Posts Tagged ‘Obamacare’

Infographic: Comparing the Affordable Care Act and the House Republican Bill

March 8th, 2017 by Melanie Matthews

Comparing the Affordable Care Act and the House Republican BillRepublicans in the U.S. House of Representatives released on Monday legislation to repeal and replace the Affordable Care Act (ACA).

A new infographic by the New York Times compares the key features of ACA with what has been proposed by the House Republicans.

Healthcare Trends & Forecasts in 2017: Performance Expectations for the Healthcare Industry Not in recent history has the outcome of a U.S. presidential election portended so much for the healthcare industry. Will the Trump administration repeal or replace the Affordable Care Act (ACA)? What will be the fate of MACRA? Will Medicare and Medicaid survive?

These and other uncertainties compound an already daunting landscape that is steering healthcare organizations toward value-based care and alternative payment models and challenging them to up their quality game.

Healthcare Trends & Forecasts in 2017: Performance Expectations for the Healthcare Industry, HIN's 13th annual business forecast, is designed to support healthcare C-suite planning during this historic transition as leaders prepare for both a new year and new presidential leadership.

Get the latest healthcare infographics delivered to your e-inbox with Eye on Infographics, a bi-weekly, e-newsletter digest of visual healthcare data. Click here to sign up today. Have an infographic you'd like featured on our site? Click here for submission guidelines.

ACA Afterlife: Unwinding Obamacare Under the Trump Administration

November 14th, 2016 by Patricia Donovan

The people have spoken: the future of the ACA is healthcare's most pressing concern for 2017.

The people have spoken: the future of the Affordable Care Act is healthcare's most consuming concern for 2017.

If U.S. President-elect Donald J. Trump delivers on his campaign promises, the 'repeal and replacement' of the Affordable Care Act (ACA) should be an early priority for the nation's chief executive-in-waiting.

That prospect sent shock waves through the healthcare industry, as evidenced by a snapshot of post-election responses to the ongoing Healthcare Trends in 2017 survey sponsored by the Healthcare Intelligence Network.

"The change or replacement of Obamacare might affect us significantly, including changing our USA market priority over other markets," contributed one respondent.

"We don't know what ACA repeal implications will mean for us," offered another.

Other respondents identified "changes to our government structure and the unknown impact" as well as "lack of clarity post-election" as their most pressing concerns for the year ahead.

Take the Healthcare Trends 2017 survey and receive an executive summary of the results.

Given Trump's ambitious healthcare agenda, much is at stake for industry stakeholders. But is it possible for the incoming administration to unravel the ACA, when the public already has been exposed to many of its provisions? And if repeal is possible, how long might the process take?

Greg Mertz, managing director for Physician Strategies Group, LLC, advises healthcare organizations not to panic about the ACA's demise. "A '“repeal and replace' means that Trump admits Obamacare can't go away. Nothing will happen quickly, and whatever happens will be less dramatic than many expect," predicts Mertz, who points to Trump's lack of specifics as to what might replace Obamacare as further evidence.

"House Speaker Paul Ryan, R-Wisconsin, has already put forward his plan for healthcare reform, so I would think his ideas will be a pivotal part of what eventually gets passed," continues Mertz. "However, Congress still decides what happens, so whatever Trump proposes will be mired in hearings, staff work, and debate for at least the next year. This means that we limp along with a broken program as we argue what is better."

Also based on Ryan's healthcare proposals, Travis Ansel, senior manager of strategic services for Healthcare Strategy Group, is advising providers to brace for more Health Savings Account (HSA)-related payment woes. "Ryan's plans for Medicare, which have loomed over the industry for five years, bring with them increased patient payment obligations," Ansel explains. "Expect more and more employer-based coverages to shift to HSAs as well. We can expect payors to raise insurance premiums across the board as the Republican-led Congress unwinds the ACA."

Ansel pointed out that major payors were forced to shift their business models and infrastructure to compete in an ACA-focused market. "The quick shift back will be a reality these payors are not prepared for and not prepared to succeed under," he concludes.

As payor margins suffer, adds Mertz, pressure will be placed on commercial insurers to raise reimbursement to offset the gap. "Employers will howl and the feds will be pressured to control costs, especially big pharma."

Where Mertz does expect activity is within the Health Insurance Exchanges created by the ACA. "The insurance exchanges are in trouble already, so we would expect that providers that were seeing significant numbers of exchange-insured individuals would have likely seen a drop in those numbers regardless. I think the number of uninsured will increase in the short-term, as many will decide that paying the penalty is better than paying the premium."

As to what healthcare might look like under the Trump administration, Mertz thinks the industry will see tax credits or vouchers. "However, I seriously doubt we'll see a government-sponsored alternative, which I think we would have seen with (the Democratic presidential nominee) former U.S. Secretary of State Hillary Clinton."

On the provider side, Mertz expects that while physicians will see little impact, hospitals will see a rise in charity care, and no major increase in income.

For a post-election roadmap to the challenges and opportunities facing healthcare in the year ahead under GOP leadership, don't miss Trends Shaping the Healthcare Industry in 2017: A Strategic Planning Session, a live webcast on Thursday, November 17 at 1:30 Eastern.

Take the Healthcare Trends 2017 survey and receive an executive summary of the results.

Infographic: How the ACA Affects Mental Health

April 7th, 2014 by Jackie Lyons

In terms of medical care, missed days of work, chronic health issues and death, depression is estimated to have cost the United States $112 billion in 2013, according to a new infographic from Betterdoctor.com. The Affordable Care Act (ACA) mandates mental health coverage for millions of Americans and requires a free depression screening under all health insurance plans.

This infographic provides an overview of depression in America, including prevalence of depression, the average cost of a hospital stay, cost of medication, as well as how the ACA is expected to impact mental healthcare.

Illness Management and Recovery (IMR): Personalized Skills and Strategies for those with Mental Illness helps people with SMI identify personally meaningful goals and work to achieve these goals by addressing smaller, more manageable segments of those goals.

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Infographic: Health Insurance Costs Under the ACA

April 2nd, 2014 by Jackie Lyons

Under the Affordable Care Act (ACA), a 40-year-old making $40,215 per year would have moderate assistance from the government to pay their health plan premium, according to a new infographic from JAMA and the Kaiser Family Foundation.

This infographic estimates what Americans will pay for health insurance under the ACA according to their income and location.

You may also be interested in this related resource: Quality Care, Affordable Care: How Physicians Can Reduce Variation and Lower Healthcare Costs. This resource offers a practical, hands-on guide to getting a variation-reduction program in place that will engage physicians. It offers a unique take from a physician leader who has personally led a highly successful program, and explains in plain language how to take advantage of his experience.

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Infographic: Implementing Health Reform – A Study in Contrasts

February 12th, 2014 by Jackie Lyons

Although some states are implementing and enforcing the Affordable Care Act (ACA), participation across the country varies greatly. At least five states have declined to implement the new healthcare reform law, according to a new infographic from The Commonwealth Fund.

This infographic shows which states are implementing the ACA and what they are doing to enforce the health reform law, as well as which states are not participating.

Implementing Health Reform - A Study in Contrasts

You may also be interested in this related resource: Healthcare Innovation in Action: 19 Transformative Trends. What does healthcare reform mean for the participating states? Three years post-ACA, early innovators of care delivery models and mandates emanating from healthcare reform are reporting significant success in terms of health outcomes and cost control. This resource examines a set of pioneering efforts supporting the industry's seismic shift from a volume-based culture to one rewarding value and patient-centeredness.

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Infographic: Paying More Under PPACA

February 7th, 2014 by Jackie Lyons

Forty-eight percent of Americans surveyed in a recent BankRate.com study reported they would repeal the Patient Protection and Affordable Care Act (PPACA) if they could, while 38 percent would keep it in place.

However, experts claim there have not been large premium increases, according to a new infographic from LifeHealthPro. This infographic shows the effects of the PPACA on part-time and full-time workers, the American response to the PPACA, as well as changes experienced in the past year including higher costs, fewer doctors and more.

12 Questions to Measure Population Health Management

 title= The most encouraging post-ACA metrics have been achieved by healthcare organizations that customize a model or intervention to better serve their population's needs. Healthcare Innovation in Action: 19 Transformative Trends examines a set of pioneering efforts supporting the industry's seismic shift from a volume-based culture to one rewarding value and patient-centeredness.

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Infographic: New ACA Mandate Will Affect Healthcare

January 2nd, 2014 by Jackie Lyons

A new payor ERA/EFT mandate will soon require payors to be compliant in offering electronic claims reimbursement, according to a new infographic from Medical Business Systems.

The mandate changes identified in this infographic will reportedly save between $2.7 and $9 billion in administrative costs over 10 years. The infographic includes deadlines, formats, requirements and ways to utilize electronic payments.

ACA Mandate Just Around the Corner

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You may also be interested in this related resource: 2013 Healthcare Benchmarks: Telehealth & Telemedicine.

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Infographic: Health Insurance in the Individual Market

December 20th, 2013 by Jackie Lyons

So far in 2013, the healthcare market has been unpredictable and volatile. The Affordable Care Act (ACA) continues to affect millions of individuals and numerous aspects of healthcare.

Only 5.7 percent of Americans buy their health insurance through the individual insurance market, according to a new infographic from Families USA. This infographic breaks down the ACA, the healthcare insurance market and more.

Health Insurance in the Individual Market

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You may also be interested in this related resource: Plunkett's Health Care Industry Almanac 2014.

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Infographic: How Will the ACA Affect Senior Citizens?

December 18th, 2013 by Jackie Lyons

The Affordable Care Act (ACA) will cut Medicare funding by $716 billion from 2013 to 2022, according to a new infographic from AssistedLivingFacilities.org. This has several implications for high-income earners and low-income Medicare beneficiaries alike.

This infographic includes a summary of Medicare and the health insurance marketplace, data on prescription drugs and doctor shortages, the impact of Medicare cuts on individuals and healthcare in general, and more.

How Will the ACA Affect Senior Citizens?

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You may also be interested in this related resource: Changing the U.S. Health Care System: Key Issues in Health Services Policy and Management, 3rd Edition.

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Infographic: The Costs of Opting Out of the Medicaid Expansion

December 16th, 2013 by Jackie Lyons

The Affordable Care Act (ACA) allows states to expand Medicaid coverage to more low-income people and offsets this with additional federal funding to participating states. States that don't participate in the ACA's Medicaid expansion will lose out on billions of dollars in federal funds, according to a new infographic from The Commonwealth Fund.

Texas is opting out of Medicaid expansion, and will therefore forgo about $9.6 billion in federal Medicaid finding in 2022. This infographic shows other examples of forgoing Medicaid expansion, as well as the effects of participating in the expansion.

The Cost of Opting Out of Medicaid Expansion

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You may also be interested in this related resource: Health Insurance Exchanges: Product Design, Promotion and Positioning.

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