HealthCare.gov is a consumer website, through and through -- in look, feel, content, and user...

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HealthCare.gov is a consumer website, through and through -- in look, feel, content, and user experience. It’s all about you.

Learn about your rights, how to navigate the insurance market, and how the new law will help you – tailored to your life situation, and drawing

from 500+ pages of content written for the site

We gather user feedback throughout the site and will utilize it to continually improve HealthCare.gov

Our powerful insurance options finder is simple and easy to use. Just answer a few questions…

In addition, get the latest information about new benefits and resources provided by the Affordable Care Act.

Access the latest prevention tips…

… and information about quality of care – both areas of the website which will grow significantly over time.

Selected Key Cost Containment Strategies in the Affordable Care Act

• - Reduces the number of hospital readmissions.

• - Reduces hospital acquired conditions.

• - Bundling payments for ESRD

• - Improves physician quality reporting

Ten-Year Cost Savings

• $3.2 billion

• $1.7 billion

• $1.9 billion

• $8.2 billion

Improve the quality of care

Reform our delivery system

• - Promotes Accountable Care Organizations

• - Establishes the Independent Payment Advisory Board (IPAB)

Ten-Year Cost Savings

• $4.9 billion

• $23.7 billion

Appropriately price services and

modernize financing systems

• - Ends overpayments to Medicare Advantage plans

• - Makes improvements to productivity and market basket adjustments in most provider settings.

• - Modifies payments for advanced imaging services

• - Further expands competitive bidding for Durable Medical

2010-2011 Cost Savings

Ten Year Cost Savings

$5.3 billion $145 billion

$1.4 billion

$0.1 billion

$0.5 billion

$205 billion

$2.0 billion

$17 billion

Fight waste, fraud, and abuse

• ExpandsRecovery Audit Contractors (RACs)

• Requires face encounters with physicians before receiving certain services

• Requires greater data matching capabilities

• $4.9 billion cost savings over ten years

Payments to Medicare Advantage Plans

• Frozen in 2011

• Benchmarks vary

• Phased in over 3, 5, or 7 years

• MA benchmarks reduced in 2012

• By 2014, 85% of funds plans receive must go to health care

14

ACASection

3203

Authority to Deny Plan Bids

Secretary not required to accept any or every bid submitted by an MA organization

Secretary can deny a bid– Proposes significant increases in cost-sharing or – Decreases benefits offered by the plan

Applies to bids from prescription PDP sponsors Effective for contract years on/after

January 1, 2011  ACA

Section 3209