Chapter
Cost—Growth in Health Care Spending Is Unsustainable for Families, Businesses, and the Federal Government
Quality—Poor Return on Our Huge Investment
What Americans Want from Their Health Care System
Baucus Principles: The Vision for Our Health Care System
II. BAUCUS PLAN: INCREASING ACCESS TO AFFORDABLE HEALTH COVERAGE
A. Individual Responsibility
B. Strengthening the Employer-Based System
C. Guaranteed Access to Affordable Coverage for Individuals and Small Businesses
Health Insurance Exchange
Independent Health Coverage Council
Small Business Tax Credit
D. Strengthening Public Programs
Phase Out of Disability Waiting Period
State Children’s Health Insurance Program (CHIP)
Health Care for Native Americans and Alaska Natives
E. Focusing on Prevention and Wellness
Guaranteed Access to Clinical Preventive Services and Referral to Community Resources
Coverage for Prevention in Federal Health Programs and Private Plan Options
A National Focus on Wellness
F. Addressing Health Disparities
III. BAUCUS PLAN: IMPROVING VALUE BY REFORMING THE HEALTH CARE DELIVERY SYSTEM
A. Strengthening the Role of Primary Care and Chronic Care Management
Ensuring Accurate Payments for Primary Care Services
Additional Payments for Primary Care Provider
Patient-Centered Medical Home
Community Health Centers and Rural Health Clinics
B. Refocusing Payment Incentives toward Quality
Hospital Quality Reporting and Next-Generation Quality-Based Payment Reforms
Physician Quality Reporting Initiative
Provider Feedback Program and Episode Groupers
Quality Improvement for Other Providers and Private Plans
Reforming the Sustainable Growth Rate Formula
C. Promoting Collaboration and Accountability
Reducing Hospital Readmissions
Physician Group Practice Demonstration and Accountable Care Organizations
D. Health Care Infrastructure
Comparative Effectiveness Research
Health Information Technology
IV. BAUCUS PLAN: FINANCING A MORE EFFICIENT HEALTH CARE SYSTEM
A. Fraud, Waste, and Abuse
B. Increased Transparency
Physician-Industry Relationships
Cost and Quality Transparency
C. Medical Malpractice Reform
D. Private Insurance Plans in Medicare
E. Long-Term Care Services and Supports
F. Tax Incentives for Health Coverage
APPENDIX LIST OF ABBREVIATIONS
Chapter 2:
CHALLENGES FOR HEALTH-CARE REFORM*
CHALLENGES FOR HEALTH-CARE REFORM
Reforming America's Health Care System
( Health Care Issues, Costs and Access )
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