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

5

Genetics

Lifesty

le choice

s

0%0%

Japanese Americans’ Report Card on Health日系人の健康診断

6

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

11

What Does This Mean for Me?

12

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

13

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

14

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

15

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

16

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

17

What Should We Expect?• Lifestyle management approaches

will keep people at home. SELF-MANAGEMENT

18

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%

19

<15%

15% - 29%

30% - 44%

45% - 69%

70% - 89%

90% - 100%

0% 0% 0%0%0%0%

20

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

21

Coming soon…June 7, 2014…

22

Genki Conference: Caregiver’s Edition in Japanese

Wintersburg Presbyterian Church

Coming soon…August 23, 2014…

23

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

24

Hyatt Regency Long Beach

What We All Want

Healthy People – Healthy Community

25

Did you find the clickers easy to use?A. YesB. SomewhatC. No

26

Yes

Somewhat No

0% 0%0%

Do you like this instant polling?A. YesB. SomewhatC. No

27

Enter A

nswer T

ext

0% 0%0%