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

2. 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

3. 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

4. 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

5. 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

6. 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If the ACA were repealed, West Virginia hospitals would face a 122% increase in uncompensated care and 2.0 percentage point reduction in annual operating margins by 2026
If the ACA were repealed, West Virginia rural hospitals would face a 2.8 percentage point reduction in operating margins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

7. 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

8. 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

9. 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

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

11. 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

12. 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

13. 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
$ billion state dollars
$ 3.4 billion new federal dollars per year generates new jobs and business activity
Kat Consulting 2018

14. 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

15. 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

16. THANK YOU!
Here insert contact info
Kat Consulting 2018