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Health Care Reform Review

Health Care Reform Review. Impact. Financing and delivery model changes Medicaid type insurance for 250,000 Missourians Growth of managed care programs “Accountable Care Organizations” to manage care for populations Increased steerage related to quality, cost and access

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Health Care Reform Review

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  1. Health Care Reform Review Impact • Financing and delivery model changes • Medicaid type insurance for 250,000 Missourians • Growth of managed care programs • “Accountable Care Organizations” to manage care for populations • Increased steerage related to quality, cost and access • Further consolidations in the health care industry (hospitals and physicians) • Financial impact • Reduced unreimbursed costs for UMHC ($37 million in FY 2009) • VS. • Reduced DSH payments from Medicare, Medicaid • Reduced annual Medicare market adjustments • ALSO • Bundled payments and capitation create risk and opportunity

  2. Health Care Reform Review Impact (continued) • Demand for services • Increased demand for health services • Greater competition by providers for insured patients • Educational impact • Increased demand for primary care providers • Pressure for larger class sizes at the Schools of Medicine, Nursing and • Health Professions • Research impact • Health innovation zones • Efficacy research

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