The provisions of the Patient Protection and Affordable Care Act of 2010 require plans to offer preventive care services with no cost sharing. In broad terms, health plans other than those that choose to remain grandfathered - eventually all health plans will be affected, are required to provide preventive services to their members without imposing cost-sharing obligations. As a result, there is some expectation that higher utilization of preventive care services may be seen in the coming years.

This presentation examines various issues involved in measuring and evaluating the impact of the Affordable Care Act with respect to preventive care services. Results of a Milliman study of three specific preventive services: flu shots, hepatitis B screenings and osteoporosis screenings, are provided as a means of benchmarking cost and utilization of applicable preventive services in order to evaluate the effect of the Affordable Care Act.
 

1. Understand the new preventive care requirements under the Affordable Care Act
2. Consider the issues involved in evaluating the impact of reform upon coverage and provision of preventive care
3. Identify potential obstacles that may be encountered when attempting to benchmark preventive care services
4. Examine the process involved in benchmarking preventive care through case examples of specific services including flu shots, hepatitis B screenings and osteoporosis screenings
5. Determine the estimated level of current applicable preventive services utilization compared to clinical recommendations under the Affordable Care Act.
6. Engage in interactive learning through online question submission, attendee feedback and opportunity for follow up questions, and networking with attendees, faculty and other professionals through dedicated LinkedIn group
    

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