Transcript EDIFY USA - Estate Planning Council of Greater Miami

EDIFY
Healthcare Reform Update
The Rising
Cost of
Health Care
“The high cost of health care has created a real
burden for the great financial middle class,
composed of self-respecting people who are too
proud to accept free service and too poor to be
able to afford the costly private rooms, highly paid
surgeons, and the expensive laboratory studies
that have done so much to take the guesswork
out of modern medicine and surgery.”
Editorial in the Saturday Evening Post, 1926
History of
U.S.
Health Care
Total Health Expenditures as Share of GDP
United States
Cost Issue
Economic
Disparity
74
Quality Issue
Infant
Mortality
Japan
Hong Kong, SAR
France
San Marino
Australia
Switzerland
Italy
Luxembourg
Austria
Norway
Sweden
Finland
Iceland
Spain
Singapore
Martinique
Canada
Guadeloupe
Puerto Rico
Israel
Macao, SAR
Portugal
Guam
New Zealand
Ireland
Korea, South
Belgium
Germany
Liechtenstein
Netherlands
Greece
United Kingdom
Channel Islands
Taiwan
Malta
Slovenia
United Arab Emirates
St. Barthelemy
St. Martin (French)
Chile
United States
Costa Rica
Reunion
Cyprus
New Caledonia
Denmark
Czech Republic
Poland
Croatia
Albania
Life
Expectancy
Iceland
Hong Kong,
Macao, SAR
Singapore
Sweden
Andorra
Liechtenstein
Finland
Japan
Ireland
Norway
Czech Republic
Slovenia
San Marino
Portugal
Israel
Malta
France
Austria
Belgium
Channel Islands
Greece
Spain
Germany
Switzerland
Denmark
Korea, South
Italy
Luxembourg
Netherlands
Taiwan
Australia
Estonia
United Kingdom
New Zealand
Netherlands
Cuba
Canada
Croatia
Lithuania
Hungary
Belarus
Poland
Martinique
Cyprus
Slovakia
United States
French
New Caledonia
Qatar
88
86
84
82
80
78
76
8
7
6
5
4
3
2
1
0
48
18
46
17.5
44
17
42
16.5
40
16
38
15.5
36
15
34
32
14.5
30
14
1999
Milliions
Percent
1999
38.5
15.8
2000
2000
38.2
15.5
2001
2001
39.5
15.9
2002
2002
41.8
16.6
2003
2003
43.1
17
2004
2004
43
16.8
2005
2005
44.4
17.2
2006
2006
46.5
17.8
2007
2007
45
17.1
2008
2008
45.7
17.3
Uninsured as % of Non-Elderly
Access Issue
Uninsured in Millions
The Growing Uninsured Population
Government
Growth as a
Payer
An Early Rand Study Doesn’t See Improvement
$3,300
$3,100
$2,900
Effect
On
Costs
2%
$2,700
$2,500
$2,300
$2,100
$1,900
$1,700
$1,500
'10 '11 '12 '13 '14 '15 '16 '17 '18 '19
'10
Status Quo
Reform
'11
$1,623
$1,623
'12
$1,722
$1,722
'13
$1,834
$1,834
'14
$1,962
$1,962
'15
$2,104
$2,148
'16
$2,264
$2,341
'17
$2,440
$2,536
'18
$2,631
$2,734
'19
$2,841
$2,951
$3,066
$3,184
•Grandfathered Status
The Top 11
Provisions of
the New Law
That We Get
Questions on
at EDIFY
•Individual Mandate
•Tax Credit for Small Business
•Penalties for Non-Coverage
•Auto Enrollment
•Waiting Period
•Health Insurance Exchanges
•New Reporting Requirements
•No Cost Sharing of Specified Preventative
Health Services
•Restrictions on Reimbursement of OTC Drugs
•Medical Loss Ratio (MLR)
With or without healthcare reform employers
need to have a strategy for the following:
EMPLOYER ISSUES
•Productivity
•Absenteeism
•Presenteeism
•Workers Comp
•Disability
The health status of your employees and their
families will have many indirect effects on your
business. Wellness, Safety, and Chronic
Disease Management are a few of the areas
that you can affect.
EDIFY USA
401 E. Las Olas Blvd.
Suite 1120
Ft. Lauderdale, Florida 33301
235 Central Avenue
Holland MI 49423
P. 954.832.9492
F. 954.832.9863
P. 616.494.8873
F. 616.494.8888