1. PPACA and Innovation National Forum Annual Meeting Dave Zook October 2012 ©2012 Faegre Baker Daniels LLP. All rights reserved 1

2. PPACA and Innovation How many times are the terms “demonstration” and “pilot” used in PPACA? Demonstration - 312 Pilot - 80 2 ©2012 Faegre Baker Daniels LLP. All rights reserved

3. PPACA & Innovation: Center for Medicare & Medicaid Innovation 3 ► ACOs, Bundled payment ► Comprehensive primary care, Readmissions ► Million Hearts ► Innovation Challenge projects such as: ► Southwest Colorado cardiac and stroke care ► Louisiana comprehensive stroke care model

4. Prevention & Public Health Fund: $10 billion over 10 years 4

5. Prevention & Public Health Fund: $450 million for Research & Data through FY2013 5

6. PPACA & Innovation: Patient-Centered Outcomes Research Institute 6 ► Research agenda ► Assessment of prevention, diagnosis, and treatment options ► Improving healthcare systems ► Communication and dissemination research ► Addressing disparities ► Accelerating outcomes research ► Pilot projects underway ► Development and pilot of three patient decision aids for implanted defibrillators, Univ of Colorado

7. PPACA & Innovation: More Fuel or Wet Blanket? 7 ► Exchanges ► Medicare Prevention & Wellness ► Fees and taxes

8. Possible 2012 Election Outcomes 8 GOP Sweep (20%) GOP Sweep (20%) Balance (30%) Balance (30%) Gridlock (40%) Gridlock (40%) DEM Sweep (10%) DEM Sweep (10%) (R) White House (R) Congress (D) White House (R) Congress (D or R) White House Split Congress (D) White House (D) Congress ©2012 Faegre Baker Daniels LLP. All rights reserved

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10. Impact on PPACA Provisions 10 GOP Balance Individual Mandate Gridlock DEM = Substantially same= Some change= At-risk; substantially changed= Repeal Insurance Reform Exchanges Premium Subsidies Medicaid Preventi. Fund C/E Delivery Innovation Employer Mandate ©2012 Faegre Baker Daniels LLP. All rights reserved