1 / 24

Health reform issues and ideas

Health reform issues and ideas. Iowa Association of Health Underwriters July 24, 2014 Grace-Marie Turner, Galen Institute. Court Challenges to the ACA. U.S. Court of Appeals in DC 2-1 decision

louis
Download Presentation

Health reform issues and ideas

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 issues and ideas Iowa Association of Health Underwriters July 24, 2014 Grace-Marie Turner, Galen Institute

  2. Court Challenges to the ACA U.S. Court of Appeals in DC 2-1 decision The language of the ACA “unambiguously restricts” subsidies to “Exchanges established by the state.” U.S. Court of Appeals in Richmond 3-0 decision “…widely available tax credits are essential to fulfilling the Act’s primary goals.”

  3. What’s next? En banc hearing by full D.C. Circuit Court of Appeals Requested -- But not guaranteed Two more federal courts will rule on similar challenges Indiana Oklahoma Split decisions will send the case back to the Supreme Court, possibly next term A decision against the government will require Congress to replace lost subsidies for 5+ million people

  4. A proliferation of ideas

  5. Two different visions

  6. “Republicans need to pass their own replace bill to show what they are for”

  7. Providing help to buy health insurance • Tax deduction? • How much? • Tax credit? • Refundable? • Advanceable? • Age adjusted? • Targeted? • Tax cap? • What level? Difficult choices

  8. Start by painting a new vision …not by first getting bogged down in these hard choices and difficult details

  9. Genuine choice, better coverage through real competition

  10. Patients and doctors make decisions

  11. Making insurance at work more affordable

  12. More stability for Medicare

  13. Giving the poor more options

  14. Holding hospitals accountable

  15. Focus groups with independent women

  16. Make policy personal and relevant Examples…

  17. A young mother • Pick your own plan and doctors

  18. A young, single guy • Affordable catastrophic coverage

  19. A small business owner • Choices of plans she can afford

  20. Someone with chronic or serious illness • A strong safety net

  21. Conveying a fresh vision of health freedom More choices of more affordable coverage that lets you pick your own plan, your own hospital, and your own doctor Straightforward guarantees you can keep your coverage A safety net that protects the vulnerable and those with pre-existing conditions

  22. Moving to a Patient-Centered Health Care Sector Private sector • Align incentives • Transparency • Genuine competition • Benefit choices • Pre-existing condition protection • Nurture innovation Public sector • Choice of private plans in Medicare • Escape from the Medicaid ghetto • More flexibility and incentives for states to take the lead on reform

  23. Repeal Replacewith Bipartisan Reform

  24. Grace-Marie Turner Galen Institute 703-299-8900 gracemarie@galen.org Twitter @GalenInstitute Facebook GalenInstitute @gracemarietweet Subscribe to our free email alerts at www.galen.org/subscribe

More Related