COLORADO CONVERSATIONS Federal Health Care Reform.

Slides:



Advertisements
Similar presentations
Medicaid expansion in sc. today’s talk  Background  Politics of expansion  Impact on People  Impact on Business  Impact on the Economy  Final Thoughts.
Advertisements

Leading change for a healthier Colorado Health Care in Colorado: Changes in Health Coverage Gretchen Hammer November 15, 2013.
1 WHAT IT MEANS FOR YOU? April Health Access is the leading voice for health care consumers in California. Founded in 1987, Health Access is the.
 Medicare Drug Rebates  Medicare patients who face a gap in prescription drug coverage would received a one-year, $250 rebate to help pay for medication.
SINGLE PAYER The Next Step for Health Reform (Beyond the Affordable Care Act of 2010) Prepared by Randy Block Co-Chair, Gray Panthers of Metro Detroit.
A Presentation of the Colorado Health Institute 303 E. 17 th Avenue, Suite 930 Denver, Colorado (Twitter)
The Health Law: It’s Working! About 10 million more people have insurance this year as a result of the Affordable Care Act The biggest winners from the.
Your Health, Your Choice: Guide to the Marketplace Nykita Howell Health Insurance Navigator.
What is the marketplace? Preventive care Hospitals Physicians Prescription drugs Mental health Rehabilitation Habilitation services Substance abuse Dental.
Healthcare Reform and California Small Businesses Presentation by John Arensmeyer Small Business Majority San Francisco Chamber of Commerce August 24,
The Economics of Health Care Reform Allen C. Goodman Wayne State University Presented to Adult Learning Institute October 25, 2011
HEALTH INSURANCE REFORM: HIGHLIGHTS OF MERGED SENATE DEMOCRATIC BILL.
The Tattered Safety Net James G. Anderson, Ph.D. Purdue University.
Major Health Issues The Affordable Healthcare Act.
The New Health Care Law: Temporary Insurance for People with Pre-Existing Conditions.
Patient Protection and Affordable Care Act: Timeline for Implementation Commissioner Kim Holland Oklahoma Insurance Department.
COPS/Metro Workshop on the Health Insurance Marketplace An Organizing Strategy.
 You pay a premium into an insurance pool. In the event that you are sick or injured, the insurance policy pays all or part of your medical expenses.
What Does Health Care Reform Mean for You? Presented by Alliance 360° Insurance Solutions © 2013 Zywave, Inc. All rights reserved.
The Affordable Care Act and the Kentucky Health Benefit Exchange.
The National Connection for Local Public Health The Patient Protection and Affordable Care Act (ACA)
Return to KaiserEDU Tutorials
The Artists Health Insurance Resource Center A program of The Actors Fund Center for Emerging.
1 Implementing Health Care Reform in the Workplace Nancy E. Taylor Greenberg Traurig.
Colorado Department of Health Care Policy and FinancingColorado Department of Health Care Policy and Financing Improving health care access and outcomes.
Colorado Department of Health Care Policy and FinancingColorado Department of Health Care Policy and Financing Colorado Department of Health Care Policy.
Colorado Department of Health Care Policy and FinancingColorado Department of Health Care Policy and Financing Colorado Department of Health Care Policy.
The Great Debate! Supportive analysis of the PPACA Brook Grzadzinski Amy Toman Simonette Elgert Paula Grundy Jenna Godfryd August 12, 2013.
The Affordable Care Act and You What You Need to Know About the ACA 1.
WHAT DOES HEALTH CARE REFORM MEAN FOR YOU AND YOUR FAMILY? Bringing Health Reform Home April 2010.
Health Reform: What It Means to Our Community. Health Reform: Key Provisions o Provides coverage to 32 million uninsured people by o Changes insurance.
LESSON 11.3: HEALTH INSURANCE Module 11: Health Policy Obj. 11.3: Calculate the cost of health care based on health insurance plan.
CHCWG DRAFT March 2, 2006 Hearing from the American People: Preliminary Overview of Sources and Reports March 2006 Caution: Preliminary Data Do not cite.
Presented by Deb Polun Director of Government Affairs/Media Relations Community Health Center Association of Connecticut.
Patient Protection and Affordable Care Act: Overview for Connecticut Financing Coverage expansions individual mandate employer responsibility insurance.
Marcia Benshoof Strategic Business Development
An Overview on the Affordable Care Act and Its Impact on West Virginia SBHC Back-to-School Workshop August 9, 2011.
The Affordable Care Act Early Impacts. The main provisions of the law do not launch until However, a lot of change has taken place. Dependent Coverage:
+ The Affordable Care Act. + Outcomes Participants will: Gain knowledge of the history of the Affordable Care Act; Understand the benefits for children.
Health Insurance Exchanges
1 The Affordable Care Act and Texas Implementation Texas Statewide Independent Living Conference April 5, 2011 Stacey Pogue, Senior Policy Analyst,
Health Care Reform and its Impact on Michigan Janet Olszewski, Director Michigan Department of Community Health Senate Health Policy Committee May 5, 2010.
HEALTH IN COLORADO GOVERNOR HICKENLOOPER’S VISION.
ILLINOIS DEPARTMENT OF INSURANCE APRIL 27, 2011 Health Insurance Reform and The Affordable Care Act Health Insurance Reform and The Affordable Care Act.
STAY INFORMED! WHAT YOU NEED TO KNOW ABOUT HEALTH CARE REFORM May 2012.
Overview of Health Reform Community Memorial Foundation John Bouman Sargent Shriver National Center on Poverty Law May 6,
Spotlight on the Federal Health Care Reform Law. 2. The Health Care and Education Affordability Reconciliation Act of 2010 was signed March 30, 2010.
Healthcare Reform MDI Rotary September, Mount Desert Island Hospital Agenda The Problem Health Reform Bill Outstanding Issues / Challenges Questions.
Medicare, Medicaid, and Health Care Reform Todd Gilmer, PhD Professor of Health Policy and Economics Department of Family and Preventive Medicine 1.
Healthcare Reform Overview May 12, What We’ll Discuss Today  Overview of what the new healthcare system will look like  Review of key addiction.
A non-profit corporation and independent licensee of the Blue Cross Blue Shield Association 1 Health Reform: The Impact on Michigan Michigan Purchasers.
The Patient Protection and Affordable Care Act Our Healthcare Reform Law Why do we need it? What does it do for us?
1 Implementing Health Care Reform in the Workplace Nancy E. Taylor Greenberg Traurig April 27, 2010.
Comparison of Health Care Reform Bills 2010 Contemporary Problems in Economics Professor Steve Cunningham 1.
Health Care Reform: How Will it Change the Delivery System? SOUTH CAROLINA HOSPITAL ASSOCIATION 4/1/2010.
The Patient Protection & Affordable Coverage Act of 2010 as Amended (by the Health Care and Education Affordability Reconciliation Act) How Its Provisions.
An Overview of the Affordable Care Act An Overview of the Affordable Care Act.
Impact of the Affordable Care Act on the Latino Community National Hispanic Medical Association Meeting Steven Weinberger, MD, FACP Executive Vice President.
"Immigrants & the Safety Net: Challenges from Health Care Reform” California Program on Access to Care Presented by: Monica Blanco-Etheridge Latino Coalition.
The Patient Protection and Affordable Care Act. The Affordable Care Act Signed into law on March 23, 2010 Implemented incrementally You can keep your.
Health Reform: An Overview Unit 4 Seminar. The Decision The opinions spanned 193 pages, upholding the individual insurance mandate while reflecting a.
Child Health and the ACA Kate Honsberger Child Health Insurance Program Manager Virginia Health Care Foundation October 2013.
A Presentation of the Colorado Health Institute 303 E. 17 th Avenue, Suite 930 Denver, Colorado (Twitter)
The Healthcare Bill: What’s In It for Small Businesses? Marianne Markowitz SBA Regional Administrator IL, IN, MI, MN, OH, WI 1.
Chapter 5 Healthcare Reform. Objectives After studying this chapter the student should be able to: Describe the expansion of healthcare insurance under.
AFFORDABLE CARE ACT: OVERVIEW, STUDY OF THE GENERAL EFFECTS ON RADIOLOGY, HOW FAR HAVE WE COME AND THE FUTURE Bhavya Rehani, MD, Lindsay P. Busby, MD,
Health Reform: What It Means to Our Community
HEALTH CARE POLICY.
Health Reform: What It Means to Our Community
Presentation transcript:

COLORADO CONVERSATIONS Federal Health Care Reform

Agenda Welcome Introduction to keypads Demographic questions – Who is in the room? Overview of Federal Health Care Reform Provisions & the Impact on Colorado General Questions on Health are Reform Next steps

Using your Keypads Simply push the key that corresponds with your answer choice It will turn on when you push a numbered key

Your answer will be displayed on the keypad. Let’s say you press 2/B on your keypad: The check mark indicates the answer was received properly. Polling Open Note: after your selection is displayed the screen will go blank

As long as Polling is Open, you can change your answer by pressing any other key. Polling Open

Practice: What is your general view of the health care legislation Congress passed earlier this year? 1.Love it 2.Hate it 3.Mixed emotions 4.Need more information in order to understand it 5.Other

Demographic Questions Who’s in the room?

What is your race/ethnicity? 1.American Indian or Alaskan Native 2.Asian 3.Black or African American 4.Native Hawaiian or Other Pacific Islander 5.White 6.Hispanic 7.Unknown 8.More than one race 9.Other

What is your gender? 1.Male 2.Female

What is your age range? 1.<20 years old 2.20 to 29 years old 3.30 to 39 years old 4.40 to 49 years old 5.50 to 59 years old 6.>60 years old

I live in: 1.Denver Metro 2.Front Range 3.Northeast 4.Southeast 5.Mountain 6.San Luis Valley 7.Western Slope 8.Other

Are you a… 1.Native of [this town/ county/region]? 2.Native of Colorado? 3.Native of another U.S. state? 4.Native of another country?

Some Health Care Questions What is the group’s experience?

Do you currently have health insurance? 1.Yes 2.No

If you have health insurance, are you happy with your insurance? 1.Yes 2.No 3.Don’t have insurance

I know someone who was denied healthcare insurance for a preexisting condition 1.Yes 2.No 3.Not sure

FEDERAL HEALTH CARE REFORM Background

Federal Health Care Reform: The Basics Projected to cover 32 million Major approaches to coverage include: –Individual mandate –State-based Insurance Exchanges for individuals and small businesses –Expansion of Medicaid to 133% FPL ($14,404 for an individual and $29,327 for a family of four) –Require large employers to offer coverage to employees –Provide tax credits and premium credits for low- income individuals and families.

However Approximately 24 million people will remain uninsured in 2014, including an estimated 400,000 in Colorado Primarily, they are: –Undocumented immigrants –Low income workers who can demonstrate that insurance coverage is unaffordable, even with subsidies

How concerned are you about the remaining uninsured? 1.Not much 2.Some 3.A lot

Medicare Drug Benefit In 2010, a $250 rebate will be available to those Medicare Part D participants who reach the “donut hole.” Approximately 100,000 seniors in Colorado could see significant reductions in the costs of their brand- name drugs in the Medicare Part D program.

Changes to Private Health Insurance Effective 6 months following enactment: Insurers are prohibited from denying health insurance due to a pre-existing condition for children under age 18. Individual and group policies must provide coverage for dependent children up to age 26. Prohibit lifetime limits on the dollar value of coverage Prohibit insurers from rescinding coverage except in cases of fraud.

Changes to Private Health Insurance, cont. Beginning in 2014: Insurers are prohibited from denying health insurance due to a pre-existing condition for adults. Prohibit individual and group health plans from placing annual limits on the dollar value of coverage. New policies must comply with one of the four federally designated benefit categories.

New for Small Businesses Small businesses will receive a 50% tax credit to help pay for coverage Tax-exempt employers (e.g. nonprofits) will receive a 35% credit. Eligibility: –25 full time employees or fewer –average wages under $50,000 –already providing qualified health insurance to their employees and paying for at least half This would help an estimated 68,000 small businesses in Colorado.

Do you know of any Colorado small businesses that will benefit from this tax credit? 1.Yes 2.No 3.Not sure

In general, do you think that health care reform is good for small business? 1.Yes 2.No 3.Mixed bag 4.Not sure

State Role States will create “Exchanges” where individuals and small business can purchase coverage. Individuals and families whose household income falls between 133% and 400% FPL will be eligible for subsidies in the exchange. –400% of poverty is $43,120 for an individual and $88,200 for a family of four

State Role, cont. Consumer Operated and Oriented Plan (CO–OP) programs CO-OPs are non-profit, member-run health insurance companies. CO-OPs must be: –governed by members –profits must be used to lower premiums, improve benefits or improve the quality of care for members

Do you think CO-OPS will catch on in Colorado? 1.Yes 2.No 3.Not sure

Other Coverage Options: Multi- Share Programs (MSPs) An MSP is a basic plan to provide coverage to low-income workers. Usually the employer pays part, the employee pays part, and another part is paid by an outside funder. Under the version of the bill that passed (Senate) MSPs would not satisfy the individual mandate requirement Subsidies for individuals and families cannot be used for MSPs. However, small businesses participating that meet the criteria for the tax credits available starting in 2010 will be eligible to receive those credits.

MSPs in Colorado Colorado has two MSPs: –Health Access Pueblo –CarePoint in the San Luis Valley.

Do you think that MSPs should continue in Colorado to serve low- income workers even after 2014? 1.Yes 2.No 3.Not sure

Interaction with Colorado Law

Federal Health Care Reform and Colorado’s HB Last year the legislature passed the Colorado Healthcare Affordability Act of 2009, which establishes a hospital fee that will be matched by federal funds in order to provide access to health insurance for hundreds of thousands of Coloradans

WHAT DOES THE LEGISLATION MEAN FOR COVERAGE IN COLORADO?: MEDICAID EXPANSION Beginning in May 2010, in Colorado Medicaid eligibility for parents of dependent children will increase from 60% FPL to 100% FPL, making coverage available to an additional 27,618 people. In 2012 an additional 119,104 more adults in Colorado will be eligible for Medicaid. In 2014, federal expansion will provide access to Medicaid to another 52,676 adults in Colorado between 101% and 133% FPL. An estimated 63,851 adults at or below 133% FPL will remain uninsured because they lack legal immigration documentation.

How does 1293 interact with Federal Reform? Thousands of Coloradans will be covered sooner Colorado will be ahead of many others states in 2014 because 1293 allows us to reduce the number of uninsured over time. – Those states that have higher uninsured rates will have rapidly increasing spending in 2014

Impacts and Opportunities for Colorado Communities

HOW WILL REFORM AFFECT ACCESS TO CARE? Increase the number of health care providers, including doctors, nurses, and dentists, particularly in rural and other underserved areas. Target rural populations and providers through rural physician training grants to help rural communities with the “grow-your-own” approach. Area Health Education Centers (AHECs) will be expanded to increase access to health care for medically underserved populations, in particular by adding primary care residencies to community-based settings.

HOW WILL OUR COMMUNITIES BENEFIT FROM HEALTH CARE REFORM LEGISLATION? New grants, demonstration projects, and programs for communities to expand and improve the delivery of care and to develop best practices for future implementation. The CDC will fund community preventive health activities to reduce chronic disease rates, prevent the development of secondary conditions, and address health disparities. Other new programs and funding opportunities will address workforce shortages, develop and establish new models of care delivery, and increase access to quality health care.

Examples of Grants & Demonstration Projects Creating Healthier Communities: Community Transformation Grants & Community-Based Prevention & Wellness Grants Community-Based Collaborative Care Network Program School-Based Health Centers for increased access to clinical preventive services Demonstration Project for Alternative Dental Health Care Providers Primary Care Extension Services

Do you think your community should apply for one of the grant opportunities? 1.Yes 2.No 3.Not sure

Discussion

What is your general view of the health care legislation Congress passed earlier this year? 1.Love it 2.Hate it 3.Mixed emotions 4.Need more information in order to understand it 5.Other

Healthcare reform will have a positive impact on my healthcare. 1.Strongly Agree 2.Agree 3.Neutral 4.Disagree 5.Strongly Disagree

I know someone who will now be able to get healthcare insurance. 1.Strongly Agree 2.Agree 3.Neutral 4.Disagree 5.Strongly Disagree

I believe, by 2014, that the health care access problem will be alleviated. 1.Strongly Agree 2.Agree 3.Neutral 4.Disagree 5.Strongly Disagree

Where can I go for more information? U.S. Department of Health and Human Services, healthreform.gov: rm/colorado.htmlhttp:// rm/colorado.html National Conference of State Legislatures: Kaiser Family Foundation: Colorado’s Health Reform Website: The Patient Protection and Affordable Care Act: bin/getdoc.cgi?dbname=111_cong_bills&docid=f:h3590enr.txt.pdf bin/getdoc.cgi?dbname=111_cong_bills&docid=f:h3590enr.txt.pdf Commonwealth Foundation – Implementation Timeline: Timeline-for-Health-Care-Reform-Implementation.aspx

COLORADO CONVERSATIONS