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The Affordable Care Act
(“Obamacare”) Townhall
October 24, 2013

Aditya J. Ullal
Research Associate, VA Palo Alto Health Care System
President/Founder, Atiiva Inc.
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)
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
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
What changes after the shutdown?
• ACA’s reinsurance tax delayed one year
• More stringent income verification for
insurance exchanges
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

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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

Notes de l'éditeur

  1. http://www.field.com/fieldpollonline/subscribers/Rls2449.pdfhttp://kff.org/health-reform/report/californias-uninsured-on-the-eve-of-aca-open-enrollment/
  2. http://www.pollingreport.com/health.htm
  3. 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. 
  4. http://www.cms.gov/Medicare-Medicaid-Coordination/Fraud-Prevention/MedicaidIntegrityProgram/Downloads/Medicaid_RAC_FAQ.pdf
  5. 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