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introtohealhpolicyppt.ppt
- 1. NATHANIEL SCHLICHER, MD, JD L E G I S L A T I V E A D V I S O R E M E R G E N C Y M E D I C I N E R E S I D E N T S ’ A S S O C I A T I O N E M E R G E N C Y M E D I C I N E R E S I D E N T W R I G H T S T A T E U N I V E R S I T Y A T T O R N E Y A T L A W J O H N S O N , G R A F F E , K E A Y , M O N I Z & W I C K , L L P Introduction to Health Policy
- 2. Why Are You Here? Maybe… Cool Location Meet and Greet Program Paid For it Or Maybe… Want to Make a Difference Want to Guide Change Care about an issue
- 3. History of this Program Where We Were Resident Focused Track Chair’s Challenge Social Reception to Meet the Leaders What We Have Added Added First-Timers from YPS Section of ACEP Integrated Media Training Roundtable discussions
- 4. Today’s Speakers 1:00 – 1:40 Introduction Nathaniel Schlicher, MD, JD 1:40 – 2:20 Health Care Economics James Eadie, MD, FACEP 2:20 – 3:00 Current Issues Jennifer Wiler, MD, MBA
- 5. Afternoon Agenda 3:00 – 4:00 Roundtable Discussion 10 Hot Topics 4:00 – 6:00 Media Training Speakers Bureau Pre-Requisite 6:15 – 7:15 Reception Cocktails and Networking
- 6. Objectives What is Advocacy? Legislative Process Health Care Reform Medical Malpractice Reform Getting Involved
- 8. SPEAKING FOR A CAUSE, OFTEN FOR A VULNERABLE PERSON Advocacy is…
- 9. US!
- 10. What is Advocacy to You? Calling Consultants Getting that Test Free Care for All Hospital Boards Medical Staff Meetings Overcrowding Solutions State Laws Regulations Federal Policy Reimbursement
- 11. EMTALA Why should we care?
- 12. $138,300 / year per ER Physician $12, 300 / year Average Physician
- 14. We Need a Seat at this Table! President Obama’s Health Reform Summit
- 15. Now Do you Care?
- 18. The Start Bill is Introduced Referred to Committee Referred to a Subcommittee Bart Gordon (HR 1188) Energy and Commerce Ways and Means Subcommittee On Health in both Committees
- 19. The Hearings Subcommittee Hearings Report out or Table it Committee Hearings Report out or Table it Full Chamber Considers Approve, Defeat, Refer Back, or Table it Second House Consideration
- 20. The Home Stretch Compromise Amendments referred back to original chamber Conference committee Presidential Consideration Sign Veto No Action Pass Pocket Veto
- 22. The Rationale 46 million uninsured 1 in 3 Americans under 65 without health insurance in 2007/2008 Bankruptcy every 30 seconds from medical costs 72% of Americans favor increasing government control on costs
- 23. Obama Campaign Plan EHR 10 billion over 5 years Increased Prevention Align incentives for excellence – PQRI Malpractice insurer reform Competitive Insurance National Health Ins. Exch. SCHIP Expansion Eliminate Medicare Advantage Negotiate Drug Prices Tax Credits
- 24. Moments of Pause Expanded Pay for Performance SGR like cuts are likely More Medicaid or Medicare unclear Decrease specialist utilization via incentives
- 25. Funding the Plan Stimulus Bill 17 billion for EHR 60% subsidy for COBRA 87 billion for 2 years of Medicaid 50-65 billion / year via Tax cut rollbacks on >$250,000 Keep the Estate Tax 634 billion over 10 years Reduced deductions Medicare Advantage gone Provider cuts
- 26. The Wrinkle Cost: $1.5 Trillion / 10 years Areas of Savings: Physicians Hospitals Insurers Drug Companies
- 27. Hope and Change Allocation for SGR Reversal in 10 year plan “Restructuring” of payments to physicians Can We Get a Bailout?
- 28. Tort Reform
- 29. Why? Insurance Premiums $26 billion annually 12% / year growth rate Cases more expensive 52% exceed 1 million Average verdict 4.7M Defensive Medicine?? $70-124 billion estimates
- 30. What are the issues? Malpractice Caps Statute of Limitations Statute of Repose Attorney Fee Limits Expert Witness Qualifications
- 31. Where We Stand
- 33. Data from the CBO (2004) Caps improved costs Decreased costs of health insurance Decreased cost of malpractice coverage Increased insurance premiums Increased physicians Collateral Source Reform Limited decline
- 34. Many Issues Remain State or Federal Issue? Clumping of tort reform Stigma of greed Powerful Plaintiff Bar
- 35. Getting Involved
- 36. EMRA 35th year of existence 8457 Members 33% of all ACEP Health Policy Committee Legislative Advisor Advocacy Handbook
- 37. ACEP Projects 911 Network Speakers Bureau Access to Emergency Medical Services Act of 2009 S. 468 / H.R. 1188 Jen Wiler
- 38. ACEP Committees Federal Governmental Affairs Committee State Legislative / Regulatory Committee Medical-Legal Committee
- 39. NEMPAC Election Cycle 2 years 2 million dollar goal Ranking 1 – Anesthesiology (3.12M) 2 – Orthopaedics (2.37M) 3 – Radiology (1.70M) 4 – Ophthamology (1.69M) 5 – Emergency Med (1.68M) Give-a-shift Goal $1000 / attending $100 / resident
- 40. You May Be Involved But… Rally your group / residency / friends Give a Lecture / Journal Club on Advocacy Become a Spokesperson Give your Time and Money
- 41. 2009 EMRA ADVOCACY HANDBOOK Want More Information?
- 42. Thank Yous Anthony Foianini, MD, Maine Medical Center, Portland, ME Christopher S. Jones, MD Eastern Virginia Medical School, Norfolk, VA Eric Goralnick, MD Yale New Haven, New Haven, CT Daniel Freess, MD University of Connecticut, Farmington, CT George Leach MD Emory University, Atlanta, GA Edwin F. Lopez, MD Sinai-Grace Hospital, Wayne State University, Detroit, MI Chet Schrader, MD Washington University in St. Louis, St. Louis, MO Michael Dorrity, MD MSU-Sparrow Hospital, Lansing, MI Erin E. Schneider, MD Oregon Health and Science University, Portland, OR
- 43. Thank Yous Kaedrea Jackson, MD, MPH SUNY Downstate Medical Center, Kings County Hospital Center, Brooklyn, NY Malika Fair MD, MPH Carolinas Medical Center, Charlotte, NC Stephen Tantama, MD Naval Medical Center San Diego, San Diego, CA Thomas Masters, MD Wright State University, Kettering, OH Jamie “Akiva” Kahn, MA, MSIV University of California at Irvine, Irvine, CA Marisa L Oishi, MD Mount Sinai School of Medicine, New York, NY Jawad Kassem, MD SUNY Upstate Medical University, Syracuse, NY Yogin Patel, MD, MBA Apollo MD, Atlanta, GA
- 44. Upcoming Advocacy Events Advocacy Webinar – May 21st at 2pm EST Target Audience – Junior Faculty Speakers – Nathan Schlicher and Gordon Wheeler ACEP Blog: Thecentralline.org Rotating Bloggers Twittering with LAC Emresidents LAC09
- 45. Take Away Points Advocacy is a core competency for us Get involved, we need you! Medical Malpractice Liability Reform may live Health Care Reform Details Coming Soon! Stay involved
- 47. Thank you!
Notes de l'éditeur
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