1 / 13

Health Reform is More Than “ Obamacare ”

Health Reform is More Than “ Obamacare ”. Getting Hit From All Sides. Senate Could Turn. Name of The Game. Employer Mandates Minimum Essential Benefits ICD-10 Meaningful Use Stage 2 Physician Payment (SGR) Cuts. SGR Permanent Fix Proposal. Rates Steady 2014 – 2023

bart
Download Presentation

Health Reform is More Than “ Obamacare ”

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Health Reform is More Than “Obamacare”

  2. Getting Hit From All Sides

  3. Senate Could Turn

  4. Name of The Game • Employer Mandates • Minimum Essential Benefits • ICD-10 • Meaningful Use Stage 2 • Physician Payment (SGR) Cuts

  5. SGR Permanent Fix Proposal • Rates Steady 2014 – 2023 • Budget Neutral VBP model for providers starting in 2017 • 4% in 2017 • 6% in 2018 • 8% in 2019 • 10% in 2020 • Capped at 12% in 2021 and beyond

  6. SGR Permanent Fix Proposal (Cont.) • Professionals participating in APMs will receive 2% updates (2023), not subject to VBP and will receive 5% bonus each year (2017-2022) • Current Law program penalties would end • 2% PQRS Penalty • 3-5% EMR MU Penalty

  7. How Did Obamacare Enrollment Go?

  8. How Did Obamacare Enrollment Go?

  9. NC Short Session… Living Up to Name Kay Hagan (D) Thom Tillis (R)

  10. Medicaid ACOs

  11. Medicaid ACOs • Benefits • Provider led • Creates budget certainty for state government • Aligns incentives to get to value-based care • Negatives • Shifts risk • Moves very fast

  12. Senate Budget is Bad News • Stops work on Medicaid ACOs • Makes permanent 3% “Withold” on all Medicaid payments • Explores the idea of a provider assessment on physicians

  13. Questions?

More Related