1 / 6

Texas Health Care Reform

Texas Health Care Reform. Coverage Institute September 26, 2007. The Texas Health Care System. Employer-based health insurance (~50%) Non-group (No guaranteed issue, full medical underwriting & pre-existing condition exclusions allowed)

fox
Download Presentation

Texas Health Care Reform

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. Texas Health Care Reform Coverage Institute September 26, 2007

  2. The Texas Health Care System • Employer-based health insurance (~50%) • Non-group (No guaranteed issue, full medical underwriting & pre-existing condition exclusions allowed) • Small group (guaranteed issue & renewability, limited medical underwriting & allowed) • Large group (limited rate/underwriting regulation) • Public programs (~25%) • Medicaid (~12%, 2.8M) • Uninsured (~25%)

  3. Primary Challenges • National Challenges • Access • Affordability • Costs • Fragmentation (horizontal) • Texas-specific Challenges • Demographics • Industry structure • Fragmentation (vertical) • Regulation

  4. Framework for Reform • Health Care Delivery • Risk & Cost Distribution • Patient & Consumer Dynamics

  5. Sample of Recent Activities • Health Care Delivery • House Bill 1066 (health information technology) • Risk & Cost Distribution • Senate Bill 10 (Medicaid reform) • Patient & Consumer Dynamics • Senate Bill 1731 (Price & quality transparency)

  6. Considerations for Texas Health System Reform • Health Care Delivery • Regulatory review • Aligned incentives for quality, safety, and efficiency • Risk & Cost Distribution • Health insurance market reform • Health insurance market support • Health insurance market infrastructure • System integration • Eligibility changes • Patient & Consumer Dynamics • Personal responsibility • Consumer empowerment

More Related