through -- in look, feel, content, and user experience. It’s all about you.

Access the latest prevention tips…

Page 8: HealthCare.gov is a consumer website, through and through -- in look, feel, content, and user experience. It’s all about you.

… and information about quality of care – both areas of the website which will grow significantly over time.

Page 9: HealthCare.gov is a consumer website, through and through -- in look, feel, content, and user experience. It’s all about you.
Page 10: HealthCare.gov is a consumer website, through and through -- in look, feel, content, and user experience. It’s all about you.

Selected Key Cost Containment Strategies in the Affordable Care Act

• - Reduces the number of hospital readmissions.

• - Reduces hospital acquired conditions.

• - Bundling payments for ESRD

• - Improves physician quality reporting

Ten-Year Cost Savings

• $3.2 billion

• $1.7 billion

• $1.9 billion

• $8.2 billion

Improve the quality of care

Page 11: HealthCare.gov is a consumer website, through and through -- in look, feel, content, and user experience. It’s all about you.

Reform our delivery system

• - Promotes Accountable Care Organizations

• - Establishes the Independent Payment Advisory Board (IPAB)

Ten-Year Cost Savings

• $4.9 billion

• $23.7 billion

Page 12: HealthCare.gov is a consumer website, through and through -- in look, feel, content, and user experience. It’s all about you.

Appropriately price services and

modernize financing systems

• - Ends overpayments to Medicare Advantage plans

• - Makes improvements to productivity and market basket adjustments in most provider settings.

• - Modifies payments for advanced imaging services

• - Further expands competitive bidding for Durable Medical

2010-2011 Cost Savings

Ten Year Cost Savings

$5.3 billion $145 billion

$1.4 billion

$0.1 billion

$0.5 billion

$205 billion

$2.0 billion

$17 billion

Page 13: HealthCare.gov is a consumer website, through and through -- in look, feel, content, and user experience. It’s all about you.

Fight waste, fraud, and abuse

• ExpandsRecovery Audit Contractors (RACs)

• Requires face encounters with physicians before receiving certain services

• Requires greater data matching capabilities

• $4.9 billion cost savings over ten years

Page 14: HealthCare.gov is a consumer website, through and through -- in look, feel, content, and user experience. It’s all about you.

Payments to Medicare Advantage Plans

• Frozen in 2011

• Benchmarks vary

• Phased in over 3, 5, or 7 years

• MA benchmarks reduced in 2012

• By 2014, 85% of funds plans receive must go to health care

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ACASection

3203

Page 15: HealthCare.gov is a consumer website, through and through -- in look, feel, content, and user experience. It’s all about you.

Authority to Deny Plan Bids

Secretary not required to accept any or every bid submitted by an MA organization

Secretary can deny a bid– Proposes significant increases in cost-sharing or – Decreases benefits offered by the plan

Applies to bids from prescription PDP sponsors Effective for contract years on/after

January 1, 2011  ACA

Section 3209