health care reform and you
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Health Care Reform and You
Brandon LeongCommunity Resources Manager
Keiro Senior HealthCare
April 27, 20141
How old are you?
A. <50 years oldB. 50 – 64 years oldC. 65 – 79 years oldD. 80 years and
older
2
<50 years
old
50 – 64 years old
65 – 79 years old
80 years
and older
0% 0%0%0%
What percent of Japanese-American children are hapa (multi-racial)?A. 25%B. 50%C. 75%D. More than 75%
3
0% 0%0%0%
Our Japanese American Community• Our community is changing• 23.6% is 65+ years old vs. 22.7%
Japan vs. 13% U.S.• Population geographically dispersing• 74% of children 0-19 are multi-racial• Generational shift occurring
4
Health conditions are mostly a result of:
A. GeneticsB. Lifestyle choices
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Genetics
Lifesty
le choice
s
0%0%
Japanese Americans’ Report Card on Health日系人の健康診断
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Prevalence: JA in LA/OC – 50+ yrs (UCLA CHIS 2011-12)
7
49% Overwei
ght Obese
(太り気味・肥満)
10% HeartDis (心臓病)
16% Diabet
es(糖尿病)
24% Care
Giving(介護)
51% High BP( 高血圧 )
38% Arthritis(関節炎・リウマチ)
8
US SPENDS
THE MOST
$
Health Care Reform
Patient Protection and Affordable Care ActSigned March 23, 2010
9
10
Everyone has health insurance
Triple Aim
Care is coordinated
What Does ACA Include?• Everyone must have insurance; there
is help to pay for insurance• Health Insurance Exchanges• Benefits and Expansions• Employer Requirements
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What Does This Mean for Me?
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Health Care Reform:“I am a senior…”• More coverage for prescription
drugs• Preventive services• Medicare Open Enrollment: Oct 15 to
Dec 7– Different than Covered CA Open Enrollment:
Oct 1 to Mar 31
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Health Care Reform:“I don’t have insurance…”• Access to health insurance
marketplace – subsidies for low-income, tax credit to help pay for premiums
• Expansion of Medi-Cal
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Health Care Reform:“I own or work at a small business…”• If 25 or fewer workers, receive tax
credits• If 50 or fewer workers, can buy
insurance through health insurance marketplace
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Health Care Reform:“I have Medicare and Medi-Cal…”• I can only go to contracted hospitals,
doctors and nursing homes – within selected zip codes
• My care will be coordinated
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What Should We Expect?• Care coordination• Narrow networks• Standardized best practice guidelines• Physician extenders• Changing benefit structures• Different models of care delivery• Focus on community based options
vs. facility based care
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What Should We Expect?• Lifestyle management approaches
will keep people at home. SELF-MANAGEMENT
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What percent of U.S. adults are health literate?A. <15%B. 15% - 29%C. 30% - 44%D. 45% - 69%E. 70% - 89%F. 90% - 100%
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<15%
15% - 29%
30% - 44%
45% - 69%
70% - 89%
90% - 100%
0% 0% 0%0%0%0%
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Lifelong Learning• Memory Kai: UCLA - 4 weeks
• A Matter of Balance: Boston University – 8 weeks
• Savvy Caregiver: University of Minnesota – 6 weeks
• Healthier Living: Stanford University - 8 weeks
• Diabetes Self-Management: Stanford University – 8 weeks
• Driver Safety: AARP - 2 x 4 hours
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Coming soon…June 7, 2014…
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Genki Conference: Caregiver’s Edition in Japanese
Wintersburg Presbyterian Church
Coming soon…August 23, 2014…
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Genki Conference: Genki Conference: Veteran’s Veteran’s EditionEdition
Southeast Japanese School and Community Center (Norwalk)
Coming soon…Women’s Wellness Conference…September 27, 2014
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Hyatt Regency Long Beach
What We All Want
Healthy People – Healthy Community
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Did you find the clickers easy to use?A. YesB. SomewhatC. No
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Yes
Somewhat No
0% 0%0%
Do you like this instant polling?A. YesB. SomewhatC. No
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Enter A
nswer T
ext
0% 0%0%
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