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The Obama-Biden Health Reform Plan. © Foley Hoag LLP 2008. Three Pronged Approach. Quality, Affordable and Portable Health Coverage for All Modernizing the Health Care System to Improve Quality and Lower Costs Promoting Prevention and Strengthening Public Health. © Foley Hoag LLP 2008.
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The Obama-Biden Health Reform Plan © Foley Hoag LLP 2008
Three Pronged Approach • Quality, Affordable and Portable Health Coverage for All • Modernizing the Health Care System to Improve Quality and Lower Costs • Promoting Prevention and Strengthening Public Health © Foley Hoag LLP 2008
1. Coverage • Build on existing system of employer-sponsored health insurance & ensure greater employer participation • National Health Insurance Exchange • Similar to the Connector; clearinghouse & watchdog • Income-based sliding scale tax credits • Strengthen Medicare, SCHIP, Medicaid © Foley Hoag LLP 2008
2. Modernization • Improve quality & lower costs • Health IT • Comparative Effectiveness • Transparency • Prescription Drugs • Malpractice Reform © Foley Hoag LLP 2008
3. Prevention • Preventive Services Coverage • Chronic Disease Management • Mandated coverage by Employers • Best Practices • Coordination of Public Health Activities © Foley Hoag LLP 2008
Costs and Financing • Cost Estimates: • $50- $65 billion annually (Obama campaign) • $75+ billion annually (PWC) • $86+ billion annually (Tax Policy Center) • Save: $120-$200 billion (public and private) - $2500 per family. • Allow Bush tax cuts on the those making above $250,000 to expire & retain estate tax at 2009 level • “Pay or Play” Option © Foley Hoag LLP 2008
Research • Double Federal Funding for Basic Research • University-based Research • Biomedical Research • R&D Tax Credit • Stem Cell Research Enhancement Act © Foley Hoag LLP 2008
Advisors • Tom Daschle: Former Senate Majority Leader; potential HHS Secretary • Jeanne Lambrew: Fellow at the Center for American Progress, co-author with Sen. Daschle of Critical: What We Can Do About the Health-Care Crisis • David Cutler, PhD: Harvard professor and health economist, Institute of Medicine member, architect of the Obama health care reform plan • Dora Hughes, MD: Obama’s Senate health advisor, former staff to Sen. Kennedy on HELP Committee • David Blumenthal, MD: Director of the Massachusetts General Hospital Institute for Health Policy • Steven Pearson, MD: Founder of the Institute for Clinical and Economic Review; Vice-Chair, Medicare Evidence Development and Coverage Advisory Committee • Chris Jennings: Former Clinton White House health advisor © Foley Hoag LLP 2008
Transition Team • Tom Perez HHS, VA, HUD, SSA • Bill Corr & Nicole Lurie HHS Personnel Review Team Leads • Jonathan Moreno Bioethics Review © Foley Hoag LLP 2008
Policy Options • Comprehensive Bill • Expand SCHIP, Reinforce Medicaid and Medicare • Separate components and pass one at a time over three years © Foley Hoag LLP 2008