Health Care Reform:
Another time around
Andrew D. Hyman
NAMI 2008 Annual Convention
June 16, 2008
What I’ll cover:
•
RWJF – what we do
•
Prospects for Reform
•
What’s in store for 2009 (and beyond)
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About RWJF
Mission: To improve the health and
health care of all Americans
Some stats*
• Total Assets―$10 billion
• Total Grants and Contracts Awarded—823
• Total Active Grants—2,191
*January 1 - December 31, 2007
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RWJF’s Areas of Focus:
•
Reverse the rise of
childhood obesity
•
Drive higher quality
and greater equality
•
Improve our public
health system
•
Expand health
insurance coverage
•
Build Human
capital
•
Improve outcomes for
Vulnerable Populations
•
Pioneer/Innovation
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Why Coverage Matters
• Harm to the individual




Fewer preventive services
Foregone needed medical care
Poor outcomes
Higher risk of death
• Harm to the family
• Harm to the community
• Harm to the health care system
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Coverage Programming
Maximizing
Enrollment
State
Expansions
Federal
Reform
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Coverage Programming
Federal
Reform
Goal: to protect, inform, advance, and sustain the debate
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Ingredients of Health Care Reform
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Ingredients of Health Care Reform
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Some other ingredients
• Crisis
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The Crisis
• 8 out of 10 uninsured from working families
• Number of UNDERinsured.
• Vulnerability of middle class.
• Cost
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Some other ingredients
• Crisis
• Public opinion polls
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2007-2008 Ranking of Issues
Thinking about the campaign for the presidential election in 2008, what two issues
would you most like to hear the presidential candidates talk about?
60%
50%
49%
45%
46%
40%
45%
44%
39%
41%
42%
38%
Iraq
32%
30%
20%
31%
31%
27%
Health Care
28%
Economy
19%
22%
19%
23%
23%
15%
13%
10%
0%
Mar-07
Jun-07
Aug-07
Oct-07
Dec-07
Feb-08
Apr-08
Source: Kaiser Family Foundation. “Kaiser Health Tracking Poll: Election 2008” (April 2008).
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2008 Economic Issue Rankings
Which of these is the single most important economic issue facing you and your
family?
30%
25%
24%
23%
20%
16%
15%
12%
8%
10%
5%
0%
Health Care
Costs
Inflation
Price of
Gasoline
High Taxes
Problems
Getting GoodPaying Job
Source: The Washington Post. “The Washington Post-ABC News Poll,” (January 2008).
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Some other ingredients
• Crisis
• Public opinion polls
• Bipartisan interest
• Strange Bedfellows
• Impact on business and economy
• Some state success
• Momentum
• Experience of past failure(s)
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Elements of Reform
• Cost containment
• Health information technology
• Quality
• Payment reform
• Coverage expansions/mandates
• Financing
• Risk pools/insurance reform
• Benefit design
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Contact information
Andy Hyman
ahyman@rwjf.org
609-627-5764
Nathaniel Hyman
nrhyman@gmail.com
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