Presentation by Seth Trueger, MD, MPH for the Third Annual Policy Prescriptions® Symposium
Seth Trueger is an assistant professor at the University of Chicago, Section of Emergency Medicine.
The symposium is designed for clinicians, healthcare workers, and healthcare executives interested in exploring the major themes that will emerge in health policy throughout the year. This year, the symposium will emphasize value in healthcare, health information technology, gun violence, insurance choices, the Affordable Care Act, and the viewpoints of the Presidential candidates on health care.
15. Kaiser Family Foundation. Health Insurance Coverage in the US, 2011.
Kaiser Slides. 19 October 2012.
Medicaid,
13% VA/Other, 5%
Medicare,
13%
Private, Non-
group, 5%
Employer-
Sponsored
Insurance,
48%
Uninsured
16%
2011
16. Gaba C. SHOW YOUR WORK. ACA Signups. 2016 Mar 28.
http://acasignups.net/16/04/18/show-your-work-healthcare-coverage-breakout-entire-us-population-1-chart
Medicaid, 19%
VA/other, 6%
Medicare,
17%
Private, Non-
group, 6%
Employer-
Sponsored
Insurance,
43%
Uninsured
9%
2016
18. Gaba C. SHOW YOUR WORK. ACA Signups. 2016 Mar 28.
http://acasignups.net/16/04/18/show-your-work-healthcare-coverage-breakout-entire-us-population-1-chart
Medicaid, 19%
VA/other, 6%
Medicare,
17%
Private, Non-
group, 6%
Employer-
Sponsored
Insurance,
43%
Uninsured
9%
2016
19. Gaba C. SHOW YOUR WORK. ACA Signups. 2016 Mar 28.
http://acasignups.net/16/04/18/show-your-work-healthcare-coverage-breakout-entire-us-population-1-chart
20. Gaba C. SHOW YOUR WORK. ACA Signups. 2016 Mar 28.
http://acasignups.net/16/04/18/show-your-work-healthcare-coverage-breakout-entire-us-population-1-chart
21. Gaba C. SHOW YOUR WORK. ACA Signups. 2016 Mar 28.
http://acasignups.net/16/04/18/show-your-work-healthcare-coverage-breakout-entire-us-population-1-chart
22. Gaba C. SHOW YOUR WORK. ACA Signups. 2016 Mar 28.
http://acasignups.net/16/04/18/show-your-work-healthcare-coverage-breakout-entire-us-population-1-chart
23. Gaba C. SHOW YOUR WORK. ACA Signups. 2016 Mar 28.
http://acasignups.net/16/04/18/show-your-work-healthcare-coverage-breakout-entire-us-population-1-chart
24. Gaba C. SHOW YOUR WORK. ACA Signups. 2016 Mar 28.
http://acasignups.net/16/04/18/show-your-work-healthcare-coverage-breakout-entire-us-population-1-chart
25. Gaba C. SHOW YOUR WORK. ACA Signups. 2016 Mar 28.
http://acasignups.net/16/04/18/show-your-work-healthcare-coverage-breakout-entire-us-population-1-chart
27. Gaba C. SHOW YOUR WORK. ACA Signups. 2016 Mar 28.
http://acasignups.net/16/04/18/show-your-work-healthcare-coverage-breakout-entire-us-population-1-chart
28. Gaba C. SHOW YOUR WORK. ACA Signups. 2016 Mar 28.
http://acasignups.net/16/04/18/show-your-work-healthcare-coverage-breakout-entire-us-population-1-chart
29. Gaba C. SHOW YOUR WORK. ACA Signups. 2016 Mar 28.
http://acasignups.net/16/04/18/show-your-work-healthcare-coverage-breakout-entire-us-population-1-chart
30. Gaba C. SHOW YOUR WORK. ACA Signups. 2016 Mar 28.
http://acasignups.net/16/04/18/show-your-work-healthcare-coverage-breakout-entire-us-population-1-chart
33. Gaba C. SHOW YOUR WORK. ACA Signups. 2016 Mar 28.
http://acasignups.net/16/04/18/show-your-work-healthcare-coverage-breakout-entire-us-population-1-chart
34. Gaba C. SHOW YOUR WORK. ACA Signups. 2016 Mar 28.
http://acasignups.net/16/04/18/show-your-work-healthcare-coverage-breakout-entire-us-population-1-chart
37. 2015 Enrollment
11 million paid QHP
9 million off-Exchange QHP
2016 Enrollment
11 million Exchange QHP
6 million off-Exchange QHP
2 million off-Exchange grandfathered
39. 2015 Medicaid
9 million Medicaid expansion
3.4 million Medicaid woodworkers
2016 Medicaid
11 million Medicaid expansion
3.8 million Medicaid woodworkers
0.5 million Basic Health Plan
40.
41. “Despite concerns about plan cancellations, only
600,000 people starting out with nongroup coverage
became uninsured.
42. “Despite concerns about plan cancellations, only
600,000 people starting out with nongroup coverage
became uninsured.
Of the 155.8 million people with insurance in
September 2013, 80 percent experienced no
changes in the source of their insurance during the
study period.
43. “Despite concerns about plan cancellations, only
600,000 people starting out with nongroup coverage
became uninsured.
Of the 155.8 million people with insurance in
September 2013, 80 percent experienced no
changes in the source of their insurance during the
study period.
Among those who were uninsured at baseline, 47
percent remained uninsured at follow-up.”
47. Gaba C. SHOW YOUR WORK. ACA Signups. 2016 Mar 28.
http://acasignups.net/16/04/18/show-your-work-healthcare-coverage-breakout-entire-us-population-1-chart
48. Gaba C. SHOW YOUR WORK. ACA Signups. 2016 Mar 28.
http://acasignups.net/16/04/18/show-your-work-healthcare-coverage-breakout-entire-us-population-1-chart
49. Gaba C. SHOW YOUR WORK. ACA Signups. 2016 Mar 28.
http://acasignups.net/16/04/18/show-your-work-healthcare-coverage-breakout-entire-us-population-1-chart
50.
51. Gaba C. SHOW YOUR WORK. ACA Signups. 2016 Mar 28.
http://acasignups.net/16/04/18/show-your-work-healthcare-coverage-breakout-entire-us-population-1-chart
56. Gaba C. SHOW YOUR WORK. ACA Signups. 2016 Mar 28.
http://acasignups.net/16/04/18/show-your-work-healthcare-coverage-breakout-entire-us-population-1-chart
57. Gaba C. SHOW YOUR WORK. ACA Signups. 2016 Mar 28.
http://acasignups.net/16/04/18/show-your-work-healthcare-coverage-breakout-entire-us-population-1-chart
130. above: premium subsidies
monthly bill
400% FPL
CSR: deductibles, copays, coinsurance
out of pocket, based on use
250% FPL
only Silver+ (not cheaper Bronze)
CSRs