Embed Size (px)
DESCRIPTION
Introduction to the new health laws! A PPT for audiences that have average literacy (7-8th grade reading level). Actually, I showed it to a group of people with post-grad education, and they liked it. You will too. Please customize it freely and use your name if you want to present it to others. You're welcome to give me constructive feedback so I can continue to evolve it.
Citation preview
Note about this presentationJoel Weddington MD
This PPT follows Enroll America’s directions on how to reach audiences that have average literacy, or 8th grade reading level. It also follows many framing principles of Herndon Alliance, and observes important research from the RWJF. I presented (20-25 min) to one dozen people with known average literacy, or slightly above or below, (my assessment of family and friends), and had positive reactions but rare questions. Nobody complained, fell asleep, or left. A second group of 25 people (including some friends), many having post-grad degrees, doctor, lawyer, PhD and Masters, had many questions, some beyond the scope of the presentation. I was able to answer them on their level, and had resources tabled for those who might want more. There were several unsolicited positive comments (30 minutes). No one appeared distracted or inattentive. I will continue to monitor general audience reaction to this PPT. My sample size is too small for meaningful surveys, however I will participate in a larger scale study if it is set up. Important resources:
www.herndonalliance.org
Research shows that poor framing of health care reform risks making audiences apathetic, uncomfortable, and intimidated. Worse, it may repel them.My co-speaker presented 45 minutes of wordy and detailed ACA slides to the educated group. However, in my opinion she is equivalent to a professional speaker, and kept the audience captivated despite the slides. Any comments about this PPT are appreciated, as I will continue to refine it and use it as a template for more specific audiences. Also “Thinking Points” by Lakoff is a decent manual for message framing. I can send these as email attachments for those interested.
Enroll_America_BuildingBlocks_11www.enrollamerica.org
RWJF-HCconsumersFEESwww.rwjf.org
SPEAKER’S AGENDA
Redwood City, 1/28/2012 www.coalitionfor2014.org
Time 1 Introduction to the new health lawJoel Weddington, M.D.Doctors For America
Time 2 Presentation titleSpeakerOrganization or title
Time 3 Presentation titleSpeakerOrganization or title
Time 4 Q&A
If you would like to receive further information please give us your email address.
Presents
America’sNew Health Plan
Health Care Town Hall Speakers
Additional speaker logo here
Health Care AdvocatePartners
patientslikeme
We have a New Mission for 2012:Educating One Million Americans about the
Affordable Care Act!
We met with President Obamaat the White House.
This is Dr. Murthy, one of our co-founders, and a few of our many other members.
The President signed the bill for the Affordable Care Act In March, 2010
Now it’s time for everyone to learn about the new benefits and
How to Enroll
America’s new health careplan is called
Because it will make it possible for 32 million more people to get health care
and see their doctors!
The Affordable Care Act
THE WHITE HOUSE SAYS
The Affordable Care Act puts in place comprehensive health insurance reforms that will hold insurance companies accountable, lower costs, guarantee choice, and enhance quality health care for all Americans.
http://www.whitehouse.gov/healthreform/timeline
NO MORE INSURANCE DENIALS WITH MEDICAL CONDITIONS IN CHILDREN
Taylor was a six year old girl who had surgery for a bad kidney.
Her insurance plan would only cover half the cost.
Then it became so expensive her parents had to drop it. She couldn’t afford to see the doctor.
When she was 13, her kidney was so damaged it had to be removed.
The Affordable Care Act forces the insurance to pay for her care, and now she can see her doctor.
Taylor’s doctor is a member of Doctors For America (Nguyen)
KELLY WAITED 16 HOURS TO GET HER BROKEN ARM FIXED
The local hospital wouldn’t take Medi-Cal so Kelly was transferred to the county hospital.
The entire process took 16 hours before she could get her broken arm fixed.
How will the ACA help her now?
Kelly’s doctor is a member of Doctors For America (Weddington)
A 23 year old woman developed abdominal pain so her father referred her to a doctor.
A surgeon had to take her appendix out, but everything went well. She went home the next day.
A young lady with appendicitis
This young lady’s physician is a member of Doctors For America (Nguyen)
Here are the costs for her medical careafter the insurance payments!
Service Charges Payments Amount Due
Hospital bill $11,800 $1,500 -$10,300Surgeon $3,600 $1,800 -$1,800Anesthestist $1,800 $900 -$900Pathologist $350 $120 -$230Radiologist $120 $60 -$60ECG reading $75 $30 -$45
Total $17,745 $4,210 -$13,335
SO HOW IS THE ACA GOING TO FIX THIS?
Subsidies or credits for low & mid income families will limit costs, and…
There will be a cap on out-of-pocket costs, so no one goes into major debt or bankruptcy, and….
What about kids who turn 19 and get kicked off their parent’s health insurance?
ACA: children stay on parents’ plan to age 26
2.5 MILLION young adults have already been signed up for this new program.
That’s more people than in many large cities
Calculators don’t even have that many zeros!
HC cost pie
We figured out it cost $2.5 Trillion for health care in the U.S. last year
How are we going to pay forall this new health care?
We’re going to make insurance companies compete
against each other. They will have to lower prices to
attract customers.
We are going to catch people who commit fraud and
cheat the system. This will save billions and billions of
dollars.
We will use preventive care so people don’t get so
sick. Then they won’t need such expensive treatments.
People with high incomes will pay more for Medicare.
We can actually save money in the long run
By following a plan that’s fair to everybody. Here’s a few ways:
WHAT’S HAPPENING TO OUR SENIOR CITIZENS ON MEDICARE?
Many people on Medicare have to skip or ration their medications, because they’re so expensive.
With the Affordable Care Act help is on the way. Seniors are getting a $250 rebate and a 50% discount to afford
prescription drugs, and it’s going to get even better over the next few years.
Members of Doctors For America provide care for thousands of seniors.
What’s the deal with Medicare Part D and the “Doughnut Hole”?
Over the next few years the ACA is
going to close that Doughnut Hole!
DO YOU KNOW THAT SENIORS ON MEDICARE CAN GET FREE CHECKUPS?
That’s one free wellness visit every year.
Some Doctors For America members are seniors too.
This is the time to sit with your doctor and ask questions about your medical problems.
You will get guidance and ways to seek better health.
MORE BENEFITS FOR SENIORS COMING FROM THE AFFORDABLE CARE ACT
Further preventive care will be provided, such as mammograms and cancer screening with no additional costs
Some Doctors For America members are seniors too.
Protect the ACA! Politicians who are trying to repeal it will take away these benefits
The ACA and Women
More security for your family: Working families cannot be denied coverage due
to a pre-existing condition
Cannot lose their coverage or be forced into bankruptcy when someone gets sick.
The ACA and Women
Insurers can’t charge women more than men for the same coverage
Birth control and contraceptives provided at no cost
Coverage for maternity carewill be required.
My job covers my medical insurance
More and more, employees are finding they cannot afford the insurance their employer offers.
Skimpy coverage - the employee goes broke when they get a serious injury or illness.
The largest private employer in the U.S. is cutting health care benefits by 50%.
This will affect over 1 million employees
Walmartization
My job doesn’t give me any good medical benefits
In the ACA, employers who don’t offer health benefits and make employees receive public funds or Medicaid, will pay a penalty.
This should help ensure those employers do not take advantage of American taxpayers.
THE AFFORDABLE CARE ACT LOOKS GOOD. WHY CANT WE GET ALL OUR BENEFITS NOW?
THERE’S POLITICS! SOME COMPLAIN THE GOVERNMENT WILL HAVE TOO MUCH CONTROL OR
THAT WE CAN’T AFFORD IT.
BUT INSURANCE PLANS AND DRUG MANUFACTURERS AREN’T HELPING! THEY ARE MAKING UNFAIR PROFITS.
How 38 Million CaliforniansGet Coverage Now
• Employer-Based CoverageAround Half, 18-19 Million
• Public Programs: About a Third (10-11 million)
Medicare: 4 million
Medi-Cal: 7.7 million• Healthy Families: Nearly 1 million
• Individual Insurance MarketAbout 5% (around 2 million)
• Uninsured: Around 7 million
Class was just dismissed – An entire title of the ACA is gone
However, it’s not a done deal. We’ve just lost our “CLASS ACT”
Community living assistance services and support.This was for seniors to receive assistance to help them live alone at home.
WILL YOU HELP US SHARE THE NEWS ABOUT THE ACA?
WE NEED YOUR HELP TO SUPPORT THE NEW HEALTH PLAN
WWW.HEALTHCARE.GOV
2010 Prohibits Insurance from Dropping Coverage Children with pre‐existing conditions get
coverage. Dependent children must get coverage up to
age 26. No limits on benefits because of customers'
illness. Medicare part D doughnut hole will begin to
close.
2011 Brand‐name drugs in the Medicare Part D
coverage gap are discounted by 50 percent. Medicare Advantage payments frozen at 2010
level. Medicare free annual wellness visits start. CLASS Act
2012 Linking Payment to Quality Outcomes. Encouraging Integrated Health Systems- ACOs .A phased‐in reduction of Medicare Advantage
payments relative to current levels begins.
2013 Improving Preventive Health Coverage. Increasing Medicaid Payments for PCPs. Expanded Authority to Bundle Payments. Additional Funding for CHIP.
2014 Most individuals are required to get health
insurance Establish State‐based health insurance exchanges
Premium tax credits become available for some
Insurance plans can’t exclude pre‐existing conditions.
Employers who opt not to provide coverage will pay an annual fee of $2,000 for each full‐time employee.
2015 Paying Physicians Based on Value Not Volume Electronic systems for processing claims,
payments
2017 State insurance exchanges ok for large
employers
2018 40% excise tax on high‐cost health plans.
2019 32 M more Americans are supposed to be
insured 2020
The discount on brand‐name drugs for Medicare recipients rises, closing the "doughnut hole."
End of ACA presentation for low to average literacy audience. Customize to fit speakers,
location, partners, patient examples. Consider handouts and speaking as ways to reach
additional groups.
Joel Weddington [email protected]
