1. Moving Forward: Family Planning in the Era of Health Reform September 2014

2. Hobby Lobby Wheaton College The revised accommodation Medical management Ongoing Changes: Contraception

3. Challenge availability of subsides in federal marketplaces Potential impact on 35 states (including Iowa) Supreme Court likely to decide Ongoing Changes: Premium Subsidies

4. In 2012, 75% of uninsured had incomes < 250% FPL New patients seeking providers Workforce shortage, but also competition More Insurance: More Patients

5. Assess and prepare for changes in patient numbers and payer mix Ensure a positive patient experience Develop plan to measure patient experience Identify systemic problems Implement quality improvements More Insurance: More Patients

6. 3-6 month process on average Have to repeat for different payers CAQH requires attestation every 120 days More Insurance: More Credentialing

7. More Insurance: More Kinds of Plans *Medicaid eligibility for children ages 0-1 is up to 380% FPL, and ages 1-5 is up to 172% FPL; CHIP eligibility for all children is up to 307% FPL.” $23,340 $35,010 $11,670

8. Quality is the (new) buzzword Quality is driving payment reform Measuring and demonstrating quality is key Quality: Payment Reform

9. Quality QFP Metrics HIT

10. KEEP CALM AND KEEP MOVING FORWARD

11. Questions?