By …. AFFORDABLE CARE ACT IN ACTION. [SELF INTRODUCTION SLIDE]

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Presentation transcript:

By …. AFFORDABLE CARE ACT IN ACTION

[SELF INTRODUCTION SLIDE]

Introduction Basics on the Affordable Care Act (ACA) Connect for Health Colorado Medicaid Expansion Expanding Coverage Conclusion CONTENT

THREE PILLARS OF HEALTH CARE REFORM Contain Costs Expand Coverage Ensure Quality

IMPROVING QUALITY ESSENTIAL HEALTH BENEFITS Source: Hoopayz.com

No exclusion for pre- existing conditions No lifetime or annual limits Guaranteed issue and renewability Rating on only 4 factors Age (3:1) Location Family size Tobacco usage (1.15:1) CONSUMER PROTECTIONS IN THE ACA

80/20 Rule COST CONTAINMENT Rate Review

Individual Mandate Colorado will expand Medicaid to cover approximately 160,000 new Coloradans Employer Responsibility 50+ employees: must offer coverage or pay a penalty in 2015 Under 50 employees: no requirement but may be eligible for financial assistance Dependents up to age 26 can stay on parents’ plans EXPANDING COVERAGE

CONNECT FOR HEALTH COLORADO PLANS-4-YOU ( )

HOW MUCH WILL INSURANCE COST? Source: Avalere Health LLC

FINANCIAL ASSISTANCE FOR INDIVIDUALS Income (Individual) Premium Contribution FPLAnnual IncomeAs % of IncomeMonthly Payment %$17,235-$22, %$19.15-$ %$22,980-$28, %$57.45-$ %$28,725-$34, %$ $ %$34,470-$45,9609.5%$ $ Source: NASTAD, Premium Tax Credits and Cost Sharing Subsidies (Feb, 2013)

COLORADO MEDICAID Source: Colorado Health Institute

Support for individuals and/or small businesses in- person or telephone using Connect for Health Colorado Assistance Guides will offer: Information on public and private health insurance options Access to assistance, training, and a certification program from a central support system YOU WON’T HAVE TO GO IT ALONE!

WHERE ARE YOUR HEALTH CARE COVERAGE GUIDES LOCATED?

EXPANDING COVERAGE: HOW MANY UNINSURED ADULTS AND CHILDREN STAND TO BECOME INSURED AFTER HEALTH REFORM IN COLORADO? Source: Colorado Health Institute

First Enrollment Period for the Connect for Health Colorado Marketplace: October 1, 2013 New Individual Coverage begins: January 1, 2014 New Employer Coverage begins: January 1, 2015 CONCLUSION