Healthcare Leadership Council

With the historic passage of health reform legislation, the Healthcare Leadership Council believes important progress was made in extending health coverage to uninsured Americans. However, Congress still has much work to do in addressing the underlying causes affecting the quality and cost-effectiveness of the U.S. healthcare system. Our members believe in three key objectives:

Coverage: Ensure that every American has health coverage
Quality: Improve healthcare quality through innovation and better dissemination of information
Value: Change financial incentives to link dollars spent with improved value and patient wellness

HLC’s Health Reform Resource Center is meant to assist in keeping you up to date on all things health reform.

HLC Talking Points and Position Papers
This section includes: HLC’s Closing the Gap: A Proposal to Deliver Affordable, Quality Health Care to All Americans,
a health reform reference card, HLC talking points and position papers, common health reform questions and answers,
and HLC statements and correspondence.

Background Information and Data
This section includes facts and statistics on the uninsured and implications of proposed health reform provisions,
as well as reports and surveys on issues such as cost shifting, variations in spending, and best practices.

State of Play
This section provides current information on what is happening with regard to health reform, such as HLC’s
comparison of the health reform bills, House and Senate health reform proposal information, Congressional
Budget Office analysis, and positions of various congressional groups, among other resources.

HLC Talking Points and Position Papers

Closing the Gap: A Proposal to Deliver Affordable, Quality Health Care to All Americans

Closing the Gap: Power Point Presentation

Health Reform Reference Card

Key Health Reform Discussion Topics

Health Reform Common Questions and Answers

Insurance Coverage and the Government Health Plan

Delivery System and Payment Reform

Exploring a “Value Incentive Scale”

HLC Value Innovations Examples

Statements and Correspondence:

Advisory Group on Prevention Nomination Letter

HLC letter on Medical Loss Ratio (MLR) to HHS

PFCD letter on Medical Loss Ratio (MLR) to HHS

PFCD letter on Medical Loss Ratio (MLR) to NAIC

CAHC letter on Medical Loss Ratio (MLR) to HHS

MDSP letter urging inclusion of a diabetes screening objective in Healthy People 2020

Good Faith Compliance Recommendation

Statement Supporting Comprehensive Obesity Legislation

3/22/10 HLC Statement on Health Reform

Concerns about the Proposed Federal Health Insurance Rate Authority

Effective Dates Comment Letter

HLC Applauds Freshman Senators Efforts to Strengthen Delivery System Reforms in H.R. 3590

HLC Commitment Letter to Robust Health Reform Legislation

House Health Reform Comment Letter

HLC Applauds Senator Baucus’s Leadership on Health Reform Legisation

Comments on Senate Finance Committee Policy Options for Coverage

Comments on Senate Finance Committee Policy Options for Delivery System

Letter to Senate Finance Committee regarding its Roundtable on Coverage

Letter to Senate Finance Committee regarding its Roundtable on Delivery System Reform

Background Information and Data

CBS Poll: Small Bump in Health Care Believers

USA TODAY/ GALLUP POLL: Health care plan gains favor

Gallup Poll: Americans Believe Most Groups Will be Worse Off

Rasmussen Reports: 3/8/10 Poll – 53% Remain Opposed to Health Care Plan

IWV and the polling company™/ Woman Trend Health Care Poll:
60% of voters in swing districts say start over or stop working on health care altogether

Alliance for Health Reform: 3/2/10 Budget Reconciliation: An Updated Toolkit

Uninsured Stats

PricewaterhouseCoopers: Potential Impact of Health Reform on the Cost of Private Health Insurance Coverage

Avalere Health: Managing Cost in a Public, Government-Run Plan Paper

Partnership to Fight Chronic Disease (PFCD) 2009 Almanac of Chronic Disease
Executive Summary
Full Almanac

Provider Payment Lessons for Medicare History

PFCD: Keeping America Healthy A Catalog of Successful Programs

AMA: Competing in the Marketplace

AHA: The Cost of Caring

Milliman:
- Hospital and Physician Cost Shift Payment Level Comparison
- Impact of Guaranteed Issue and Community Rating Reforms

MemorialCare Health System: The Reimbursement Hydraulic

MedPAC: Health Care Spending and the Medicare Program

Healthways: Potential Medicare Savings through Prevention and Health Risk Reduction

Darmouth:
- Variations in Medicare Spending Growth
- Health Care Spending, Quality and Outcomes

CBO: The Long Term Budget Outlook

EBRI: Sources of Health Insurance and Characteristics of the Uninsured

AHRQ: Medical Expenditure Panel Survey Uninsured Data

U.S. Census Bureau Data

CRS:
   - A Comparative Analysis of Private Health Insurance Provisions of H.R. 3962 and S.Amdt. 2786 to H.R. 3590
   - Noncitizen Eligibility and Verification Issues in the Health Care Reform Legislation
   - Side-by-Side Comparison of Provisions in Division C of H.R. 3962
   - Comparison of the Medicaid-Related Provisions in H.R. 3962

Oliver Wyman Studies:
- Impact of the Patient Protection and Affordable Care Act on Costs in the Individual and Small-Employer Health Insurance Markets
- Insurance Reforms Must Include a Strong Individual Mandate and Other Key Provisions to Ensure Affordability

Third Way: An Individual Mandate With More Teeth But Less Bite

WellPoint: Impact of Health Care Reform on Premiums Stats and Facts

Mercer: Majority of employers would reduce health benefits to avoid proposed excise tax

12/16/09 Making Exchanges Work in Health-Care Reform report by the Committee for Economic Development

State of Play

State-by-state fact sheets highlighting the immediate benefits of the Affordable Care Act

HLC: Health Reform Implementation Timeline

HLC: Senate Health Reform Bill (H.R. 3590) and House Reconciliation Bill (H.R. 4872) Side by Side

HLC: Senate Health Reform Bill (H.R. 3590), House Health Reform Bill (H.R. 3962), and Obama Proposal Side by Side

Boards and Commissions Established by PPACA

Pilot Programs and Demonstration Projects Summary

Regulations or Rulemaking Summary Chart

Proposals for Expanded Medicare Payment Authority

House-Senate Comparison of Key Provisions (Prepared by Tri-Committee House Staff):

   Budget Reconciliation:
   - Section-by-Section Analysis of the Health Care & Education Affordability Reconciliation Act
   - 3/16/10 Highlights of the Health Reform Reconciliation Bill
   - 3/10/10 Senator Kyl and Representative Cantor Memo
   - 3/4/10 Byrd Rule Point of Order Letter
   - Senate Budget Committee Republican Reconciliation Documents
   - 2/24/10 Prospects for House Passage of Health Care under Reconciliation
   - 2/16/10 Letter Urging the Use of Reconciliation to Pass HCR
   - CBPP Report on Use of Reconciliation to Enact Health Reform

   House Tri-Committee Health Reform Info:
   - H.R. 3962, Affordable Health Care America Act Info
   - GOP Health Reform Info
   - 9/23/09 Energy and Commerce Markup of Remaining Amendments to H.R. 3200
   - 7/17/09 Ed and Labor Info click here, for Key Adopted Amendment info click here
   - 7/31/09 Energy and Commerce Info click here, for Key Adopted Amendment info click here
   - 7/17/09 Ways and Means Info click here, for Key Adopted Amendment info click here

   Senate Health Reform Info:
   - Rate Review Authority Provisions already in the Senate bill
   - 12/19/09 Manager's Amendment, #3276 to Reid Substitute amendment #2786
   - Senate Republican Communications Center
   - 11/18/09 Patient Protection and Affordable Care Act
   - HELP Committee Health Reform Info
   - Finance Committee Health Reform Info
   ~ 10/13/09 Finance Committee Approves Baucus’ America’s Healthy Future Act
   ~ 10/2/09 Finance Mark as amended
   ~ 9/22/09 Modifications to the Chairman’s Mark
   ~ 9/16/09 Chairman’s Mark of America’s Healthy Future Act of 2009
   ~ Framework for Comprehensive Health Reform
   ~ Senator Baucus’ “Call to Action” Health Reform 2009

   White House/Administration:
   - Talking Points on Health Reform
   - 3/2/10 Letter to Congressional Leaders on Health Insurance Reform
   - 2/12/10 Healthcare Summit Letter and Invite List
   - 11/6/09 Statement of Administration (already there just put for your reference)
   - 11/06/09 Statement of Administration on H.R. 3962
   - Health Reform Reality Check website
   - 9/9/09 Remarks by the President to a Joint Session of Congress

   Congressional Budget Office (CBO)/Joint Committee on Taxation (JCT):
   - 3/20/10 Estimate of the Direct Spending & Revenue Effects of the Reconciliation Act of 2010
   - Preliminary Analysis of House Health Reform Reconciliation Proposal
   - 3/11/10 Estimated Direct Spending and Revenue Effects of H.R. 3590
   - 2/24/10 Estimates of President’s Health Care Proposal
   - 12/20/09 Revised Cost Estimate Regarding the Longer-Term Effects of the Manager's Amendment H.R. 3590
   - 12/19/09 Cost Estimate of Senate Amendment 2786 in the nature of a substitute to H.R. 3590
   - 11/30/09 Analysis of Health Insurance Premiums under H.R. 3590
   - 11/25/09 H.R. 3590 Budgetary effects of proposals to establish the CLASS Program
   - 11/25/09 H.R. 3962 Budgetary effects of proposals to establish the CLASS Program
   - 11/21/09 Revised estimate of the net budgetary impact of H.R. 3962
   - 11/18/09 Cost estimate for the amendment in the nature of a substitute to H.R. 3590
   - 11/05/09 Comments on H.R. 3962 Incorporating the Manager’s Amendment
   - 11/04/09 Preliminary Analysis of the Amendment in the nature of a substitute for H.R. 3962
   - 11/02/09 Analysis of Subsidies to and Payments by Enrollees in Insurance Exchanges
   - 10/30/09 Clarification of the measures being used by the Congressional Budget Office
   - 10/29/09 Preliminary Analysis of H.R. 3962
   - Comments on Finance Committee’s Revised Mark
   - Comments on Subsidies Offered Through Insurance Exchanges
   - Preliminary Comments of Chairman Baucus’s Mark of America’s Healthy Future Act
   - Comments on the Senate HELP Committee’s Health Reform Legislation
   - Comments on the House Tri-Committee “America’s Affordable Health Choices Act”
   - Comments on the Independent Medicare Advisory Council Act

Department of Health and Human Services Health Reform website

   Blue Dog Coalition:
   - 10/29 Letter to CBO on Long-term Impact of H.R. 3962
   - 7/29 Statement on House Legislation
   - Letter on Tri-Committee Health Reform Proposal
   - Health Reform Principles
   - List of Members
   - Finance Side-by-Side
   - Ensuring Choice in the Marketplace

   New Democrat Coalition:
   - 1/15/10 Health Reform Conference Letter
   - Health Reform Principles
   - Health Reform Letter
   - List of Members

   Progressive Caucus:
   - 9/20/09 Co-chair Letter to Speaker Pelosi
   - 7/30/09 Letter Opposing Weakening of Public Option
   - Principles for Public Health Care Option
   - Healthcare Reform Info
   - List of Members

   Congressional Black Caucus:
   -1/8/10 Pelosi/Reid Healthcare Letter
   -1/8/10 Healthcare Letter to the President
   -Letter to Pelosi on Health Reform

   3/2/10 Republican Leader Mitch McConnell Letter to Obama on Health Reform

   2/24/10 Groups Urge Congress to Come Together on Patient-Centered Reform

   1/21/10 HCR Letter to Leaders

   1/14/10 Inclusion of Failsafe Mechanism in Health Reform

Economist Letter to the President

AHA Letter to Conferee’s

AMA Endorses Affordable Health Care for America Act

AARP Endorses Affordable Health Care for America Act

Joint Trade Association Letter Opposing House

Senate Letter on “Medical Device Tax”

House Letter on “Medical Device Tax”

House Letter Opposing Tax on "Cadillac" Health Plans

Congressional Black Caucus Letter to Pelosi on Health Reform

12/11/09 Senate Democrats Medicare Buy-in Letter

10/8/09 Senate Public Plan Support Letter

4/29/09 Senate Public Plan Support Letter