Post on 22-Jan-2015
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2. 3. Pushed Out by Rising Insurance Costs Cumulative Changes in Health Insurance Premiums, Inflation, and Workers Earnings, 1999-2008 Source:Kaiser/HRET Survey of Employer-Sponsored Health Benefits, 2000-2008.Bureau of Labor Statistics, Consumer Price Index, U.S. City Average of Annual Inflation (April to April), 2000-2008; Bureau of Labor Statistics, Seasonally Adjusted Data from the Current Employment Statistics Survey, 2000-2008 (April to April).Growth In Healthcare Insurance Costs Are Now Making Affordability Difficult for Individuals and Small Businesses 4. Patient Protection and Affordable Care Act - March 23, 2010 5. National and State Healthcare Legislation
6. Medicare & Medicaid Payment Cuts
7. Louisiana Medicaid Inpatient Hospital Payments Compared to Medical Care Inflation 19972.6% MCD rate increase2001$25 million appropriated for 2.5% MCD rate increase 2006$38 million appropriated for 3.8% MCD rate increase 2007$33 million appropriated for 4.75% MCD rate increase 20093.5% mid-year reduction in Feb & 6.3% IP / 5.65% OP reduction in Aug (approximate $90 million total impact to hospitals including outlier reductions) 20105% mid-year reduction in Feb (approximately $50 million impact to hospitals) & 4.6% estimated reduction passed in recent state budget ( estimatedimpact of $46 million at present pending additional data) Medical Care CPI projected for 2009 and 2010 using average of the three previous years; Medicaid Enrollment Increases for 1995 and 1996 based on average of three subsequent years; Medicaid Enrollment Increases for 2009 and 2010 based on average of three previous years 8. State of Louisiana Burdens UnderNational Health Reform
9. Nursing Home Quality Initiative CMS Updates Hospitals on HCAHPS New Multi-Million Dollar Initiative to Reward Doctors and Hospitals for Higher Quality Care 10. 11. HCAHPS - % of time patient chose"Always" 12. Quality is BecomingTHEStrategic Initiative
13. Affordable Care Act Value Based Purchasing Rule
14. Example: Hospital Readmissions
15. Opportunity vs. Danger 16. Recognizing Opportunity as a means to achieve Excellence
17. Culture of Performance Improvement
18. Risk-adjustedMortality Ratios Coronary Artery Bypass Surgery Valve Replacement Surgery Coronary Interventional Procedures Acute Myocardial Infarction Congestive Heart Failure 19. Business Model Change 20. Strategic Initiatives for Improving Clinical Outcomes
21. Strategic Initiatives for Improving Clinical Outcomes
22. Physician Integration
23. Achieving True Healthcare Reform 24. Health & Wellness Leader
25. National Recognition Award Winning Care