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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.](https://reader035.fdocuments.net/reader035/viewer/2022062719/56649ef35503460f94c06220/html5/thumbnails/1.jpg)
![Page 2: HealthCare.gov is a consumer website, through and through -- in look, feel, content, and user experience. It’s all about you.](https://reader035.fdocuments.net/reader035/viewer/2022062719/56649ef35503460f94c06220/html5/thumbnails/2.jpg)
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.](https://reader035.fdocuments.net/reader035/viewer/2022062719/56649ef35503460f94c06220/html5/thumbnails/3.jpg)
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.](https://reader035.fdocuments.net/reader035/viewer/2022062719/56649ef35503460f94c06220/html5/thumbnails/4.jpg)
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.](https://reader035.fdocuments.net/reader035/viewer/2022062719/56649ef35503460f94c06220/html5/thumbnails/5.jpg)
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.](https://reader035.fdocuments.net/reader035/viewer/2022062719/56649ef35503460f94c06220/html5/thumbnails/6.jpg)
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.](https://reader035.fdocuments.net/reader035/viewer/2022062719/56649ef35503460f94c06220/html5/thumbnails/7.jpg)
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.](https://reader035.fdocuments.net/reader035/viewer/2022062719/56649ef35503460f94c06220/html5/thumbnails/8.jpg)
… 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.](https://reader035.fdocuments.net/reader035/viewer/2022062719/56649ef35503460f94c06220/html5/thumbnails/9.jpg)
![Page 10: HealthCare.gov is a consumer website, through and through -- in look, feel, content, and user experience. It’s all about you.](https://reader035.fdocuments.net/reader035/viewer/2022062719/56649ef35503460f94c06220/html5/thumbnails/10.jpg)
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.](https://reader035.fdocuments.net/reader035/viewer/2022062719/56649ef35503460f94c06220/html5/thumbnails/11.jpg)
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.](https://reader035.fdocuments.net/reader035/viewer/2022062719/56649ef35503460f94c06220/html5/thumbnails/12.jpg)
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.](https://reader035.fdocuments.net/reader035/viewer/2022062719/56649ef35503460f94c06220/html5/thumbnails/13.jpg)
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.](https://reader035.fdocuments.net/reader035/viewer/2022062719/56649ef35503460f94c06220/html5/thumbnails/14.jpg)
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
14
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.](https://reader035.fdocuments.net/reader035/viewer/2022062719/56649ef35503460f94c06220/html5/thumbnails/15.jpg)
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