The Changing Health Care Landscape: Affordable Care Act, Payment Reform and EMR Adoption

1. 1 The Changing Health Care Landscape: Affordable Care Act, Payment Reform and EMR Adoption HIPPA-COW Fall Conference Friday October 15, 2010 Karen Timberlake Wisconsin Department of Health Services 111111

2. 2 Why Reform is Needed 16% of GDP Spent on Health Care Most of the industrialized world spends less than 10% 50.6 Million People Uninsured 6.6 million lost employer sponsored coverage 5.2 million more enrolled in Medicaid Growth in Premium Crowding out Wage Increases

3. 3 Big Picture Impacts of Reform More than 125,000 Wisconsin citizens will gain access to health care More than a million who are underinsured will see policies improved and costs reduced Tax credits and lowered costs for small business owners Increase affordability of prescription drugs for Wisconsin�s seniors $750 - $980 million Increased federal funding saves state taxpayer dollars

4. 4 Office of Health Care Reform Health care reform puts decision making power in the hands of the states We can set up health care reform in a way that works best for Wisconsin if we act now Our focus is: Implementing significant changes taking effect right away and begin work on major components of reform Raising awareness of reform in Wisconsin Influencing reforms at national level

5. 5 Health Insurance Purchasing Exchange

6. 6 Wisconsin�s Current Insurance Landscape Large group market 95% of large employers in Wisconsin offer health care coverage Small group insurance market Less than 40% offer health care coverage Small business employ 1/3 of the state�s workforce (approx. 685,278 individuals) Non-group insurance market Estimated 125K to 150K individuals in non-group market Completing survey of market to obtain detail on level of benefits offered and premiums charged

7. 7 Guiding Principles