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Government & Community R elations

Government & Community R elations. Women’s Faculty Luncheon February 18, 2013 12:00 p m –1:00 p m. Kathryn A. Kuhn Vice President Government and Community Relations 414.955.8217 kkuhn@mcw.edu. What keeps me up @ night. Revenue – It’s what pays our bills!

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Government & Community R elations

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  1. Government & Community Relations Women’s Faculty Luncheon February 18, 2013 12:00 pm –1:00 pm Kathryn A. Kuhn Vice PresidentGovernment and Community Relations 414.955.8217 kkuhn@mcw.edu

  2. What keeps me up @ night • Revenue – It’s what pays our bills! • Clinical practice % (payor mix always a concern) • Reimbursement rates predicted to decrease (WI healthcare providers among highest reimbursed in nation) • Healthcare reform • What does it mean when fully implemented • How will it impact our operations? • Research • Continuing reexamination of boundaries between science and ethics • Uncertainty of laws governing research

  3. Affordable Care Act Timeline “What Happens When” • March 23, 2010 – The Affordable Care Act was Signed into Law • 2010 – 26 Provisions were put into effect including: • Prohibiting Denying Coverage of Children for Pre-Existing Conditions • Extending Coverage for Young Adults • Eliminating Lifetime Limits on Insurance Coverage • 2011 – 20 Provision were put into effect: • Providing Free Preventive Care for Seniors • Offering Prescription Drug Discounts • Changes to Tax-Free Savings Accounts • 2012 – 11 Provisions were put into effect: • Encouraging Integrated Health Systems • Linking Payment to Quality Outcomes • Reducing Paperwork and Administrative Costs

  4. Affordable Care Act Timeline“2013” • 2013 – 15 total Provisions, 5 currently in effect: • State Notification Regarding Exchanges • Wisconsin will default to federal health insurance exchange • Exchanges to be operational January 1, 2014 • Medicaid Payments for Primary Care • Governor Walker announced Wisconsin will not agree to a federally backed Medicaid Expansion • Seeks a hybrid approach by removing the cap on BadgerCare Plus Core; reducing the eligibility level to 100 percent of poverty level and expecting effected would gain coverage in the federal exchange. • Wisconsin is one of 14 states not participating in Medicaid Expansion • Plan requires federal approval • Medicare Bundles Payment Pilot Program • Tax on Medical Devices

  5. State Decisions for creating health insurance exchanges, as of 2/18/13 I Declared State Base Exchange Default to Federal Exchange Planning for Partnership Exchange with Federal Government Democratic Governor Republican Governor Independent Governor

  6. State Decisions for creating health insurance exchanges, as of 2/18/13 • 17 States have declared State Base Exchanges • 26 States will default to the Federal Exchange • 7 States are planning for a Partnership Exchange with the Federal Government

  7. What is going on in Wisconsin in 2013 and Why?? Politics!

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