Report to Advisory Council October 19, 2005 Models Development Work Group Hollis Turnham Facilitator

Inputs Six meetings since August, E very other Wednesday Attendance: 40 to 70 people 106 individuals on list

Over-arching Goals Looked at Advisory Council’s “win-win” draft Have 1, 3, and 5 year goals and incremental plan

Five approaches are on the Table Pooling/Insurance Reform Medicaid/SCHIP Expansion Basic Benefit Subpopulation Coverage Universal Coverage

Outreach and financing options will be on the Table Outreach to eligibles not enrolled Maximize federal dollars Vouchers Tax credits Increased rates to state vendors (child care, long-term care, etc., not providing insurance to employees)

Basic Benefit Workers—15 hours a week Regional models Focus on primary, RX, dental Mandated initial preventative care Visit within 6 months of enrollment

Medicaid Expansion Increase coverage of parents From 35% and 50% of FPL ($5,632 and $8,045 annual income) To 150% to 200% FPL ($24,135 to $32,180 annual income)

Pooling/Reinsurance Open state employee health plan for buy-in by other employers AND individuals Need subsidies for low-wage employers and low-wage workers

Universal Coverage Multiple payers Tiered model Basic coverage for everyone, More coverage with additional payment Integrate other public health payers— Worker’s comp, auto insurance, uninsured motorists

Subpopulations Folks between jobs Young adults-college, first job County health plan coverage

Next meeting: October 26, until 4 p.m. Reflecting info from: Household Survey Landscape Analysis Waiting for the Employer Survey Advice from the Advisory Council

Hollis Turnham Ken Miller