1. HEALTH CARE POLICY & FINANCING Fitting the Pieces Together: The Safety Net and the Affordable Care Act Susan E. Birch, Colorado Department of Health Care Policy and Financing October 4, 2011 1Improving access to cost-effective, quality health care services for Coloradans. Susan E. Birch

2. HEALTH CARE POLICY & FINANCING COLORADO FUN FACTS Improving access to cost-effective, quality health care services for Coloradans.2 Susan E. Birch

3. HEALTH CARE POLICY & FINANCING AGENDA Colorado’s Safety Net Program Overview Delivery System Reforms Accountable Care Collaborative Long-Term Services and Supports Affordable Care Act Impact Improving access to cost-effective, quality health care services for Coloradans.3 Susan E. Birch

4. HEALTH CARE POLICY & FINANCING DEPARTMENT OF HEALTH CARE POLICY AND FINANCING Federally designated agency to receive funds for Medicaid Child Health Plan Plus (CHP+) Administers the following programs: - Medicaid - CHP+ - Home and Community -Based Services (HCBS) Medicaid Waivers - Colorado Indigent Care Program (CICP) Improving access to cost-effective, quality health care services for Coloradans.4 Susan E. Birch

5. HEALTH CARE POLICY & FINANCING MEDICAID CASELOAD Improving access to cost-effective, quality health care services for Coloradans.5 *Projections from the Department’s November 1, 2010, Budget Request Expansions are a result of HB 09-1293, the Colorado Health Care Affordability Act Medicaid Expansions Susan E. Birch

6. HEALTH CARE POLICY & FINANCING CHP+ CASELOAD Improving access to cost-effective, quality health care services for Coloradans.6 *Includes children and prenatal. ** Projections from the Department’s November 1, 2010 Budget Request. Expansions are a result of HB 09-1293, the Colorado Health Care Affordability Act. CHP+ Expansions Susan E. Birch

7. HEALTH CARE POLICY & FINANCING PARTNERSHIPS Colorado Health Institute Colorado Community Health Network Colorado Regional Health Information Organization Center for Improving Value in Health Care – All Payer Claims Database Health Insurance Exchange Workgroups Improving access to cost-effective, quality health care services for Coloradans.7 Susan E. Birch

8. HEALTH CARE POLICY & FINANCING PUTTING THE PIECES TOGETHER: ACC Improving access to cost-effective, quality health care services for Coloradans.8 Statewide Data and Analytics Contractor (SDAC) Primary Care Medical Providers (PCMPs) Regional Care Collaborative Organizations (RCCOs) Susan E. Birch

9. HEALTH CARE POLICY & FINANCING RCCOS & THE SAFETY NET Improving access to cost-effective, quality health care services for Coloradans.9 Susan E. Birch

10. HEALTH CARE POLICY & FINANCING INNOVATIONS Eligibility Modernization – Identity, Income and U.S. citizenship electronic verification – Automatic re-enrollment Dual Eligibility Systems of Care Improving access to cost-effective, quality health care services for Coloradans.10 Susan E. Birch

11. HEALTH CARE POLICY & FINANCING Improving access to cost-effective, quality health care services for Coloradans.11 Susan E. Birch

12. HEALTH CARE POLICY & FINANCING HEALTH CARE REFORM Board will create exchange HIE Work Groups – Marketing, Enrollment and Outreach; – Eligibility, Verification and Enrollment; – Small Employers Workgroup; and – Data Advisory Workgroup. Improving access to cost-effective, quality health care services for Coloradans.12 Susan E. Birch