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Published byCory Aldous Modified over 10 years ago
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Medicaid Redesign Better for Idaho’s taxpayers, businesses, and patients
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Where we stand Health care options for Idaho’s low income workers Medicaid County Indigent Program State Catastrophic Fund Emergency Departments Charitable Orgs. Community Health Centers
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Who are the “medically indigent”? Working Idahoans Minimum wage = $15,080/year 31,000 employed Idahoans at minimum wage Self-employed & Small Business Employees $7,164 Groceries $10,820 Rent $3,476 Utilities $2,748 Gasoline $24,208 Annual Cost of Living * * U.S. Bureau of Labor Statistics - averages are based on 2.6 person households
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Idaho has a choice
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High cost State Catastrophic Fund – supported entirely by income taxes Appropriated Forecast
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High cost County Indigent Fund – supported entirely by property taxes Forecast Spent
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Low Value Expensive >$60 million Ineffective <6k served Staffing 100 employees
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Financial Risk
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45,000 qualified but not enrolled Enrollee Growth $394 million over 10 years Budget
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Low Value $60+ million budget = expensive, episodic treatment for <6k High Cost $60 mil/yr budget from county and state taxes Financial Risk 45k qualified Idahoans joining Medicaid = $394 million over 10 years
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Idaho has a choice
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Eliminate Waste Over $1 billion in tax dollars from 2014 - 2024 Half fiscal year
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68% of those who qualify have at least one full-time worker in the household; 16% have one or more part-time workers 68% of those who qualify have at least one full-time worker in the household; 16% have one or more part-time workers Coverage for Working Idahoans
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Provides coverage to adults earning <138% of FPL or a family of four must have income less than $32,500 Adults age 19-64 Must be legal Idaho residents 2013 Federal Poverty Limits <100% FPL100% to 125% FPL125% to 138% FPL Annual Income - Individual $0 - $11,490$11,491 - $14,362$14,363 -$15,856 Annual Income - Family of 4 $0 - $23,550$23,551 - $29,437$29,438 - $32,499 Provide Coverage for Working Idahoans Idaho minimum wage = $7.25/hr or $15,080/yr
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Personal responsibility and accountability Coordinated Care Managed Care for chronic conditions Reduce waste through technology and electronic health records Redesign the System
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Eliminate Waste Save Idaho taxpayers $1 billion by eliminating two government programs Cover Working Idahoans Provide health care to 149,000 low income Idahoans System Redesign Construct a system focused on personal responsibility.
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for Idahoans <6,000 treated 149,000 covered
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for Idaho Businesses $12.3-18.5 million in federal penalties for businesses Healthier Workforce
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for Idaho’s Economy Rising taxes or budget cuts to critical programs Risks for Idaho businesses 16,000 new jobs Bringing Idaho taxes back to Idaho Not attractive to new businesses
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for Idaho Tax Payers $1 Billion in continued County Indigent and CAT Funds $394 million for full Medicaid Enrollment $1 Billion in tax savings through elimination of County Indigent & CAT Funds $85 million in savings at the county and state levels AFTER state portion.
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Costs / Savings 2014-2024 State Medicaid Increases + $394 Million + $1,043 Million
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Costs / Savings 2014-2024 State Medicaid Increases + $394 Million + $1,043 Million State CAT Program costs/savings + $540 Million - $540 Million County Indigent Program costs/savings + $478 Million - $478 Million
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Costs / Savings 2014-2024 State Medicaid Increases + $394 Million + $1,043 Million State CAT Program costs/savings + $540 Million - $540 Million County Indigent Program costs/savings + $478 Million - $478 Million DHW mental health costs/savings + $110 Million - $110 Million
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Costs / Savings 2014-2024 State Medicaid Increases + $394 Million + $1,043 Million State CAT Program costs/savings + $540 Million - $540 Million County Indigent Program costs/savings + $478 Million - $478 Million DHW mental health costs/savings + $110 Million - $110 Million Total costs/savings $1.5 Billion $85 Million
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Only one choice Status Quo Spend $394 million + keep $1B in inefficient gov’t programs Medicaid Redesign Save $85 million & cover 149,000 Idahoanswww.TheRightMedicineForIdaho.org
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