Townhall meeting about the implications of ACA/Obamacare
How the Affordable Care Act Affects You
The Affordable Care Act (“Obamacare”) is the most sweeping health care reform since the inception of Medicare in 1965. Although the federal law has important implications for individuals, families, and businesses, many Americans remain unsure of how the law will impact them.
This panel discussion will feature short presentations by health care experts, explaining how the ACA may affect healthcare delivery and access in 2014. This will be followed by a Q&A session where audience members are encouraged to ask their own questions about the federal health care law.
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The Affordable Care Act (ACA / "Obamacare") Townhall - Aditya Ullal opening remarks
1. The Affordable Care Act
(“Obamacare”) Townhall
October 24, 2013
Aditya J. Ullal
Research Associate, VA Palo Alto Health Care System
President/Founder, Atiiva Inc.
2. Polling in California
53% support the law, 38% opposeǂ
• 70% of uninsured don’t have enough concrete
information on how ACA impacts them*
• Among undocumented immigrants*:
• 49% believe they may qualify for Medi-Cal
• 43% believe they can buy subsidized
insurance through exchange
ǂField
Poll (August 20, 2013)
*Henry J. Kaiser Family Foundation Poll (Sept 26, 2013)
3. Recent National Polls
Poll
Date
View of Law
Approve
Disapprove
CNN/ORC Poll
Oct. 18-20
41%
56%
NBC/Wall Street Journal
Oct. 7-9
38%
43%
CBS News
Oct. 1-2
43%
51%
Quinnipac University
Sept. 23-29
45%
47%
Kaiser Health Tracking Poll Sept. 12-18
39%
43%
42%
53%
USA Today/Pew Poll
Sept. 4-8
4. Government Shutdown 2013
• Republicans seeking a new government
spending bill (Continuing Resolution) with no
funding for ACA
• Democrats seeking a spending bill without
changes to ACA
Non-essential services were “shut down”
Lasted 16 days
5. What changes after the shutdown?
• ACA’s reinsurance tax delayed one year
• More stringent income verification for
insurance exchanges
6. Panelists
• Dolores Alvarado, CEO, Community Health
Partnership of Santa Clara County
• Jessica Oney, Certified Educator, Covered
California
• Marcelo Espiritu, Product Analyst, Sourcewise
Community Resource Solutions
• Mark Herbert, Project Manager / Outreach
Manager, Small Business Majority
• Jason Andrew, CEO & Founder, Stone Meadow
Benefits
http://www.kaiserhealthnews.org/Stories/2013/October/15/FAQ-on-health-law-reinsurance-tax-and-Senate-compromise.aspxCopy of Senate bill found here:http://www.scribd.com/doc/176698675/Senate-Debt-Limit-and-CR-Deal-10-16-2013In new deal, HHS Secretary must report to Congress by Jan 1, 2014 on verification methods and Inspector General will report on July 1, 2014 on their effectivenesshttp://www.latimes.com/business/hiltzik/la-fi-mh-myth-shutdown-20131016,0,5503988.storyThe rule requires that applicants' income -- as submitted with their applications -- be checked against their IRS and Social Security records. If that can't be done, the income will be checked against employer records submitted to the credit agency Equifax. If there's still a discrepancy between those records and the income claimed, the applicant will have to furnish more documentation and an explanation.The final rule allows state exchanges to check a statistically valid sample of applicants, rather than every applicant, in a small subset -- cases in which an applicant claims income more than 10% below what IRS and Social Security records show, and where there's no Equifax data.
http://www.kaiserhealthnews.org/stories/2011/january/13/aco-accountable-care-organization-faq.aspxAll 32 Pioneers succeeded in improving quality and performed better than fee-for-service Medicare in 15 quality measures, according to CMS. And they generated a gross savings of $87.6 million in the 2012, the first year of the programMore than 428 hospitals signed up including in private.As per Oliver Wymanhttp://www.oliverwyman.com/media/ACO_press_release(2).pdf4 million Medicare patients and 14% of patients overall are treated by an ACO as of Feb 2013