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National Health Care Reform- Understanding the Issues of the New Plan. CE Course: 223924 Neil Crosby Director of Sales - Warner Pacific Vice President of Public Affairs - CAHU. Health Care Reform. Everyone is talking Media, Legislators, Activists, Social Groups President Changes ?.
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National Health Care Reform- Understanding the Issues of the New Plan CE Course: 223924 Neil Crosby Director of Sales - Warner Pacific Vice President of Public Affairs - CAHU
Health Care Reform • Everyone is talking • Media, Legislators, Activists, Social Groups • President • Changes ?
The Public Wants to Know • How this will effect them? • Where are the DETAILS? • How much will it really cost? • What do I have to do?
Health Care Proposals • House • Senate • President
Driving Causes of Reform • Reduce Health Care Costs • Increase Access • Cover everyone • Help the ‘Under-Insured’ • Reduce the number of Un-Insured - # 1 Issue
California’s Uninsured • 6.7 Million Uninsured • 32% (2.1 million) Eligible for Public Programs – Free or low cost Health care • 33% (2.2 million) Make enough to buy • 15% (1 Million) Short Term Uninsured • 20% (1.4 Million) Truly Uninsured
America’s Uninsured • 46 Million Uninsured • 33% (15 Million) Eligible for Public Programs – Free or low cost health care • 31% (14 Million) Make enough to buy • 13% ( 6 Million) Short Term Uninsured • 23% ( 11 Million) Truly Uninsured
Why so many Uninsured • Rates too high / Can’t afford • California’s Rates in Comparison • Can’t Access - Declined • Don’t know what is available • Could give a ….
Health Care Concepts • Universal Coverage is not Single Payor • Access to Coverage vs Access to Care • Private / Public System vs Single Payor
Politics • Why Politics ? • California situation • Assembly 2008 48 Dems / 32 Reps • Assembly 2009 50 Dems / 30 Reps • Senate 2008 25 Dems / 15 Reps • Senate 2009 26 Dems / 14 Reps
Politics • National situation • 2009 House 257 Dems / 178 Reps • 2009 Senate 58 Dems / 40 Reps • ***And a Democrat as President
Desired Results of Reform • Drive Costs down • Assure Quality of Care • Affordable Health Care for ‘Everyone’ • Choice of Doctors & Plans
How will they try to get there? • Insurer’s lower costs • Lower reimbursements to Providers • Government negotiate lower RX costs, etc • This isn’t COSTCO !
What Needs to Happen • National Tort Reform – Malpractice, Duplication, Defensive Medicine • Electronic Health Records – Paper process costs, Duplication, Proper treatment, Travel treatments, effectiveness • Providers – Based on Quality vs Quantity • Transparency of Costs
What is Coming??? • Guarantee Issue • Mandate to Buy / Participate • Taxes (Deficit Neutral ?) • Costs (Lower, ?) • MediCare Cuts? (400 Billion, ?)
Competition to Insurers • Government – Lower Cost Option (?) • MediCare style • Public Option • Co-Op • State models • California has already tried • Food Stamp system
The Issues • There is ‘No Money • Benefit Design based on Federal Employee’s benefit plan • Tax Employees on Employer provided Health Care
The Reality • Can you solve all the Issues? • $ 900 Billion – Deficit Neutral ? • People will always want Choice • The People of America – Continue to speak out !!!
How can we Share information? • Clients, Friends, Relatives, Neighbors • Community Groups: Church, Service Clubs, Chamber of Commerce • Ready made presentations • Presentation Trainings
Our Future Looks Great ! • Educate the Public • We are the Consumer’s Advocate • We ‘Finance America’s Health Care’ • We are essential for the future • We are helping to shape the future • Let’s work together !
Questions & Contact • Neil Crosby • 800-801-2300 • NeilC@WarnerPacific.com • www.CAHU.org • We will speak at any group you may have. • Let’s spread the message….