Transcript Slide 1

What won’t health care reform do for Medicare
recipients?
• Health care reform will not ration health care for
Medicare recipients.
• It will not limit Medicare recipients’ care or
choice of doctors.
• It will not encourage euthanasia.
Fight back against these lies and scare
tactics designed to protect insurance
companies, not Medicare recipients.
Call your Senators and Representatives and tell
them you want the protections in the HELP Bill
and HR 3200. Tell them you want Medicare to
benefit from health care reform.
Senator Kay Hagan (D-NC): 701 Green Valley Road
Suite 201, Greensboro, NC 27408; Phone: (336) 3335311 or 310 New Bern Ave., Raleigh, 27601. Phone
(919) 856-4630
Senator Richard Burr (R-NC): 2000 West First
Street Suite 508, Winston-Salem, NC 27104; Phone:
(336) 631-5125 or (800) 685-8916
Representative David Price (D-NC): NC Mutual
Building,411 W. Chapel Hill Street, 9th Floor, Durham,
NC 27701 Phone: 919.688.3004
This flyer prepared for Durham for Obama Health Care Group 2009
What will health care reform do to Medicare?
If you rely on Medicare, here's how health care
reform will affect you:
Health care reform will improve access to
primary care.
• Medicare will reward doctors for taking better
care of you, providing services that make sure
you get "accessible, continuous, coordinated, and
comprehensive care.”
• Right now primary care doctors don't get paid for
the time they spend helping you make decisions
and helping to coordinate your care across
multiple specialists. Who pays attention to
whether your medications from one doctor work
with the ones given to you by another? Under
health care reform, doctors who take the time to
help patients in these ways will qualify for higher
reimbursement rates and a five percent payment
bonus.
• For the first time, doctors will also get paid for
helping you with advanced care planning like
preparing a living will and identifying someone to
make medical decisions for you if you are unable
to. These are important protections for a
seriously ill patient's wishes and well being.
Health care reform will decrease out-of-pocket costs
for everyone.
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There will be no more co-pays for preventive care.
The donut hole in coverage for prescription drugs will
decrease gradually over 10 years. And drug companies
will be required to charge no more than 50% of the
cost for any drugs you need while you are in the donut
hole.
• If your major source of income is Social Security, you
will be able to quality for a low income subsidy for all
Medicare-related costs.
Health care reform will give individuals who have had
a kidney transplant a chance for a better life by paying
for immunosuppressant drugs as long as a person
needs them.
• Right now, Medicare only pays for immunosuppressant
drugs for three years, even though you need these
drugs for the rest of your life in order to keep a kidney
transplant. If you don't have another way to pay for
these drugs, you must go on dialysis, which Medicare
will pay for. This is the primary reason that the US has
poor survival rates for people with kidney transplants.
Health care reform will try to improve quality of care in
a number of different ways:
Health care reform will hold Medicare Advantage
Programs to the same standards as regular Medicare
fee for service programs.
• Right now Medicare Advantage providers are paid
according to how many people are on their rolls, not for
what services they offer or how well-cared for these
patients are. As a result, Medicare Advantage
providers make more money if they give you less care.
This is what health care reform wants to change.
• Medicare Advantage programs will no longer be
allowed to charge higher co- pays than regular
Medicare programs.
• There will be financial incentives for programs to
provide better services, and you will be able to get
better information about which programs are of high
quality and improved quality, and which are not.
• Medicare Advantage Plans and Prescription Drug
Plans that provide false information and misleading
advertising to consumers will be faced with penalties
high enough to change these practices.
• Hospitals will be held accountable for increasing quality
of care in two ways: decreasing hospital-based
infections and decreasing re-admissions by making
sure patients are really ready to leave before
discharging them.
• The Secretary of HHS will set national priorities for
improvement and hold doctors, hospitals, nursing
homes and other health care facilities accountable for
meeting new patient-centered and population-based
quality measures. These will be phased in slowly,
giving everyone a chance to meet them.
• Pilot projects will be set up to try out ways of delivering
services that some researchers believe will be more
effective -- like individual and community medical
homes.
• Research will be funded on the comparative
effectiveness of different ways of treating a medical
problem, so that we have the information we need to
evaluate treatments a doctor proposes and choose the
best one for us.