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Moving Forward: Family Planning in the Era of Health Reform

Moving Forward: Family Planning in the Era of Health Reform. September 2014. Ongoing Changes: Contraception. Hobby Lobby Wheaton College The r evised a ccommodation Medical management. Ongoing Changes: Premium Subsidies. Challenge availability of subsides in federal marketplaces

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Moving Forward: Family Planning in the Era of Health Reform

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  1. Moving Forward: Family Planning in the Era of Health Reform September 2014

  2. Ongoing Changes: Contraception • Hobby Lobby • Wheaton College • The revised accommodation • Medical management

  3. Ongoing Changes: Premium Subsidies • Challenge availability of subsides in federal marketplaces • Potential impact on 35 states (including Iowa) • Supreme Court likely to decide

  4. More Insurance: More Patients • In 2012, 75% of uninsured had incomes < 250% FPL • New patients seeking providers • Workforce shortage, but also competition

  5. More Insurance: More Patients • Assess and prepare for changes in patient numbers and payer mix • Ensure a positive patient experience • Develop plan to measure patient experience • Identify systemic problems • Implement quality improvements

  6. More Insurance: More Credentialing • 3-6 month process on average • Have to repeat for different payers • CAQH requires attestation every 120 days

  7. More Insurance: More Kinds of Plans $35,010 $23,340 $11,670 *Medicaid eligibility for children ages 0-1 is up to 380% FPL, and ages 1-5 is up to 172% FPL; CHIP eligibility for all children is up to 307% FPL.”

  8. Quality: Payment Reform • Quality is the (new) buzzword • Quality is driving payment reform • Measuring and demonstrating quality is key

  9. QFP Metrics HIT Quality

  10. KEEP CALM AND KEEP MOVING FORWARD

  11. Questions?

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