New York Health Benefit Exchange

Size: px
Start display at page:

Download "New York Health Benefit Exchange"

Transcription

1 New York Academy of Medicine New York s Emerging Health Exchange: What will it mean for cost, access and quality of care? Donna Frescatore Executive Director New York Health Benefit Exchange February 28, 2013

2 What is an Exchange? Organized marketplace Easily compare health plan options Makes available tax credits and cost-sharing subsidies Easily enroll in qualified health plans Two programs Individual Exchange Employer Exchange, which is called the Small Business Health Options Program, or SHOP

3 Functions of the Exchange Eligibility and Enrollment toll-free telephone hotline internet web portal for eligibility determination and enrollment Individuals SHOP electronic means to calculate the actual cost of coverage after individual tax credits and cost sharing reductions certify individuals as exempt from individual responsibility

4 Functions of the Exchange Certify Qualified Health Plans (QHPs) Make available qualified health plans and qualified dental plans to qualified individuals and employers Assign a quality rating and actuarial value to each qualified health plan offered through the Exchange Require QHPs to offer essential health benefits Ensure adequacy of plan networks

5 Implementation Impact of Exchange and Reforms in NY Full Implementation One million people will gain insurance Exchange enrollment is estimated to be 1.1 million people: Individual Exchange (58%) SHOP Exchange (42%) 450, ,000

6 Enrollee Characteristics, by Income Individual Exchange SHOP Exchange 14% 8% Under 138% FPL % FPL 12% 13% % FPL 40% 12% 24% 41% % FPL Above 400% FPL 13% 23% Source: Urban Institute, Characteristics of Nonelderly New Yorkers Likely to Enroll in the Health Insurance Exchanges Under the Affordable Care Act, February 2013.

7 Enrollee Characteristics, by Language Individual Exchange SHOP Exchange 37% English Other 35% 63% 65% Note: Includes enrollees over 5 years of age. Source: Urban Institute, Characteristics of Nonelderly New Yorkers Likely to Enroll in the Health Insurance Exchanges Under the Affordable Care Act, February 2013.

8 Enrollee Characteristics, by Language English Individual Exchange Spanish Chinese Hindi and related French 2% 2% 3% 2% 1% 9% Korean Russian Other 18% 63% Note: Includes enrollees over 5 years of age. Source: Urban Institute, Characteristics of Nonelderly New Yorkers Likely to Enroll in the Health Insurance Exchanges Under the Affordable Care Act, February 2013.

9 Impact of Exchange and Health Reform in NY Premiums decline in small group and individual market in all scenarios modeled $2.6 billion in federal tax credits per year for individuals and small businesses further reduce the cost of coverage

10 Illustration of Tax Credits for Individuals Source: Kaiser Family Foundation Subsidy Calculator Assumes Premium of $5,400/Year 2014 Income % FPL Estimated Annual Tax Credit Estimated Monthly Premium Percent of Income Single $17, % $4,742 $ % Single $28, % $2,565 $ % Single $40, % $ 954 $ %

11 SHOP the Value Propositions Choice Employers and Employees regard expanded choice as a key advantage to using the exchange. Administrative Simplicity The exchange provides monthly billing to employers among other administrative simplifications. Tax Credits The exchange will be the exclusive place to access small business tax credits in Defined Contribution 76% of respondents believe this feature helps predict costs. 11

12 Key Accomplishments to Date Awarded nearly $370 million in federal funds for Exchange establishment activities Established and convened five Regional Advisory Committees Conducted background research on key policy decisions Contracted with a System Integrator to build IT system Contracted with customer services organization Invited Health Plans to Participate in the Exchange Invited organizations to apply to be In-Person Assistors/Navigators Received conditional certification from HHS in December 2012

13 Exchange Policy Study Simulation Modeling Simulation Modeling: Coverage Impacts on a Sub-State Level Insurance Markets Market Merger & Group Size Reinsurance/Risk Adjustment Benefit Standardization Health Savings Accounts Policy Question How does the ACA impact coverage and costs in New York? What are the demographic characteristics of the uninsured who will enroll through the Exchange? What changes will need to be made in New York s insurance markets to align with the ACA? Should the Individual and small group markets be merged? Should small group be defined as 50? Should New York administer reinsurance and risk adjustment or defer to federal administration? Should plan offerings on the Exchange be standardized? Should Health Savings Accounts be offered on the Exchange? Completed studies available at: /resources

14 Exchange Policy Study Essential Health Benefits Medicaid Benchmark Benefits Continuation of: Healthy New York and Family Health Plus Employer Buy-In Basic Health Plan Small Business Health Options Program (SHOP) Third Party Assisters Health Disparities Policy Question What types of service should be covered by small group and individual insurance policies? What benefits should be covered for newly eligible adults in Medicaid? Should these programs be continued in 2014? Should New York opt for the Basic Health Plan for people up to 200 % of federal poverty level? How should the SHOP Exchange be designed to bring value to small business? What should be the role of brokers, agents and chambers of commerce in the Exchange? How can the Exchange be designed to help address health disparities? Completed studies available at: /resources

15 Goals Health Plan Invitation Released January 31, 2013 Offer comprehensive affordable, coverage in all areas of the State Balance innovation with reasonable choice Make it easy for consumers to compare options Ensure health plans have adequate networks Monitor health plan quality, utilization of services, and consumer satisfaction Preserve consumer protections, as defined in federal and state law and regulation Ensure consistency with the outside market 15

16 IPA/Navigator RFA Released February 13, 2013 Goals Ensure that all types of organizations permitted in federal rules are eligible to compete Provide grants to a diverse group of organizations that will provide high-quality enrollment assistance, in a manner that is linguistically and culturally appropriate to the populations being served One-Stop consumer assistance for Exchange, Medicaid and Child Health Plus coverage Ensure availability of assistors in all counties of the State Have IPA/Navigators ready to provide assistance at open enrollment, October 1,

17 Executive Order Issued - April 2012 NY completes HHS Design Review - October 2012 NY submits Blueprint to HHS November 2012 NY receives conditional certification from HHS to operate a state-based Exchange -December 2012 HHS conducts design review April 2013 Health Plans Selected for participation in July 2013 In-Person Assistor/Navigator Program begins September 2013 Customer Service opens for business September 2013 Applications accepted October 2013 Coverage starts January 2014 Exchange Timeline 17

18 18

An Update for MSSNY, ACP and Specialty Societies

An Update for MSSNY, ACP and Specialty Societies An Update for MSSNY, ACP and Specialty Societies Donna Frescatore Executive Director Randi Imbriaco Director, Plan Management Sherry Tomasky Director, Stakeholder Engagement August 14, 2013 1 NEW YORK

More information

NY State of Health Small Business Marketplace

NY State of Health Small Business Marketplace NY State of Health Small Business Marketplace AGENDA What is NY State of Health? How Do I Enroll? Enrollment by the numbers Qualified Health Plan Information Value of the Small Business Marketplace Updates

More information

Health Insurance Exchange Overview

Health Insurance Exchange Overview Health Insurance Exchange Overview House Health and Human Services Finance February 15, 2011 April Todd-Malmlov Health Insurance Exchange Director - State Health Economist Minnesota Departments of Commerce

More information

Washington Health Benefit Exchange. Leading Age 2014 Annual Conference. Phil Dyer Board Member

Washington Health Benefit Exchange. Leading Age 2014 Annual Conference. Phil Dyer Board Member Washington Health Benefit Exchange Leading Age 2014 Annual Conference Phil Dyer Board Member DISCLAIMER; The views and information expressed are my personal opinions and perspectives and do not represent

More information

ACAP Guide to ACA Fees and Taxes for Health Insurers

ACAP Guide to ACA Fees and Taxes for Health Insurers Introduction ACAP Guide to ACA Fees and Taxes for Health Insurers Since being signed into law in March of 2010, the Patient Protection and Affordable Care Act (ACA) has introduced a wide range of health

More information

Nebraska Health Insurance Exchange Update

Nebraska Health Insurance Exchange Update Nebraska Health Insurance Exchange Update State of Nebraska s Health Insurance Exchange A Presentation to the Public September, 2012 TODAY'S AGENDA Section 1: Overview of Health Insurance Exchanges Section

More information

The Idaho Private Option

The Idaho Private Option The Idaho Private Option Exploring Options for Medicaid Reform, Taxpayer Relief & Improved Public Safety Richard Armstrong Director Department of Health and Welfare April 2014 Today s Discussion 1. Private

More information

Delaware s Health Insurance Marketplace: Update on Activity

Delaware s Health Insurance Marketplace: Update on Activity Delaware s Health Insurance Marketplace: Update on Activity Delaware Health Care Commission July 2, 2015 Secretary Rita Landgraf Department of Health and Social Services Agenda Review of Delaware s 2015

More information

NY State of Health The Official Health Plan Marketplace New York Library Association August 29, 2013

NY State of Health The Official Health Plan Marketplace New York Library Association August 29, 2013 NY State of Health The Official Health Plan Marketplace New York Library Association August 29, 2013 Kyle Kotary Director, External Affairs, Outreach & Marketing krk02@health.state.ny.us View the NY State

More information

Private Health Insurance for Children in New Jersey and the Affordable Care Act

Private Health Insurance for Children in New Jersey and the Affordable Care Act Private Health Insurance for Children in New Jersey and the Affordable Care Act Woodrow Wilson School of Public and International Affairs Princeton University March 18, 2011 Joel C. Cantor, ScD Professor

More information

STATE HEALTH INSURANCE EXCHANGE MISSISSIPPI INSURANCE DEPARTMENT P.O. BOX 79 JACKSON, MS 39205-0079

STATE HEALTH INSURANCE EXCHANGE MISSISSIPPI INSURANCE DEPARTMENT P.O. BOX 79 JACKSON, MS 39205-0079 STATE HEALTH INSURANCE EXCHANGE MISSISSIPPI INSURANCE DEPARTMENT P.O. BOX 79 JACKSON, MS 39205-0079 What Is An Exchange? o Essentially a marketplace for major medical insurance. o Travelocity, Expedia,

More information

What s in federal health reform for small businesses?

What s in federal health reform for small businesses? Community Chamber Development Corporation The CCDC is an affiliate of the Chautauqua County Chamber of Commerce 512 Falconer Street, Jamestown NY 14701 ~ 716.484.1101 10785 Bennett Road, Dunkirk NY 14048

More information

Nebraska Health Insurance Exchange Update

Nebraska Health Insurance Exchange Update Nebraska Health Insurance Exchange Update State of Nebraska s Health Insurance Exchange A Presentation to Advocacy Groups August 2012 TODAY'S AGENDA Section 1: Overview of Health Insurance Exchanges Section

More information

New York Health Benefit Exchange & Small Business Health Options Program (SHOP) Frequently Asked Questions for Agents and Brokers

New York Health Benefit Exchange & Small Business Health Options Program (SHOP) Frequently Asked Questions for Agents and Brokers New York Health Benefit Exchange & Small Business Health Options Program (SHOP) Frequently Asked Questions for Agents and Brokers May 9, 2013 Carrier Participation in the Exchange 1. Q: What carriers have

More information

HEALTH INSURANCE MARKETPLACES FACT SHEET

HEALTH INSURANCE MARKETPLACES FACT SHEET HEALTH INSURANCE MARKETPLACES FACT SHEET INFORMED ON REFORM Overview A Health Insurance Marketplace, also known as a Health Insurance Exchange, is available in every state as a public option for individuals

More information

Exchanges and the ACA What You Need to Know for 2014

Exchanges and the ACA What You Need to Know for 2014 Exchanges and the ACA What You Need to Know for 2014 How the Affordable Care Act affects the Individual Health Insurance Market This presentation is for informational purposes only and does not constitute

More information

NYC and the Affordable Care Act: Where We Are Post-Roll-Out and How We Can Boost Access to Care

NYC and the Affordable Care Act: Where We Are Post-Roll-Out and How We Can Boost Access to Care NYC and the Affordable Care Act: Where We Are Post-Roll-Out and How We Can Boost Access to Care October 23, 2014 New York City Council Chambers 1:00 P.M. Sonia Angell, MD, MPH Deputy Commissioner Division

More information

How To Understand The Health Care Exchange

How To Understand The Health Care Exchange STATE HEALTH INSURANCE EXCHANGE MISSISSIPPI INSURANCE DEPARTMENT P.O. BOX 79 JACKSON, MS 39205-0079 What Is An Exchange? 2 o Essentially a marketplace for major medical insurance. o Travelocity, Expedia,

More information

2015 OEP: Insight into consumer behavior

2015 OEP: Insight into consumer behavior 2015 OEP: Insight into consumer behavior Center for U.S. Health System Reform March 11, 2015 OVERVIEW As the Affordable Care Act s (ACA s) second individual market open enrollment period (OEP) came to

More information

Federal Health Reform FAQs

Federal Health Reform FAQs Federal Health Reform FAQs Individuals 1. What is an exchange? An exchange, as created under the Affordable Care Act (ACA), is a place where consumers can purchase subsidized health insurance coverage.

More information

Health Insurance Options for Small Businesses

Health Insurance Options for Small Businesses Health Insurance Options for Small Businesses 1 Presentation Outline Benefits of Offering Health Insurance to Employees Understanding Health Insurance Products - Health Insurance Models - Terminology Small

More information

REGULATORY UPDATE Vol. 1 No. 18

REGULATORY UPDATE Vol. 1 No. 18 REGULATORY UPDATE Vol. 1 No. 18 FAQs on Exchanges August 7, 2013 IN THIS ISSUE FAQs on Exchanges Employer Mandate Delay Transitional Guidance Issued Individual Mandate Final Rules Issued Possible Exchange

More information

Two Choices. The Affordable Care Act requires every individual to either: 1. Maintain Minimum Essential Coverage, or

Two Choices. The Affordable Care Act requires every individual to either: 1. Maintain Minimum Essential Coverage, or Information last updated September 9, 2014 1 Two Choices The Affordable Care Act requires every individual to either: 1. Maintain Minimum Essential Coverage, or 2. Make a Shared Responsibility Payment.

More information

Kansas Insurance Department

Kansas Insurance Department Kansas Insurance Department The Affordable Care Act What Happens Now? Kansas Society of CPAs June 5, 2013 Linda J. Sheppard, Special Counsel & Director of Health Care Policy and Analysis 2010 Affordable

More information

The Affordable Care Act (aka ObamaCare) and the New Insurance Marketplace. What New Yorkers Need to Know.

The Affordable Care Act (aka ObamaCare) and the New Insurance Marketplace. What New Yorkers Need to Know. The Affordable Care Act (aka ObamaCare) and the New Insurance Marketplace What New Yorkers Need to Know. Outline Overview: The ACA (ObamaCare) New York State of Health: The Official Health Insurance Marketplace

More information

Washington State Health Insurance Pool - Board Education March 2012

Washington State Health Insurance Pool - Board Education March 2012 - Board Education March 2012 What are the new 3 R s? The 3 R s are the risk leveling programs required by the Affordable Care Act (ACA) to help protect insurers in the individual and small group markets

More information

6.0 SMALL BUSINESS HEALTH OPTIONS PROGRAM (SHOP)

6.0 SMALL BUSINESS HEALTH OPTIONS PROGRAM (SHOP) 6.0 SMALL BUSINESS HEALTH OPTIONS PROGRAM (SHOP) Summary Minnesota intends to implement and operate a State-Based Exchange per the requirements of the Affordable Care Act (ACA). This Exchange will meet

More information

Considerations for Health Risk Adjustment in the Basic Health Program in Program Year 2015

Considerations for Health Risk Adjustment in the Basic Health Program in Program Year 2015 Considerations for Health Risk Adjustment in the Basic Health Program in Program Year 2015 Centers for Medicare & Medicaid Services Office of the Actuary and the Center for Medicaid and CHIP Services June

More information

Nebraska Health Insurance Exchange Update

Nebraska Health Insurance Exchange Update Nebraska Health Insurance Exchange Update Overview of the Affordable Care Act and the Federally Facilitated marketplace. September 2014 AFFORDABLE CARE ACT» The Affordable Care Act: Establishes a Health

More information

HEALTH INSURANCE EXCHANGES: FEDERAL DEADLINES AND STATE DECISIONS

HEALTH INSURANCE EXCHANGES: FEDERAL DEADLINES AND STATE DECISIONS HEALTH INSURANCE EXCHANGES: FEDERAL DEADLINES AND STATE DECISIONS Annual Meeting: Council of State Governments West July 21, 2012 BOB CAREY RLCAREY CONSULTING AGENDA 1 The Basics: Health Insurance Exchanges

More information

Health Care Reform: Connecting Early Learners and Families to Coverage

Health Care Reform: Connecting Early Learners and Families to Coverage Health Care Reform: Connecting Early Learners and Families to Coverage Presenters Astrid Campos The Children s Partnership Wesley Samms California Coverage & Health Initiatives What We Will Cover ALL IN

More information

Producer FAQs. Is the Maryland Health Benefit Exchange an insurance company?

Producer FAQs. Is the Maryland Health Benefit Exchange an insurance company? Producer FAQs Question Is the Maryland Health Benefit Exchange an insurance company? What types of coverage will Maryland Health Connection offer? How do I know that this is legitimate health coverage?

More information

NFP Health Case Study: How One Medicaid Plan Prepared for the ACA Commercial Marketplace

NFP Health Case Study: How One Medicaid Plan Prepared for the ACA Commercial Marketplace NFP Health Case Study: How One Medicaid Plan Prepared for the ACA Commercial Marketplace NFP Health designs, implements and operates the administrative infrastructure needed by Medicaid plans to enter

More information

Affordable Care Act: Healthcare Exchange H O U S E & S E N A T E H E A L T H & I N S U R A N C E C O M M I T T E E S M A R C H 2, 2 0 1 1

Affordable Care Act: Healthcare Exchange H O U S E & S E N A T E H E A L T H & I N S U R A N C E C O M M I T T E E S M A R C H 2, 2 0 1 1 Affordable Care Act: Healthcare Exchange 1 H O U S E & S E N A T E H E A L T H & I N S U R A N C E C O M M I T T E E S M A R C H 2, 2 0 1 1 Agenda Update: Health Care Reform Issues Senate Bill 461 Healthcare

More information

The Health Insurance Marketplace 101. May 2013

The Health Insurance Marketplace 101. May 2013 The Health Insurance Marketplace 101 May 2013 Affordable Care Act Coverage Accomplishments 3.1 million young adults have gained insurance through their parents plans 6.1 million people with Medicare through

More information

Health insurance Marketplace. What to expect in 2014

Health insurance Marketplace. What to expect in 2014 Health insurance Marketplace What to expect in 2014 Overview The Affordable Care Act (ACA) includes several provisions geared to extend greater access to health insurance benefits to more people. Beginning

More information

Illinois Exchange Background Research and Needs Assessment Final Report and Findings. Governor s Reform Implementation Council October 14, 2011

Illinois Exchange Background Research and Needs Assessment Final Report and Findings. Governor s Reform Implementation Council October 14, 2011 Illinois Exchange Background Research and Needs Assessment Final Report and Findings Governor s Reform Implementation Council October 14, 2011 Research & Assessment Illinois, using Federal grant money,

More information

The Reformed New World of Health Insurance Exchanges. Arthur Lerner Barbara Ryland

The Reformed New World of Health Insurance Exchanges. Arthur Lerner Barbara Ryland The Reformed New World of Health Insurance Exchanges Arthur Lerner Barbara Ryland Introduction State Insurance Exchanges are a key component of the health reform legislation What are the Exchanges? What

More information

Health Insurance Marketplace. vhealth insurance exchanges. What to expect in 2014. What to expect in 2014

Health Insurance Marketplace. vhealth insurance exchanges. What to expect in 2014. What to expect in 2014 vhealth insurance exchanges Health Insurance Marketplace What to expect in 2014 What to expect in 2014 The basics of exchanges As part of the Affordable Care Act (ACA or health care reform law), starting

More information

What is a state health insurance exchange (i.e. "American Health Benefit Exchange")?

What is a state health insurance exchange (i.e. American Health Benefit Exchange)? MEMORANDUM DATE: 11/07/2011 TO: Members of the House Appropriation Subcommittee for LARA FROM: Paul Holland, Fiscal Analyst RE: State Health Insurance Exchanges In response to the requirements pertaining

More information

American Health Benefit Exchanges Fact Sheet A Provision of the Patient Protection and Affordable Care Act (PPACA)

American Health Benefit Exchanges Fact Sheet A Provision of the Patient Protection and Affordable Care Act (PPACA) American Health Benefit Exchanges Fact Sheet A Provision of the Patient Protection and Affordable Care Act (PPACA) This Fact Sheet reflects the Final Ruling published by the Department of Health and Human

More information

The New Health Insurance Marketplace. Choices and Opportunities for Small Groups

The New Health Insurance Marketplace. Choices and Opportunities for Small Groups The New Health Insurance Marketplace Choices and Opportunities for Small Groups What is the Affordable Care Act? The Patient Protection and Affordable Care Act (ACA) was signed into law on March 23, 2010

More information

How To Get Health Care Reform For The United States

How To Get Health Care Reform For The United States Federal Health Care Reform: Implications for New York Division of Coverage and Enrollment Office of Health Insurance Programs Health Bureau Insurance Department June 2010 Federal Health Care Reform: Where

More information

This glossary provides simple and straightforward definitions of key terms that are part of the health reform law.

This glossary provides simple and straightforward definitions of key terms that are part of the health reform law. This glossary provides simple and straightforward definitions of key terms that are part of the health reform law. A Affordable Care Act Also known as the ACA. A law that creates new options for people

More information

Comparison of California Health Coverage Expansion Proposals

Comparison of California Health Coverage Expansion Proposals Note: A comparison of the Senate Republican proposal for the special session, CalCare Plus will be available shortly. Californians to Be Covered 1 Consumers/ Individuals Treatment of Self-Employed Employers

More information

Health Insurance Exchange Overview

Health Insurance Exchange Overview Health Insurance Exchange Overview Minnesota Health Insurance Exchange Advisory Task Force November 8, 2011 Overview Existing Market Challenges What is an Exchange? Exchange Opportunities Exchange Components

More information

CIANJ: Getting Ready for Open Enrollment. September 18, 2013. Wardell Sanders, President New Jersey Association of Health Plans

CIANJ: Getting Ready for Open Enrollment. September 18, 2013. Wardell Sanders, President New Jersey Association of Health Plans CIANJ: Getting Ready for Open Enrollment September 18, 2013 Wardell Sanders, President New Jersey Association of Health Plans 1 Source of Health Insurance Coverage New Jersey Residents (8,556,000) 2007

More information

Contact: As February 15 Deadline Nears for 2015 Enrollment Under the Affordable Care Act, a Health Insurance Expert Answers Common Questions

Contact: As February 15 Deadline Nears for 2015 Enrollment Under the Affordable Care Act, a Health Insurance Expert Answers Common Questions Contact: Kathryn Knox Soman 212-908-8588 office 646-529-9769 cell SOMANK@nychhc.org As February 15 Deadline Nears for 2015 Enrollment Under the Affordable Care Act, a Health Insurance Expert Answers Common

More information

Health Insurance Marketplaces

Health Insurance Marketplaces Health Insurance Marketplaces 2013 Zywave, Inc. All rights reserved. Presented by Employer Flexible What is Health Care Reform? The Affordable Care Act (ACA) was enacted in March 2010. Biggest overhaul

More information

4/8/2013. Health Care Reform and the. NYS Exchange. Dr. Arthur Vercillo, MD Regional President April 8, 2013. Health Care Reform and the NYS Exchange

4/8/2013. Health Care Reform and the. NYS Exchange. Dr. Arthur Vercillo, MD Regional President April 8, 2013. Health Care Reform and the NYS Exchange Health Care Reform and the NYS Exchange Presentation to the Health Planning Council Advisory Board April 8, 2013, Ithaca NY By Dr. Arthur Vercillo, MD Additional resources on next to last slide. Health

More information

Illinois Exchange Needs Assessment Final Report and Findings

Illinois Exchange Needs Assessment Final Report and Findings Illinois Exchange Needs Assessment Final Report and Findings Illinois Health Benefits Exchange Legislative Study Committee September 21, 2011 Illinois Exchange Planning Project The HMA Team Health Management

More information

It s the month for shamrocks and a glimpse of spring. We continue to stay busy as you ll see in this latest news from VIM.

It s the month for shamrocks and a glimpse of spring. We continue to stay busy as you ll see in this latest news from VIM. THE VIM BULLETIN News from the Clinic MARCH, 2014 It s the month for shamrocks and a glimpse of spring. We continue to stay busy as you ll see in this latest news from VIM. UPDATE ON ACA ENROLLMENT PROGRESS

More information

Find health care options that meet your needs and fit your budget.

Find health care options that meet your needs and fit your budget. Health Insurance Marketplace 101 Find health care options that meet your needs and fit your budget. January 2015 The Health Care Law In March 2010, President Obama signed the Affordable Care Act into law

More information

THE FUTURE OF EMPLOYER BASED HEALTH INSURANCE FOLLOWING HEALTH REFORM

THE FUTURE OF EMPLOYER BASED HEALTH INSURANCE FOLLOWING HEALTH REFORM THE FUTURE OF EMPLOYER BASED HEALTH INSURANCE FOLLOWING HEALTH REFORM National Congress on Health Insurance Reform Washington, D.C., January 20, 2011 Elise Gould, PhD Health Policy Research Director Economic

More information

Potential Impacts of the Affordable Care Act on Safety Net Providers in 2014

Potential Impacts of the Affordable Care Act on Safety Net Providers in 2014 Potential Impacts of the Affordable Care Act on Safety Net Providers in 2014 This information may not be changed, modified, adapted or altered so as to falsely imply Structure of this Presentation A. Impact

More information

Considerations for a State-based vs. Federally-Facilitated Health Insurance Exchange

Considerations for a State-based vs. Federally-Facilitated Health Insurance Exchange C.L. BUTCH OTTER GOVERNOR Considerations for a State-based vs. Federally-Facilitated Health Insurance Exchange MANAGEMENT OF HEALTH PLANS AND COVERAGE OPTIONS IN THE EXCHANGE In a state-based exchange,

More information

As of January 1, 2014, most individuals must have some form of health coverage, or pay a penalty to the federal government.

As of January 1, 2014, most individuals must have some form of health coverage, or pay a penalty to the federal government. Consumer Alert Health Insurance for 2014: What You Need to Know Before You Enroll (Individuals) As of January 1, 2014, most individuals must have some form of health coverage, or pay a penalty to the federal

More information

The Health Insurance Marketplace

The Health Insurance Marketplace The Health Insurance Marketplace An Overview of Arizona Enrollment in Medicaid and the Marketplace: Health-e-Arizona Plus update Rural Health Webinar August 7, 2013 What is the Affordable Care Act? The

More information

THE MEDICAID PROGRAM AT A GLANCE. Health Insurance Coverage

THE MEDICAID PROGRAM AT A GLANCE. Health Insurance Coverage on on medicaid and and the the uninsured March 2013 THE MEDICAID PROGRAM AT A GLANCE Medicaid, the nation s main public health insurance program for low-income people, covers over 62 million Americans,

More information

Article from: Health Watch. October 2013 Issue 73

Article from: Health Watch. October 2013 Issue 73 Article from: Health Watch October 2013 Issue 73 What Is Available in 2014 for 2015 Individual Health Insurance Rate Filings By Jeff Rohlinger Jeff Rohlinger, FSA, MAAA, is associate actuary at Health

More information

Affordable Care Act FAQs

Affordable Care Act FAQs Note: This material is not intended to serve as legal advice and only constitutes Delta Dental s opinion on the subject matter contained herein based on its own review of available guidance. Delta Dental

More information

NY State of Health Readiness Report. August 30, 2013

NY State of Health Readiness Report. August 30, 2013 NY State of Health Readiness Report August 30, 2013 1 I. Purpose of this Report This report is submitted as required by Subdivision 1 of Section 206 of New York State Public Health Law enacted as part

More information

The ACA and Healthcare Exchanges

The ACA and Healthcare Exchanges The ACA and Healthcare Exchanges 1 Key Healthcare Exchange Dates April 12, 2012 - Governor Cuomo issued Executive Order #42 to establish Exchanges. December 14, 2012 - New York Receives Conditional Approval

More information

The Affordable Care Act: What Does it Mean for Your Small Business?

The Affordable Care Act: What Does it Mean for Your Small Business? The Affordable Care Act: What Does it Mean for Your Small Business? Georgia Health Policy Center Integrating research, policy, and programs to advance health and well being A research center within the

More information

Children s Health Coverage Under the ACA Part III: Issue Diagnosis Evolutionary Challenges

Children s Health Coverage Under the ACA Part III: Issue Diagnosis Evolutionary Challenges Children s Health Coverage Under the ACA Part III: Issue Diagnosis Evolutionary Challenges Prepared by Carolina Coleman Funded by the Lucile Packard Foundation for Children s Health January 2014 This brief

More information

The Role of Insurance Agents and Brokers Under Health Care Reform

The Role of Insurance Agents and Brokers Under Health Care Reform T HE J AECKLE A LERT HEALTH CARE PRACTICE GROUP ATTORNEY ADVERTISING The Role of Insurance Agents and Brokers Under Health Care Reform The New York Health Benefit Exchange, the health insurance exchange

More information

What s in federal health reform for small businesses?

What s in federal health reform for small businesses? What s in federal health reform for small businesses? 1 Presentation Outline The need for health reform What s in the ACA for small businesses? No mandate Will small businesses be required to offer coverage?

More information

The Affordable Care Act (ACA) A Healthcare Benefit Consultant s View

The Affordable Care Act (ACA) A Healthcare Benefit Consultant s View The Affordable Care Act (ACA) A Healthcare Benefit Consultant s View Alex Rule, Employee Benefits Consultant, Partner and Shareholder Nancy Frost, Employee Benefits Consultant and Department Manager Presenters

More information

Colorado Legislative Council Staff

Colorado Legislative Council Staff Colorado Legislative Council Staff Room 029 State Capitol, Denver, CO 80203-1784 (303) 866-3521 FAX: 866-3855 TDD: 866-3472 MEMORANDUM October 29, 2012 TO: Interested Persons FROM: Bill Zepernick, Fiscal

More information

6/26/2012. Data Requirements for Rate Filings SERFF Requirements Data Required by Federal Regulations. Rate Review in the Exchange

6/26/2012. Data Requirements for Rate Filings SERFF Requirements Data Required by Federal Regulations. Rate Review in the Exchange HEALTH INSURANCE RATE REVIEW AND REGULATORY ISSUES Jan Graeber, ASA, MAAA Director and Chief Actuary Rate and Form Review Office Texas Department of Insurance 1 Actuaries Club of the Southwest Spring 2012

More information

SHOP Exchange Technology Enablement Options. March 13, 2012

SHOP Exchange Technology Enablement Options. March 13, 2012 SHOP Exchange Technology Enablement Options March 13, 2012 Agenda 1. SHOP Overview 2. SHOP Principles 3. Design Options 4. Option Comparisons 5. Timeline and Recommendation - 1 - Overview: Small Business

More information

Federal and State Subsidies Questions

Federal and State Subsidies Questions Federal and State Subsidies Questions 1. Qualified Health Plans (QHP) vs. Minimum Creditable Coverage (MCC) on all covered benefits. How do these two things relate? All QHPs offered through the Health

More information

State of Wisconsin / OFFICE OF THE COMMISSIONER OF INSURANCE

State of Wisconsin / OFFICE OF THE COMMISSIONER OF INSURANCE State of Wisconsin / OFFICE OF THE COMMISSIONER OF INSURANCE Scott Walker, Governor Theodore K. Nickel, Commissioner Wisconsin.gov 125 South Webster Street P.O. Box 7873 Madison, Wisconsin 53707-7873 Phone:

More information

Massachusetts Health Care Training Forum (MTF

Massachusetts Health Care Training Forum (MTF ACA LEARNING SERIES Impact on Massachusetts & Implementation Activities to Date Massachusetts Health Care Training Forum (MTF) October 2012 A collaborative effort between the Executive Office of Health

More information

A Tale of Two States: Insurance Premiums in Border Counties of Nebraska and Iowa 1

A Tale of Two States: Insurance Premiums in Border Counties of Nebraska and Iowa 1 A Tale of Two States: Insurance Premiums in Border Counties of Nebraska and Iowa 1 By Jon M. Bailey, Rural Public Policy Program April 2014 Key Points Nebraska s decision not to expand their Medicaid program

More information

HEALTH INSURANCE EXCHANGES

HEALTH INSURANCE EXCHANGES HEALTH INSURANCE EXCHANGES Jeff Gold Vice President, Managed Care and Special Counsel Healthcare Association of New York State September 21, 2013 HEALTH INSURANCE EXCHANGES An organized marketplace where

More information

The Affordable Care Act What does it mean to Arkansans? Sandra L. Cook, MPA Consumer Assistance Specialist Arkansas Insurance Department

The Affordable Care Act What does it mean to Arkansans? Sandra L. Cook, MPA Consumer Assistance Specialist Arkansas Insurance Department The Affordable Care Act What does it mean to Arkansans? Sandra L. Cook, MPA Consumer Assistance Specialist Arkansas Insurance Department PRESENTATION OBJECTIVES By the end of this presentation, participants

More information

1. A. Should the Colorado Health Benefit Exchange operate as one or two entities and

1. A. Should the Colorado Health Benefit Exchange operate as one or two entities and 1. A. Should the Colorado Health Benefit Exchange operate as one or two entities and Goal/Objective Create a successful individual and SHOP Exchange as defined by SB11 200 Create a self sustaining COHBE

More information

Kansas Insurance Department

Kansas Insurance Department Kansas Insurance Department A Kansas Guide to Health Insurance Changes Public Policy Session Panel Discussion KAMU Annual Conference Sept. 26, 2013 Sandy Praeger, Commissioner of Insurance 2014 Affordable

More information

Insure Tennessee. What is Insure Tennessee?

Insure Tennessee. What is Insure Tennessee? Coverage for Tennessee s uninsured that is market-based, promotes personal responsibility, addresses cost, and is a big step towards real healthcare reform in Tennessee. What is Insure Tennessee? 2 What

More information

Health Insurance Reform in Kansas - A Model For Success

Health Insurance Reform in Kansas - A Model For Success Draft Health Reform Plan Roadmap 1. Goals for June 20 th KHPA Board Meeting Review demographics of Kansas uninsured Review of 2005 Mercer health insurance study (in reference section) Determine overarching

More information

Affordable Care Act (ACA) Shifts Wealth From Millennials to Baby Boomers

Affordable Care Act (ACA) Shifts Wealth From Millennials to Baby Boomers Affordable Care Act (ACA) Shifts Wealth From Millennials to Baby Boomers April 6, 2015 Brittany Clifton, Gail Werner-Robertson Scholar Creighton Institute for Economic Inquiry Affordable Care Act (ACA)

More information

EXAMINING THE IMPACT OF THE PATIENT PROTECTION AND AFFORDABLE CARE ACT IN NORTH CAROLINA MEDICAID EXPANSION OPTION ISSUE BRIEF

EXAMINING THE IMPACT OF THE PATIENT PROTECTION AND AFFORDABLE CARE ACT IN NORTH CAROLINA MEDICAID EXPANSION OPTION ISSUE BRIEF EXAMINING THE IMPACT OF THE PATIENT PROTECTION AND AFFORDABLE CARE ACT IN NORTH CAROLINA MEDICAID EXPANSION OPTION ISSUE BRIEF As originally passed, the Patient Protection and Affordable Care Act (ACA)

More information

Presentation for Licensed Producers The Affordable Care Act

Presentation for Licensed Producers The Affordable Care Act Presentation for Licensed Producers The Affordable Care Act Bruce Donaldson, CHC Producer & Stakeholder Specialist Arkansas Insurance Department Affordable Care Act The ACA was passed by Congress and signed

More information

State Health Insurance Exchanges

State Health Insurance Exchanges Primer: State Health Insurance Exchanges Hannah Gregg l September 2011 Introduction The Affordable Care Act (ACA) mandates that all Americans will have access to online marketplaces where they can compare

More information

CHARTER FOR THE HEALTH BENEFIT EXCHANGE AUTHORITY PREAMBLE ARTICLE I NAME. The District of Columbia Health Benefit Exchange Authority ( Authority).

CHARTER FOR THE HEALTH BENEFIT EXCHANGE AUTHORITY PREAMBLE ARTICLE I NAME. The District of Columbia Health Benefit Exchange Authority ( Authority). CHARTER FOR THE HEALTH BENEFIT EXCHANGE AUTHORITY PREAMBLE The Health Benefit Exchange Authority of the District of Columbia is an independent authority of the District of Columbia government responsible

More information

The Patient Protection & Affordable Care Act: Next Steps in Maine. February 8, 2013 1

The Patient Protection & Affordable Care Act: Next Steps in Maine. February 8, 2013 1 The Patient Protection & Affordable Care Act: Next Steps in Maine February 8, 2013 1 Maine Medical Association Voluntary membership association of over 3,600 Maine physicians, residents, and medical students

More information

Health Care Reform 101 for June 3, 2013

Health Care Reform 101 for June 3, 2013 Commercial & Personal Insurance Employee Benefits Retirement Plan Services Wealth Management Health Care Reform 101 for June 3, 2013 Requirements: Pre-HCR vs. Post-HCR Offering/Maintaining Health Insurance

More information

Organization Name: Contact Person: Name Title Phone number Email. 2015 Legislative Agenda

Organization Name: Contact Person: Name Title Phone number Email. 2015 Legislative Agenda Check the box that applies: I want to sign on as a supporter of the CTN 2015 legislative agenda I want to sign on as a supporter of the CTN 2015 legislative agenda, AND be listed as a CTN member organization

More information

Evaluations. Nursing Contact Hours, CME and CHES credits are available.

Evaluations. Nursing Contact Hours, CME and CHES credits are available. Evaluations Nursing Contact Hours, CME and CHES credits are available. Please visit www.phlive.org to fill out your evaluation and complete the post-test. 1 Conflict of Interest & Disclosure Statements

More information

Small Business Marketplace

Small Business Marketplace Small Business Marketplace Affordable Insurance Coming in 2014 Marcia Okon MCC Healthcare Marketplace Counselor Certified IPA/Navigator 212.473.7805 marcia@manhattancc.org NY State of Health: Plan Tiers

More information

ENROLLMENT FORECASTS, REPORTING SCHEDULE AND BACKGROUND DATA

ENROLLMENT FORECASTS, REPORTING SCHEDULE AND BACKGROUND DATA Oct. 1, 2013 ENROLLMENT FORECASTS, REPORTING SCHEDULE AND BACKGROUND DATA Introduction Covered California is the state s marketplace for the federal Patient Protection and Affordable Care Act (Affordable

More information

kynect Overview and Update Executive Director

kynect Overview and Update Executive Director kynect Overview and Update Carrie Banahan Executive Director March 27, 2014 What is kynect? An organized marketplace for individuals and employees of small businesses to shop for health insurance offered

More information

Navigator, Agent and Broker Work Group

Navigator, Agent and Broker Work Group Minnesota Health Insurance Exchange Navigator, Agent and Broker Work Group Advisory Task Force Meeting October 24, 2012 Advisory Task Force Meeting Navigator, Agent & Broker Work Group October, 2012 Summary

More information

Douglas A. Conrad, PhD, Professor of Health Services University of Washington Member: Washington Health Benefits Exchange Board Presentation for:

Douglas A. Conrad, PhD, Professor of Health Services University of Washington Member: Washington Health Benefits Exchange Board Presentation for: Douglas A. Conrad, PhD, Professor of Health Services University of Washington Member: Washington Health Benefits Exchange Board Presentation for: Washington Policy Center Conference: July 10, 2012 1 This

More information

HIV/AIDS Care in a Changing Healthcare Landscape. Effect of Healthcare Reform on Ryan White Programs and ADAP

HIV/AIDS Care in a Changing Healthcare Landscape. Effect of Healthcare Reform on Ryan White Programs and ADAP HIV/AIDS Care in a Changing Healthcare Landscape Effect of Healthcare Reform on Ryan White Programs and ADAP Healthcare Reform and Ryan White Programs: The Basics Under the Patient Protection and Affordable

More information

Encouraging Employer-Sponsored Health Insurance

Encouraging Employer-Sponsored Health Insurance Encouraging Employer-Sponsored Health Insurance Christina Wessel Minnesota Budget Project Deputy Director 651-757-3065 cwessel@mnbudgetproject.org Minnesota Council of Nonprofits 2314 University Avenue

More information

Parker, Smith & Feek - ACA Update: 2014 November 2013

Parker, Smith & Feek - ACA Update: 2014 November 2013 Affordable Care Act (ACA) Background Core of law is an attempt to reduce # of uninsured Multiple approaches to expanding insurance coverage Requires most in US to have health insurance Creates state-based

More information

ACA Implementation Timeline

ACA Implementation Timeline ACA Implementation Timeline Published: March 5, 2013 Updated: July 5, 2013 Producer: Sophie Novack Director: Jessica Guzik National Journal Presentation Credits Most ACA Reforms Implemented 2013-2014 Jan.

More information

CALIFORNIA ELIGIBILITY AND ENROLLMENT REPORT: INSURANCE AFFORDABILITY PROGRAMS

CALIFORNIA ELIGIBILITY AND ENROLLMENT REPORT: INSURANCE AFFORDABILITY PROGRAMS CALIFORNIA ELIGIBILITY AND ENROLLMENT REPORT: INSURANCE AFFORDABILITY PROGRAMS ASSEMBLY BILL X1 1 (J. PEREZ, CHAPTER 3, FIRST EXTRAORDINARY SESSION, STATUTES OF 2013), WELFARE & INSTITUTIONS CODE 14102.5(a)

More information