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

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Presentation transcript:

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

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

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

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

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

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

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

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

Quality QFP Metrics HIT

KEEP CALM AND KEEP MOVING FORWARD

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