Net Impact of Insurance Exchange Options on Federal Budget and National Health Expenditures, 2010–2020   Option 1 Public Plan at Medicare Rates Option.

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Net Impact of Insurance Exchange Options on Federal Budget and National Health Expenditures, 2010–2020   Option 1 Public Plan at Medicare Rates Option 2 Intermediate Rates Option 3 Private Plans Bending the Cost Curve Innovative payment reform +++ ++ + Leveraging purchasing power Incentives to drive high-value care Reducing Administrative Waste Insurance Providers Choices and Stability of Coverage Affordable Coverage and Care Federal Budget Cost, 2010–2020  $112 billion $232 billion $360 billion Total Health System Savings, 2010–2020 $2.993 trillion   $1.969 trillion $1.186 trillion THE COMMONWEALTH FUND Note: 0 = no significant improvement; + slight improvement; ++ = moderate improvement; +++ = large improvement. Data: Estimates by the Lewin Group for The Commonwealth Fund.