Affordable Care Act & Medicaid Vital for West Virginia Insert date, event, name, etc Kat Consulting 2018

ACA = Decline in Uninsured 98% WV kids insured (in top 5 states dropping uninsured rate since 2013) Uninsured adults (age 18 to 64) declined 29% to 9% - largest decline of any state 219,000 + have enrolled in Medicaid since 2013 32,000 + bought plans in 2018 Marketplace 85% received an average $690/mo premium subsidy 51% received cost-sharing subsidies Kat Consulting 2018

ACA = Protection from Discrimination West Virginians with pre-existing conditions (asthma, diabetes, cancer, etc) protected from coverage denials, exclusions, and higher premiums Prior to ACA, West Virginia women charged up to 34% more than men for same coverage 580,000+ West Virginians (including 147,000 children) protected from annual and lifetime limits on claims payments ACA = Protection from Discrimination Kat Consulting 2018

ACA = Free Preventive Services 770,000 + West Virginians with private health coverage (including 150,000+ children and 410,000+ seniors on Medicare) guaranteed free preventive care: Annual check-ups, vaccines, blood pressure screenings, diabetes screenings, mammograms, pap smears, other cancer screenings, etc. Kat Consulting 2018

Premiums Pay for Care, Not Profits Insurers are held accountable for using people’s premiums on care and quality improvement or pay back the difference. ACA implemented to 2016, West Virginians received $3.3 million in refunds from plans that overcharged for premiums. Premiums Pay for Care, Not Profits Kat Consulting 2018

ACA = Stronger West Virginia Hospitals Decline in uninsured = decline in financial strain on rural hospitals by reducing “uncompensated care” If the ACA were repealed, West Virginia hospitals would face a 122% increase in uncompensated care and 2.0 percentage point reduction in annual operating margins by 2026 If the ACA were repealed, West Virginia rural hospitals would face a 2.8 percentage point reduction in operating margins ACA = Stronger West Virginia Hospitals Kat Consulting 2018

ACA = Boost to WV Economy West Virginia’s economy benefits from significant new federal dollars flowing into the state from both the Affordable Care Act’s marketplace subsidies and the Medicaid expansion Between 2019 and 2028, an estimated $1.8 billion in federal marketplace spending and $12.2 billion in federal Medicaid dollars will flow into West Virginia –generating new business activity and jobs ACA = Boost to WV Economy Kat Consulting 2018

Focus on Medicaid Expansion ACA gave state option to get higher federal matching dollars for covering more low-income adults Many low-income adults work at low-wage jobs without health insurance Up to 138% FPL Expanded opioid addiction treatment services Focus on Medicaid Expansion Kat Consulting 2018

Family, Friends, Neighbors All Rely on Medicaid 600,000 + enrollees 1/3 of total WV population 40% of WV kids in 2016 60% of births 39,000 seniors 130,000 blind and disabled 75% of nursing home & long-term care 45% of DRT for opioid addiction “critical tool in addiction crisis fight” Dr. Richard Frank Kat Consulting 2018

Medicaid Enrollment by County Ranges from 15%-48% Statewide 30% Medicaid Enrollment by County Kat Consulting 2018

Medicaid = Healthy Workforce Insurance coverage leads to early detection and treatment of health problems before they grow severe and costly to treat A 2017 estimate for U.S. national annual treatment cost-savings from early cancer diagnosis is $26 B/yr Successful treatment of health problems leads to higher worker productivity and less absenteeism U.S. MEPS data show that workers with health insurance miss 77% fewer work days Medicaid = Healthy Workforce Kat Consulting 2018

Medicaid = Financial Stability for West Virginians Medicaid expansion associated with significant reduction in people’s unpaid bills of all types, amount of debt sent to collection agencies, and credit card debt 10 percentage point increase in Medicaid eligibility reduces personal bankruptcies by 8% Medicaid covered families 40% less likely to borrow money or skip paying other bills to cover medical expenses Kat Consulting 2018

Medicaid = Better WV Economy Every state Medicaid $10 pulls in $29 federal dollars (ACA Medicaid Expansion pulls in even more) Medicaid total FY 2018: $ 3.4 billion federal $ 0.937 billion state dollars $ 3.4 billion new federal dollars per year generates new jobs and business activity Kat Consulting 2018

WVU Analysis WVU Bureau of Business and Economic Research used macro-economic modeling to quantify Medicaid’s positive impact on WV economy Every $10 million Medicaid state spending = $29 million in new federal dollars = $49 million in overall annual new economic output 520 new jobs $1.8 million in new state tax revenue Kat Consulting 2018

Take the Pledge I pledge to protect and defend the Affordable Care Act and Medicaid against: Any cuts to necessary funding or limits to federal matching dollars Any policies that push people off coverage or take away consumer protections I pledge to pro-actively work to educate West Virginians about affordable health insurance options. Kat Consulting 2018

THANK YOU! Here insert contact info Kat Consulting 2018