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2.08 MB
Extraction Summary
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Quotes
Document Information
Type:
Presentation slides / financial analysis report
File Size:
2.08 MB
Summary
The document consists of two presentation slides from 'USA Inc.' (pages 115 and 116) analyzing the Patient Protection and Affordable Care Act (PPACA). It details Congressional Budget Office (CBO) estimates regarding the costs, savings, and deficit impacts of healthcare reform between 2010 and 2019, citing sources such as the CBO and Morgan Stanley Healthcare Research. The document bears a 'HOUSE_OVERSIGHT' stamp but contains no direct references to Jeffrey Epstein, specific individuals, or private communications.
Organizations (9)
Timeline (2 events)
2010-2019
Key Quotes (4)
"Congressional Budget Office expects Reform to lower the deficit by $143 billion during 2010-19"Source
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Quote #1
"Verdict Is Still Out on Eventual Costs / Deficit Impact"Source
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Quote #2
"Deficit neutral status somewhat reliant on future lawmakers’ willingness to implement Medicare savings/reimbursement reductions"Source
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Quote #3
"CBO acknowledges that it is unclear whether reform can actually reduce the annual growth rate in Medicare spending from 4% (historical average) to 2% for the next two decades"Source
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Quote #4
Full Extracted Text
Complete text extracted from the document (2,365 characters)
PPACA: A Detailed Drilldown into Costs of Recent Healthcare Reform Is Key as it May Increase Budget Deficit...
• Congressional Budget Office expects Reform to lower the deficit by $143 billion during 2010-19
– Gross cost of $938 billion for expanded coverage, per CBO.
– Less: $511 billion in spending cuts from lower Medicare reimbursement rate + $420 billion in tax revenues (excl. excise tax) from higher payroll tax rates on high-income families and indoor tanning services + $149 billion in penalty payments by employers/individuals and excise tax on “Cadillac” insurance plans with annual cost exceeding $10,000 for individual / $28,000 for families.
– Gross cost of $938 billion for expanded coverage, per CBO.
– Less: $511 billion in spending cuts from lower Medicare reimbursement rate + $420 billion in tax revenues (excl. excise tax) from higher payroll tax rates on high-income families and indoor tanning services + $149 billion in penalty payments by employers/individuals and excise tax on “Cadillac” insurance plans with annual cost exceeding $10,000 for individual / $28,000 for families.
KP
CB www.kpcb.com
Source: CBO.
USA Inc. | Income Statement Drilldown 115
CB www.kpcb.com
Source: CBO.
USA Inc. | Income Statement Drilldown 115
PPACA –
Verdict Is Still Out on Eventual Costs / Deficit Impact
Verdict Is Still Out on Eventual Costs / Deficit Impact
• Issues With Official Cost Estimates to Consider
– Deficit neutral status somewhat reliant on future lawmakers’ willingness to implement Medicare savings/reimbursement reductions:
• Reductions in payment rates for many types of Healthcare providers relative to the rates that would have been paid under prior law (always a politically difficult decision).
• However the good news is that recommendations from the Independent Payment Advisory Board focused on reducing growth in per capita Medicare spending if it exceeds target automatically become the law without congressional intervention if Congress allows IPAB to operate as planned.
– CBO estimates the effects of proposals as written: CBO acknowledges that it is unclear whether reform can actually reduce the annual growth rate in Medicare spending from 4% (historical average) to 2% for the next two decades, as PPACA estimates assume.
– Relies on excise taxes on sectors of the healthcare industry that could be passed through to consumers via price increases.
– Starting in 2018, assumes taxation of high premium employment-based health insurance plans.
– Deficit neutral status somewhat reliant on future lawmakers’ willingness to implement Medicare savings/reimbursement reductions:
• Reductions in payment rates for many types of Healthcare providers relative to the rates that would have been paid under prior law (always a politically difficult decision).
• However the good news is that recommendations from the Independent Payment Advisory Board focused on reducing growth in per capita Medicare spending if it exceeds target automatically become the law without congressional intervention if Congress allows IPAB to operate as planned.
– CBO estimates the effects of proposals as written: CBO acknowledges that it is unclear whether reform can actually reduce the annual growth rate in Medicare spending from 4% (historical average) to 2% for the next two decades, as PPACA estimates assume.
– Relies on excise taxes on sectors of the healthcare industry that could be passed through to consumers via price increases.
– Starting in 2018, assumes taxation of high premium employment-based health insurance plans.
• Opportunities For Cost Savings to Consider
– Increased access to preventative care could potentially slow down overall healthcare cost growth. Such potential effect is not captured in CBO scoring.
– Investments in information technology and new provider & consumer incentives can drive better and more efficient care.
– Increased access to preventative care could potentially slow down overall healthcare cost growth. Such potential effect is not captured in CBO scoring.
– Investments in information technology and new provider & consumer incentives can drive better and more efficient care.
KP
CB www.kpcb.com
Source: Morgan Stanley Healthcare Research.
USA Inc. | Income Statement Drilldown 116
CB www.kpcb.com
Source: Morgan Stanley Healthcare Research.
USA Inc. | Income Statement Drilldown 116
HOUSE_OVERSIGHT_020899
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