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Improving the lives of older Americans Straight Talk Webinar WELCOME This session will begin promptly at 3:30pm EST Please mute your phone To hear the.

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Presentation on theme: "Improving the lives of older Americans Straight Talk Webinar WELCOME This session will begin promptly at 3:30pm EST Please mute your phone To hear the."— Presentation transcript:

1 Improving the lives of older Americans Straight Talk Webinar WELCOME This session will begin promptly at 3:30pm EST Please mute your phone To hear the audio, please dial x The moderator will be on the line shortly

2 Improving the lives of older Americans Straight Talk for Seniors: How Will Health Care Reform Change Your Health Care? September 2010

3 © National Council on Aging A non-profit service and advocacy organization Improving the lives of older Americans since 1950 National Council on Aging (NCOA) Enhancing Economic Security Improving Health Strengthening Community Organizations

4 © National Council on Aging A non-profit service and advocacy organization Our Goal Today Just the Facts, Maam. Just the Facts.

5 © National Council on Aging A non-profit service and advocacy organization Just the Facts About…. The A-B-C-Ds of Medicare Health Reform Changes to Medicare Finances How Health Reform Changes Affect YOU

6 © National Council on Aging A non-profit service and advocacy organization The ABCDs of Medicare 1

7 © National Council on Aging A non-profit service and advocacy organization Medicare is Difficult to Understand!

8 © National Council on Aging A non-profit service and advocacy organization The A-B-C-Ds of Medicare Part A – Hospital Insurance Inpatient care, including skilled nursing Paid for by payroll taxes Concerns about future solvency

9 © National Council on Aging A non-profit service and advocacy organization The A-B-C-Ds of Medicare Part B - Outpatient Health Insurance Pays for additional medical services (like doctors visits, diagnostic tests, and outpatient care) Financed 75% by general revenues, 25% by monthly premiums ($96.40 or $ in 2010)

10 © National Council on Aging A non-profit service and advocacy organization The A-B-C-Ds of Medicare Part C - Medicare Advantage (MA) Private health plans (e.g. HMOs and PPOs) that deliver Medicare services 24% of Medicare recipients are in MA C

11 © National Council on Aging A non-profit service and advocacy organization The A-B-C-Ds of Medicare Part D - Prescription Drug Coverage You choose your plan Includes a coverage gap for donut hole Paid for by general revenues 2003 law was not paid for

12 © National Council on Aging A non-profit service and advocacy organization The A-B-C-Ds of Medicare Many believe that rate of spending on Medicare cannot be sustained Medicare spending is increasing faster than the rest of the economy. The number of people with Medicare will grow rapidly as Boomers age.

13 © National Council on Aging A non-profit service and advocacy organization Health Reform Changes to Medicare Finances 2

14 © National Council on Aging A non-profit service and advocacy organization The Basic Math of Medicare Under Health Reform $7.15 TRILLION = Projected total Medicare spending before health reform ( ) $6.75 TRILLION = Projected total Medicare spending after health reform ( ). -$400 BILLION = Net 10-year reduction in overall Medicare spending due to health reform (from 6.8% average yearly increases to 5.7% yearly increases). Net reduction in per capita spending (after inflation) from 4% to 2% annually But Remember: + $500 BILLION = Net 10-year increase in Medicare spending due to 2003 Medicare prescription drug law (not paid for).

15 © National Council on Aging A non-profit service and advocacy organization Questions about Health Reform and Medicare The new law will result in future cuts to your basic Medicare benefits. True, False, Dont Know

16 © National Council on Aging A non-profit service and advocacy organization Financial Changes to Medicare Increased Revenues Higher payroll taxes for wealthy workers ($200/$250,000) Higher Part D premiums for 5% of higher-income Medicare beneficiaries ($85/$170,000) Reduced Spending Slower growth in payments to providers (not doctors) Reduction in over-payments to Medicare Advantage plans Average yearly Medicare spending increases down from 6.8% to 5.7 % overall or from 4% to 2% per person

17 © National Council on Aging A non-profit service and advocacy organization Health Reform Financial Changes to Medicare Medicare solvency extended for 12 more years Increased funding to improve some Medicare benefits

18 © National Council on Aging A non-profit service and advocacy organization What About the Federal Budget Deficit? ! Congressional Budget Offices estimates health reform will save $124 billion over 10 years.

19 © National Council on Aging A non-profit service and advocacy organization How Health Reform Changes Affect You 3

20 © National Council on Aging A non-profit service and advocacy organization Questions about Health Reform and Medicare The health care reform law will cut Medicare payments to doctors. True, False, Dont Know

21 © National Council on Aging A non-profit service and advocacy organization How These Changes Affect YOU Changes in Doctor Payments The law provides a 10% bonus for primary care doctors The law did not address the long-standing problem of future cuts in doctor fees, which has been a problem for more than 10 years, but that Congress consistently delays in separate bills.

22 © National Council on Aging A non-profit service and advocacy organization How These Changes Affect YOU Improvements in Medicare Prescription Drug Coverage $250 Rebate Check for those who hit donut hole 2011: 50% discounts on brand name Rx 2020: Coverage gap completely closed

23 © National Council on Aging A non-profit service and advocacy organization How These Changes Affect YOU Better Preventive Care Free annual wellness visit and prevention plan No more cost sharing – most preventive benefits free More funding for prevention services

24 © National Council on Aging A non-profit service and advocacy organization How These Changes Affect YOU New quality improvements Pilot projects and demonstrations to test better coordination among doctors, specialists, other providers Incentives to reduce hospital readmissions Help so you can manage your own care Better Chronic Care

25 © National Council on Aging A non-profit service and advocacy organization How These Changes Affect YOU Other Improvements Incentive to companies to help keep premiums down for early retirees New protections against elder abuse, neglect, financial exploitation Better training for workers caring for seniors Nursing home quality improvements +

26 © National Council on Aging A non-profit service and advocacy organization How These Changes Affect YOU Greater Access to Medicaid Home and Community Long- Term Care Services Help to stay at home – if your state adopts these important options Financial protections for spouses Program to leave nursing homes Voluntary public long-term care insurance program for full and part- time workers (CLASS)

27 © National Council on Aging A non-profit service and advocacy organization How These Changes Affect YOU What about Medicare Advantage Plans?

28 © National Council on Aging A non-profit service and advocacy organization Question on Health Reform and Medicare Advantage Under the new health reform law, the Medicare Advantage (MA) program will be eliminated. True, False, Dont Know

29 © National Council on Aging A non-profit service and advocacy organization Question on Health Reform and Medicare Advantage Under the new health reform law, Medicare Advantage plans will cut benefits and increase premiums. True, False, Dont Know

30 © National Council on Aging A non-profit service and advocacy organization Reduced Payments to Medicare Advantage Plans M A plans are paid about $1,100 more per person than people in original Medicare (13% higher) Payments frozen in 2011 Beginning in 2012, these overpayments will be gradually reduced

31 © National Council on Aging A non-profit service and advocacy organization How These Changes Affect YOU Changes in Medicare Advantage (MA) Plans? Some plans may eventually reduce extra benefits, increase premiums or even leave the program New bonuses to reward high quality care New consumer protections to limit out-of-pocket costs

32 © National Council on Aging A non-profit service and advocacy organization If you have a Medicare Advantage plan 1. Dont panic, but get informed. 2. Shop around – research your options at 3. Learn if you are eligible for Medicare Savings Programs, Extra Help for Prescription Drugs and/or other benefits (go to 4. You can always return to Original Medicare.

33 © National Council on Aging A non-profit service and advocacy organization How Health Reform Affects Your Children and Grandchildren Children up to age 26 will be covered under their parents policies (2010) No one will be denied coverage because of pre- existing conditions or dropped because they get sick (2011) Insurance Protections

34 © National Council on Aging A non-profit service and advocacy organization How Health Reform Affects Your Children and Grandchildren CBO estimates that 32 million currently uninsured Americans will have health insurance. New tax credits and tools will help contain costs and improve quality – so we all get better VALUE.

35 © National Council on Aging A non-profit service and advocacy organization Five Facts – The New Law Will: 1. Not cut your basic Medicare benefits and it will make some benefits better. 2. Reduce Medicare spending and the federal deficit, and extend Medicares solvency by twelve years. 3. Help people find and pay for long-term care at home. 4. Improve health care for seniors in other ways. 5. Improve coverage and protections for younger Americans with and without health insurance.

36 © National Council on Aging A non-profit service and advocacy organization Our Goal Today How did we do? What questions do you have? Just the Facts, Maam. Just the Facts.

37 Improving the lives of older Americans Straight Talk for Seniors: Will Health Care Reform Change Your Health Care? For more information: MEDICARE Local Health Insurance Counseling Office


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