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The Evolving Health Policy Landscape: What’s in Store for 2018
Winnetka Rotary November 16, 2018 Peter W. Butler Professor and Chairman, Department of Health Systems Management Rush University
Landscape: Whats in Store for 2018 Winnetka Rotary November 16, - - PowerPoint PPT Presentation
Landscape: Whats in Store for 2018 Winnetka Rotary November 16, - - PowerPoint PPT Presentation
The Evolving Health Policy Landscape: Whats in Store for 2018 Winnetka Rotary November 16, 2018 Peter W. Butler Professor and Chairman, Department of Health Systems Management Rush University Health Care Back in the Forefront New
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New End-Arounds Pushing for Greater Health Care Coverage
“Maine just resoundingly became the first state to expand Medicaid by ballot initiative”
Washington Post November 8, 2017
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Tax Reform (Maybe), Then Along Comes a December 8 Government Shutdown?
Potential issues on the December 8 government funding bill:
- Spending caps
- CHIP reauthorization (9 million kids with coverage)
- Obamacare CSR subsidies to stabilize marketplaces
- DACA (Dreamers)
- Funding for the border wall
- Hurricane relief
Best bet may be another stop gap funding bill to punt issues to January
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Government Versus Private Market
Democrats
Current State
Republicans Employer- Based 155 million Individual (exchanges) 18 million Bernie Sanders Rand Paul Government Run Private Market Medicaid 74 million Medicare 55 million
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How Many People Should Have Coverage? CBO Weighs In and Changes the Trajectory
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Most Want Bi-Partisan Effort
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Public Opinion Moving to the Left
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Where You Live Matters
There is up to a 16-year gap in life expectancy between the Loop and West Side neighborhoods
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Bi-Partisan Support for Addressing Drug Pricing
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Current Balance of Power in Congress
- U. S. Senate
52 Republican 46 Democrat 2 Independent
- U. S. House of Representatives
240 Republican 194 Democrat 1 Vacant
Paul Ryan (R-WI) Speaker of the House Mike Pence (R-IN) U.S. Vice President Senate President Mitch McConnell (R-KY) Majority Leader Chuck Schumer (D-NY) Minority Leader Kevin McCarthy (R-CA) Majority Leader Nancy Pelosi (D-CA) Minority Leader
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Congressional Election Landscape 2018
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Congressional Election Landscape 2018
House Races 2018
Source: Roll Call
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Illinois General Assembly
Illinois Senate 37 D 22 R
Thirty-six votes are needed to override a Governor’s veto in the Senate. President Cullerton
67 D 51 R Illinois House
Seventy-one votes are needed to override a Governor’s veto in the House. Speaker Madigan
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Illinois – Election Landscape 2018
Governor Bruce Rauner (R) incumbent
- J. B. Pritzker (D)
candidate Chris Kennedy (D) candidate
$200 Million Governor’s Race???
Jay Robert Pritzker (age 52) is managing partner and co-founder of the Pritzker Group, a private investment firm , and president of the Pritzker Family Foundation, which funds innovative research and programs serving children in poverty. He is a member of the well known Pritzker family who own the Hyatt Hotel
- chain. JB’s estimated personal net worth is $3.4
- billion. He graduated Duke University and
Northwestern University School of Law. He is the father of two children with his wife of 24 years. Pritzker served as national co-chairman of the 2008 Hillary Clinton for President campaign and as a delegate to the 2008 & 2016 Democratic National
- Convention. He supported President Barack Obama in
the 2008 general election and helped unite the Clinton and Obama campaigns in Illinois. In 1998, he finished third among five candidates in the Democratic primary in Illinois's 9th U.S. Congressional District. Bruce Rauner (age 60) is the 42nd Governor of
- Illinois. Prior to his election, he was the Chairman
- f R8 Capital Partners and Chairman of the private
equity firm GTCR. On November 4, 2014, Rauner won the election, beating Democratic incumbent Pat Quin, with 50.27% of the vote. He carried every county except Cook. Rauner's net worth is estimated at several hundred million dollars. He accepts only $1 in salary and no benefits from his
- ffice. His philanthropic endeavors projects for
the Red Cross , the YMCA, charter schools, and scholarship programs for disadvantaged public school students. He is a graduate of Dartmouth College and earned his MBA at Harvard University. He is the father of three children from his first marriage and three children with his wife, Diana, president of the non-profit Ounce of Prevention Fund. Chris Kennedy (age 54) is Chair of Joseph P. Kennedy Enterprises, Inc. He is a son of former U.S. Senator Robert F. Kennedy. His personal net worth is unknown, but the estimated Kennedy family net worth is $1 billion. He served as Chair
- f the Board of Trustees for the University of
Illinois from 2009 to 2015. Until April 2012, he was president of Merchandise Mart Properties, a commercial property management firm. In May 2012, Kennedy founded Top Box Foods, a Chicago- based hunger-relief non-profit. He has served on the Executive Committee for the Chicago Community Trust, and has been a board member
- f the Catholic Theological Union, Interface, Inc.
and Knoll Inc. He has also served as Chairman of the Board of the Greater Chicago Food Depository, and is a member of the board of trustees for Ariel
- Investments. Kennedy graduated Boston College
and earned his MBA at Northwestern University. He is the father of four children with his wife of 30 years.
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The move from volume to value
The move away from a fee-for-service is growing as insurance risk tied to per capita spending is being passed along from government to insurers and providers.
Over 30% of Medicare Beneficiaries Are Enrolled in a Medicare Advantage Health Plan
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