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The Obama Plan

The Obama Plan. Cedric K. Dark, MD, MPH. Disclaimer: I’m not advocating for the plan, I’m just analyzing it...but you gotta admit...it’s a million times better than McCain’s. Scope of the Problem. 47 million uninsured 9 million uninsured children. Rising Costs.

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The Obama Plan

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  1. The Obama Plan • Cedric K. Dark, MD, MPH Disclaimer: I’m not advocating for the plan, I’m just analyzing it...but you gotta admit...it’s a million times better than McCain’s

  2. Scope of the Problem • 47 million uninsured • 9 million uninsured children

  3. Rising Costs Source: Kaiser Family Foundation

  4. How To Fix It

  5. National Health Plan • Guaranteed enrollment • Comprehensive benefits (similar to FEHBP) • Fair premiums & minimal co-pays • Subsidies • Simplifying paperwork • Easy enrollment • Portability and choice • Quality & efficiency

  6. National Health Insurance Exchange • A “watchdog” & reformer of private market (creates rules and standards) • All plans must at least be as generous as “public plan” • Guaranteed issue & no risk rating

  7. Employers • Pay or play philosophy

  8. Children • Mandated coverage • Expansion of S-CHIP

  9. States • Can continue to experiment as long as provide plans at least as generous as “public plan”

  10. Re-insurance • Government to re-insure for “catastrophic” coverage

  11. Quality • Comparative effectiveness research • Pay-for-performance • Care coordination & disease management • Disparities • Health information technology ($10B/5yr)

  12. Insurers • Need more competition

  13. Pharmaceuticals • Drug reimportation • Generics • Negotiation of Medicare D Rx prices

  14. Prevention & Public Health • Healthier workplaces • Tackle childhood obesity • Support health care providers

  15. Malpractice • Will be improved...but how?

  16. What’s Your Take... • Who are the winners? Losers? • What’s easy to accomplish? Hard? • Short term goals? Long term?

  17. References • “Barack Obama’s Plan for a Healthier America.” 2008. Accessed from: www.barackobama.com • Kaiser Family Foundation. “Employer Health Benefits 2006 Annual Survey” 2007. Accessed from: www.kff.org

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