A Conversation About Medicare And Healthcare Reform

50 %
50 %
Information about A Conversation About Medicare And Healthcare Reform
Marketing

Published on March 2, 2014

Author: Healthcare-Marketing

Source: slideshare.net

Description

Healthcare Reform has had sweeping impact across the nation's healthcare marketplace. Consumers, healthcare providers, medical / pharmaceutical manufacturers and insurance companies are all stakeholders as it evolves.

Get the details in this 11 slide presentation!

Visit www.healthcaremedicalpharmaceuticaldirectory.com for more healthcare marketing insights....

Please take this moment to convert the display to “Full Screen” “A Conversation About Medicare And Healthcare Reform” Healthcare Medical Pharmaceutical Directory .COM www.HealthcareMedicalPharmaceuticalDirectory.com

“A Conversation About Medicare And Healthcare Reform” Healthcare Medical Pharmaceutical Directory .COM www.HealthcareMedicalPharmaceuticalDirectory.com

Will healthcare reform require persons to choose new or different Medicare coverage? • Medicare is not part of the healthcare insurance programs created by the Affordable Care Act • Persons enrolled in Medicare and/or Medicare Advantage plans are not mandated to change coverage/plan providers due to healthcare reform measures • American 65 and older receiving Medicare are not required to purchase Medicare insurance through an exchange and are exempt from being penalized for no health insurance Healthcare Medical Pharmaceutical Directory .COM

Is healthcare reform reducing Medicare coverage? • There has actually been an increase in coverage/services as required by features in the healthcare reform law • Medicare now provides some preventative care such as: – Colonoscopies – Mammograms – Annual Wellness Visits • Persons will not be charged for the Part B coinsurance or deductible for this care Healthcare Medical Pharmaceutical Directory .COM

Will healthcare reform affect a person’s choice of physician/hospital? • There are no provisions in the law which will affect the physicians/care facilities persons choose for their healthcare needs • Doctors, hospitals, pharmacies and other providers may make their own decisions about how they participate as Medicare providers and to continue/discontinue serving the Medicare population Healthcare Medical Pharmaceutical Directory .COM

Is healthcare reform going to phase out Medicare? • There are no provisions for Medicare to be replaced with another plan/program now or in the future • The Medicare program’s Trust Fund has been fortified with additional monies: – It will operate at least until 2029 – This represents a 12 year extension to the program Healthcare Medical Pharmaceutical Directory .COM

Will Persons Have To Pay More For Medicare? • Some persons will have higher Medicare premiums – Premiums will increase slightly for individuals earning over $85,000 annually, couples combined income of $170,000 annually • Conversely, Medicare beneficiaries who reach the Medicare gap in prescription drug coverage (known as the “donut hole) will receive: – 47.5% discount on Medicare Part D brand prescription drugs – 21% discount on Medicare Part D generic prescription drugs – The donut hole is expected to be completely closed (covered with standard Medicare coverage copays for enrollees) by 2020 – Part D copays will be eliminated for persons eligible for Medicare and Medicaid (“dual eligibles”) and who are receiving home- and community-based services

How will Medicare Advantage plans be affected? • Some Medicare Advantage plans will receive lower payments and they may reduce optional benefits like dental or vision. • Medicare Advantage plans offering higher quality benefits may be eligible for a bonus from the government (part of which must be spent on improving enrollee benefits) • In 2014, Medicare Advantage plans are required to spend at least 85% of each dollar they receive on healthcare for beneficiaries (the remaining 15% is money the plan retains to put towards profits, reinvestment in plan operations, etc.)

Summary • Healthcare reform initiated limited changes in the nation’s Medicare program • Some coverage rules will improve level of care/service for Medicare enrollees • Cost increases were minimal and did not have widespread affect on enrollees • Enrollees still have considerable influence in the physicians/hospitals they choose for care • As healthcare reform measures are implemented moving forward, Medicare may experience additional changes due to the evolving healthcare marketplace

For ongoing clinical and healthcare business industry resources, please go to: www.HealthcareMedicalPharmaceuticalDirectory.com Review Our Latest Clinical And Healthcare Business Presentations •A Conversation About Accountable Care •A Conversation About Accountable Care Business Models •A Conversation About Compounding Pharmacies •A Conversation About Health Insurance Exchanges •A Conversation About LTACs (Long Term Acute Care Hospitals) •A Conversation About Medicare A, B, C and D •A Conversation About Medicare And Healthcare Reform •A United Strategy For Social Media Marketing In Healthcare Brand Management •Comparative Effectiveness Research: A New Current In Pharmaceutical Brand Management •Global Healthcare Issues-Managing Drug Shortages •Healthcare Brand Management: Market Access Concepts •Health Economics Outcomes Research: Managed Care Applications In Pharmaceutical Brand Management •New Global Healthcare: Another Chapter In Healthcare Marketing Brand Management •Pharmaceutical Brand Management: Achieving Managed Care Pull-Through Performance Healthcare Medical Pharmaceutical Directory .COM

For ongoing business and clinical healthcare industry resources, please go to: www.HealthcareMedicalPharmaceuticalDirectory.com Fifteen Healthcare Segments Are Profiled: • • • • • • • • • • • • • • • Advertising/Marketing Assisted Living Behavioral Benefits CROs Dialysis Government GPOs Health Systems Insurance Nursing Facilities PBMs Pharmacies Surgical Centers Trade Healthcare Medical Pharmaceutical Directory .COM

Add a comment

Related presentations

Related pages

Related Topics and Healthcare Reform - Humana

Federal Healthcare Reform; Caregiver; Medicare Resources. Benefits of Membership; Member Guidelines; ... As the health care reform law is put into place, ...
Read more

Medicare reform - The Conversation: In-depth analysis ...

Browse Medicare reform news, research and analysis from The Conversation
Read more

Medicare reform – News, Research and Analysis – The ...

Browse Medicare reform news, ... But nobody can purchase full coverage for health-care ... The Conversation is examining five key policy areas that ...
Read more

Medicare Health Plan Changes and Healthcare Reform - Humana

Federal Healthcare Reform; Caregiver; Medicare Resources. Benefits of Membership; ... Should you have any questions on how the health care reform law ...
Read more

Medicare Reform Proposals - CMA || Center for Medicare ...

Core Values That Should be Addressed in Any Medicare Reform Plan. Medicare should ... with the health care she needs. Without Medicare coverage ...
Read more

CMA || Medicare & Health Reform - Center for Medicare Advocacy

In fact, health care reform expands Medicare coverage, ... The Benefits of Health Reform; More on Medicare and Health Care Reform; Info by Topic.
Read more

Learn More About Medicare and HealthCare Reform | Cigna ...

Learn more about Medicare and how Healthcare Reform affects Medicare. ... What changes in coverage gap can I expect for 2015 as a result of Health Care Reform?
Read more