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Interpreting these new laws and regulations are complex but their affect on insurers, employers, medical professionals, and patients is even more confusing. Join HOW for a unique look at these changes and their influence on healthcare decisions for the coming years.
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www.heal thopt ionswor ldwide.com
Healthcare Reform 2011: The good, the
bad and the ugly (Part 2)
Introduction to Part 2
Recap of Part 1 Current Issues
New Laws & Coverage
Requirements
Cadillac Taxes
Tax Credits for Small
Businesses
Pay or Play
Medicaid
1099 Repealed
States find reform
“Unconstitutional”
Funding of Healthcare Reform
Will Healthcare reform be “shutdown”?
What are the possible effects on the 2012 presidential elections?
Medical Loss Ratio
MLR=Incurred claims + activities that improve health care quality
Total premium – Federal and State taxes and licensing or regulatory fees (and accounting for risk adjustment, risk corridors and reinsurance)
Healthcare Reform & Insurance Companies
Non- Claim Costs
Agent broker commissions
Marketing expenses
Profits
Putting Carriers Out of Business
Pre-Existing Conditions
Nobody gets turned away
Medicare – Donut Hole
*Steve Shore Insurance http://www.steveshoreinsurance.com
Rebate
50% Discount
Closed by 2020
Free Preventative Care
Advantage Plans – No
Lifetime Limits
Medicare - Baby Boomers
Doctor’s Overhead
Medicare Payments
Patients Actually Seen
Ability to Find a Doctor
Wellness Programs & Healthcare Reform
Grants
Deductions
Participation Increase
Technical Assistance Increase
Proving ROI Easier
Push For Healthy Options
Additional Funds (Tax Credits)
Question & Answer
For Additional Information:
Phone: 1-877-234-1345
Email: [email protected]
Website: http://www.Healthoptionsworldwide.com
