Katherine Record, JD, MPH, MA Senior Fellow, Center for Health Law & Policy Innovation Harvard Law School March 2013
|
|
- Maximilian Harrison
- 8 years ago
- Views:
Transcription
1 Extending Medicaid to Reduce HIV Transmission & Health Related Costs in Texas: Modeling the Transition of Ryan White Clients into Medicaid & Private Insurance in 2014 Katherine Record, JD, MPH, MA Senior Fellow, Center for Health Law & Policy Innovation Harvard Law School March 2013
2 Outline Modeling the 2014 Transition for HIV+ Individuals: a Lens into the Impact of the Affordable Care Act Extending Medicaid is Optional because it s a Completely Different Program Massachusetts a preview of the impact of the Affordable Care Act HIV in Texas Choosing not to Extend Medicaid is Dangerous for the State
3 The Modeling Project: a Lens into the Impact of the ACA Modeling uses HIV because national data is available Benefit comparisons & numbers reflect state preparedness for any chronic disease Delivery & payment of healthcare is revolutionizing whether states resist or not Cost of patients with chronic conditions will ruin state budgets without extending Medicaid diabetes, cancer, CVD It s about the right care, right place, right time not the emergency room
4 Why Extending Medicaid is Optional: Not Just the Unemployed Anyone making less than $14,500 / year ($29,700 for family of 4) 86% of employed but uninsured Texans work full time in small businesses 62% of small businesses cannot afford to provide health insurance; compared to only 33% in 1995 (nationally) Source: Health Texas, Report on Senate Bill 10, Section 25, 80 th Legislature Regular Session, Healthy Texas Phase II Report ( Small Businesses Hit Hard by Economy Consider Dropping Health Coverage, New York Times, Feb 3, 2009.
5 Why Extending Medicaid is Optional: Health Homes Extended Medicaid Reduces State Costs 90% federal match rate for all medicaid patients that qualify Risk assessment places high cost patients into a health home (those with HC costs that are 50% higher than average typically are 10 times more likely to be hospitalized; 150 times more likely to use ER unnecessarily) Care coordinator keeps patient in care; avoiding ER 2 in 10 patients with mental illness see a MH provider Wang P et al, Twelve-month Use of Mental Health Services in the United States, Arch. Gen Psychiatry, 62 (June, 2005) Washington DSHS Research & Data Analysis Division, Integrated Client Database (Jan. 2012).
6 Massachusetts a preview of the impact of the Affordable Care Act Expanded Medicaid coverage to pre-disabled people living with HIV with an income up to 200% FPL (2001) Enacted private health insurance reform with a heavily subsidized insurance plan for those with income up to 300% FPL (2006) Protected a strong Medicaid program for already & newly eligible The MA case study provides insight into how health reforms work. 6
7 Massachusetts Reform: Improved Health Outcomes Notes: MA outcomes are based on Massachusetts and Southern New Hampshire HIV/AIDS Consumer Study Final Report, December 2011, JSI Research and Training, Inc.; National outcomes are based on Cohen, Stacy M., et. al., Vital Signs: HIV Prevention Through Care and Treatment United States, CDC MMWR, 60(47); (December 2, 2011); For both MA and national outcomes, the percentages used are taken from a baseline of those infected, using the same estimated percentage diagnosed (82%) both nationally and for Massachusetts, based on the MMWR. The definition of In Medical Care may differ slightly between the MA data and the MMWR.
8 Massachusetts Reform: Reduced Transmission of HIV; Lower Mortality Rates Percent Change in HIV Diagnoses and Death Rates (MA v. U.S.) 10% 0% -10% -20% 2% MA U.S. -30% -40% -25% -33% -50% -44% Percent Change in HIV Diagnosis Rate ( ) Percent Change in HIV Death Rate ( ) Between 2006 & 2009, Massachusetts new HIV diagnoses rate fell by 25% compared to a 2% national increase Current MA new HIV diagnoses rate has fallen by 46% Between 2002 & 2008, Massachusetts AIDS mortality rate decreased by 44% compared to 33% nationally Sources: MA Dept of Public Health, Regional HIV/AIDS Epidemiologic Profile of Mass: 2011, Table 3; CDC, Diagnoses of HIV infection and AIDS in the United States and Dependent Areas, 2010, HIV Surveillance Report, Vol. 22, Table 1A; CDC, Diagnoses of 8 HIV infection and AIDS in the United States and Dependent Areas, 2008, HIV Surveillance Report, Vol. 20, Table 1A.
9 Massachusetts Reform: Proves that Expanding Medicaid LOWERS Hospital Costs Massachusetts cost per Medicaid beneficiary living with HIV has decreased, particularly the amount spent on inpatient hospital care Source: MA Office of Medicaid, data request 9
10 Massachusetts Reform: Proves that Expanding Medicaid LOWERS all Healthcare Spending Reforms reduced HIV health care expenditures by ~$1.5 billion in past decade (MA Dept. Public Health)
11 Waiting to Cover People Until they re Disabled Wastes Millions of State Dollars $1,200 Average Monthly Cost Eligibility, Average Monthly Cost (Millions) $1,000 $800 $600 $400 $200 $765 $159 $339 $996 $192 $439 ABD Children Adults ABD = aged, blind, disabled $ Source: Texas Health and Human Services Commission, Texas Medicaid and CHIP in Perspective: Seventh Edition,
12 Expanding Medicaid Does Not Put the State at Fiscal Risk Can opt out anytime (can expand in way that triggers automatic cut off if federal funding falls) Costs state % more than currently spending on Medicaid (excludes all savings it will bring; includes woodwork population) Opportunity to extend Texas impressive Waiver reforms to millions more - Managed care plans can use utilization review, manage drug formularies, performance based reimbursement to control costs Cost sharing increases skin in the game ($8 for unnecessary ER visit & $3-$8 prescriptions if < 150% FPL; 8% coinsurance & unlimited copay if over) Not extending hurts US citizens the most Pays for mental health and substance abuse services
13 What if Texas Doesn t Expand Medicaid? HIV epidemic will spiral out of control Healthcare expenditures will continue to skyrocket Hospitals will close State will forgo hundreds of thousands of jobs & billions in business activity
14 State Will Lose Control of HIV Epidemic Future Ryan White Funding is NOT secure FY Texas spent $32,138,127 on ADAP State spending on ADAP grows every year (more people infected; higher cost of treatment) Already becoming unsustainable Dept. of State Health Services is considering limiting eligibility By extending Medicaid - 53% of state s ADAP clients eligible for Medicaid (conservative estimate accounts for ineligibility of undocumented residents and insured ADAP clients) Texas Dept. of State Health Services, HIV/STD Program (July 2012)
15 Number of People Infected with HIV will Increase 3,192 diagnosed in % connected to care within 3 months 17% never connected with care 27% HIV+ Texans didn t get HIV treatment in 2011 (nearly 20,000 individuals) 18% are getting NO medical care at all 38% are bouncing in and out of care over 36,000 people at increased risk of transmitting HIV to another Texan Texas Dept. of State Health Services, HIV/STD Program (July 2012)
16 Health Care Expenditures Will Continue to Skyrocket as People Delay Treatment Until Very Sick 60% 50% 40% 30% 20% 10% Health Behavior of Adult Americans With and Without Health Insurance, % 51% 14% Insured Uninsured 19% 20% 30% 0% Did not see doctor for specific medical condition due to cost concerns Took Medication at lower dose than prescribed to cut costs Skipped filling prescription because of financial concern Most Insured Adults Worry About Health Care Costs: Poll, HealthDay News, March 9,
17 Hospitals Will Close Medicaid uncompensated care payments will be cut in half by 2019 (Texas received > $1 billion in 2010) Rising cost of uncompensated care in nonexpansion states will be detrimental to the economy Republic Gov. Brewer, Arizona At minimum Texas will save $5.8 billion on uncompensated care (may be as high as $11.6 billion) in first 10 years Increased Medicaid reimbursement rate = 82% increase for Texas PCPs (all federal money) Source: National Association of State Mental Health Program Directors, 2012 Urban Institute & RWJF, 2011 based on 5 year estimates (
18 Hospitals Already Struggling 20 Total Uncompensated Care Charges Billions of Dollars Over $20 Billion in Source: 2010 Cooperative DSHS/AHA/THA Annual Survey of Hospitals and Hospital Tracking Database; Texas Fact Sheet by Hospital Survey Unit, Center for Health Statistics, Texas Department of State Health Services ( Year
19 In Short Not Extending Medicaid Means Texans will pay millions in tax dollars to: Leave thousands uninsured Let billions of Texans federal tax dollars go into other states Maintain mental health and addiction services as state burden Leave hospitals subject to huge federal cuts Keep spending state money on care federal government is offering to cover Forgo over 300,000 new jobs in healthcare Forgo $276 billion in general business activity
20 For an electronic copy of this presentation and other information about the Affordable Care Act, see: This presentation was funded in part through a grant from Bristol-Myers Squibb, with no editorial review or discretion 20
Texas Affordable Care Act Implementation: Challenges and Opportunities
Texas Affordable Care Act Implementation: Challenges and Opportunities Texas Robert Greenwald Clinical Professor of Law Director, Center for Health Law and Policy Innovation of Harvard Law School January
More informationMedicaid Expansion in South Carolina: Why Access to Health Care Matters
Medicaid Expansion in South Carolina: Why Access to Health Care Matters Katherine Record, JD, MPH, MA Senior Fellow Center for Health Law and Policy Innovation of Harvard Law School March 2013 OUTLINE
More informationThis 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 informationMedicaid Expansion and the Affordable Care Act. AUGUST 2012 David Blatt Director, Oklahoma Policy Institute dblatt@okpolicy.
Medicaid Expansion and the Affordable Care Act AUGUST 2012 David Blatt Director, Oklahoma Policy Institute dblatt@okpolicy.org 918-794-3944 Summary of the Supreme Court Decision What Was At Issue Whether
More informationWhy Accept Medicaid Dollars: The Facts
Why Accept Medicaid Dollars: The Facts If we accept federal Medicaid dollars, nearly 500,000 North Carolinians will gain access to health insurance. As many as 1,100 medically unnecessary deaths per year
More informationMYTHS ABOUT SINGLE PAYER COMING TO VERMONT. For information on myths about single payer in general, please click here.
MYTHS ABOUT SINGLE PAYER COMING TO VERMONT For information on myths about single payer in general, please click here. MYTH 1: Physicians will leave the state if we enact single payer. This is the claim
More informationHealth Care Reform WHAT DOES IT MEAN FOR PEOPLE WITH HIV?
Health Care Reform WHAT DOES IT MEAN FOR PEOPLE WITH HIV? Overcoming Health Disparities in the California Bay Area Using HIV/AIDS as a Model San Francisco May, 2012 ANNE DONNELLY PROJECT INFORM ADONNELLY@PROJECTINFORM.ORG
More informationACA in 2015: Continuing to Advocate for Medicaid Expansion, Reporting Discrimination, Gearing up for Open Enrollment
ACA in 2015: Continuing to Advocate for Medicaid Expansion, Reporting Discrimination, Gearing up for Open Enrollment Katherine L. Record, JD, MPH, MA Clinical Instructor on Law Center for Health Law and
More informationImproved Medicare for All
Improved Medicare for All Quality, Guaranteed National Health Insurance by HEALTHCARE-NOW! Single-Payer Healthcare or Improved Medicare for All! The United States is the only country in the developed world
More informationImproved Medicare for All
Take Action: Get Involved! The most important action you can take is to sign up for Healthcare-NOW! s email list, so you can stay connected with the movement and get updates on organizing efforts near
More informationWhy Expanding Access to Health Care Matters
Medicaid Expansion in South Carolina: Why Expanding Access to Health Care Matters Robert Greenwald Clinical Professor of Law Director, Center for Health Law and Policy Innovation of Harvard Law School
More informationSNHPI Safety Net Hospitals for Pharmaceutical Access
SNHPI Safety Net Hospitals for Pharmaceutical Access Why the 340B Program Will Continue to be Important and Necessary after Health Care Reform is Fully Implemented Since 1992, the 340B drug discount program
More informationLessons from Medicaid Expansion in Arizona & Maine
Lessons from Medicaid Expansion in Arizona & Maine Tarren Bragdon, CEO Foundation for Government Accountability Naples, Florida www.floridafga.org tbragdon@floridafga.org or 239.244.8808 Initial Projections:
More informationA GUIDE TO UNDERSTANDING, GETTING AND USING HEALTH INSURANCE. The. Health Insurance
A GUIDE TO UNDERSTANDING, GETTING AND USING HEALTH INSURANCE The of Health Insurance THE ABC S OF HEALTH INSURANCE: WHY IS HEALTH INSURANCE IMPORTANT? Even if you are in GOOD HEALTH, you will need to
More informationMedicaid 101: The SoonerCare Safety Net By Kate Richey, Policy Analyst
January 2012 Medicaid 101: The SoonerCare Safety Net By Kate Richey, Policy Analyst he health care system in the United States is experiencing an unprecedented period of upheaval. T Decades of rising costs,
More informationThe Ryan White CARE Act 2000 Reauthorization
POLICY BRIEF january 2001 The Ryan White CARE Act 2000 Reauthorization Overview As the Ryan White CARE Act enters its second decade, it continues to be a critical source of care and services for people
More informationThe Affordable Care Act and the Health Insurance Marketplace
The Affordable Care Act and the Health Insurance Marketplace Are You Ready? The Affordable Care Act is here! In March 2010, President Obama signed into law the Affordable Care Act (ACA), putting comprehensive
More informationAffordable Care Act and Adolescents and Young Adults
Affordable Care Act and Adolescents and Young Adults Overview of Summit Welcome and Introductions Affordable Care Act 101 Affordable Care Act and Impact on Adolescents and Young Adults Federal Update on
More informationHealth Insurance A GUIDE TO UNDERSTANDING, GETTING AND USING HEALTH INSURANCE. The. HL-14-001 Rev. 08/2015
A GUIDE TO UNDERSTANDING, GETTING AND USING HEALTH INSURANCE The of Health Insurance wahealthplanfinder.org 1-855-WAFINDER 1-855-923-4633 HL-14-001 Rev. 08/2015 THE ABC S OF HEALTH INSURANCE: WHY IS HEALTH
More informationThe Medicaid Expansion Act (ACA) - Questions to Ask
A statewide, grassroots campaign to improve the health and wellbeing of Texans ACA Boot Camp 2013 Legislative Session Cheasty Anderson, CPPP anderson@cppp.org Texas Well and Healthy Collaborative campaign
More informationTHE GOVERNOR S FY 2015 BUDGET PROPOSAL FOR MASSHEALTH (MEDICAID) AND HEALTH REFORM PROGRAMS
THE GOVERNOR S BUDGET PROPOSAL FOR MASSHEALTH (MEDICAID) AND HEALTH REFORM PROGRAMS BUDGET BRIEF MARCH 2014 On January 22, the Governor released his budget proposal for the upcoming fiscal year (FY) 2015,
More informationThe Florida Legislature has a historical opportunity to extend health care coverage to
2425 TORREYA DRIVE TALLAHASSEE, FL 32303 PHONE: 850.385.7900 FAX: 850.385.9998 MARY ANNE DePETRILLO PRESIDENT WHITE PAPER: MEDICAID EXPANSION KENT R. SPUHLER DIRECTOR I. SUMMARY The Florida Legislature
More informationA GUIDE TO UNDERSTANDING, GETTING AND USING HEALTH INSURANCE. The. Health Insurance
A GUIDE TO UNDERSTANDING, GETTING AND USING HEALTH INSURANCE The of Health Insurance THE ABC S OF HEALTH INSURANCE: WHY IS HEALTH INSURANCE IMPORTANT? Even if you are in GOOD HEALTH, you will need to
More informationANALYSIS OF THE AFFORDABLE CARE ACT (ACA) MEDICAID EXPANSION IN KENTUCKY. Kentucky Cabinet for Health and Family Services
ANALYSIS OF THE AFFORDABLE CARE ACT (ACA) MEDICAID EXPANSION IN KENTUCKY Kentucky Cabinet for Health and Family Services EXECUTIVE SUMMARY The Commonwealth of Kentucky faces a critical choice, perhaps
More informationMaryland Medicaid Program. Aaron Larrimore Medicaid Department of Health and Mental Hygiene May 15, 2012
Maryland Medicaid Program Aaron Larrimore Medicaid Department of Health and Mental Hygiene May 15, 2012 1 Maryland Medicaid In Maryland, Medicaid is also called Medical Assistance or MA. MA is a joint
More informationHIV/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 informationWHAT S IN THE PROPOSED FY 2016 BUDGET FOR HEALTH CARE?
An Affiliate of the Center on Budget and Policy Priorities 820 First Street NE, Suite 460 Washington, DC 20002 (202) 408-1080 Fax (202) 408-1073 www.dcfpi.org April 16, 2015 WHAT S IN THE PROPOSED FY 2016
More informationPerspective Implications of the Affordable Care Act for People With HIV Infection and the Ryan White HIV/AIDS Program: What Does the Future Hold?
Perspective Implications of the Affordable Care Act for People With HIV Infection and the Ryan White HIV/AIDS Program: What Does the Future Hold? There are numerous aspects of the Patient Protection and
More informationKey Features of the Affordable Care Act, By Year
Page 1 of 10 Key Features of the Affordable Care Act, By Year On March 23, 2010, President Obama signed the Affordable Care Act. The law puts in place comprehensive health insurance reforms that will roll
More informationHealthcare Reform: Impact on Care for Low-Income and Uninsured Patients
Competency 4 Healthcare Reform: Impact on Care for Low-Income and Uninsured Patients Updated June 2014. Presented by: Lewis Foxhall, MD VP for Health Policy Professor, Clinical Cancer Prevention UT MD
More informationHealth Insurance Marketplace Frequently Asked Questions
Health Insurance Marketplace Frequently Asked Questions Q & A SPECIFIC TO THE HEALTH INSURANCE MARKETPLACE & ASSISTANCE Q1: Why is health insurance important? A: No one plans to get sick or hurt, but at
More informationObama Administration Record on Health Care
Obama Administration Record on Health Care Today, two years after we passed health care reform, more young adults have insurance, more seniors are saving money on their prescription drugs, and more Americans
More informationHow Health Reform Will Help Children with Mental Health Needs
How Health Reform Will Help Children with Mental Health Needs The new health care reform law, called the Affordable Care Act (or ACA), will give children who have mental health needs better access to the
More informationExpanding Medicaid in Ohio
Expanding Medicaid in Ohio Analysis of likely effects February 2013 Introduction The Ohio Medicaid Expansion Study ( study ) was conducted to inform Ohio s leaders who must decide whether to expand Medicaid
More informationAIDS Drug Assistance Programs (ADAPs)
AIDS Drug Assistance Programs (ADAPs) AIDS Drug Assistance Programs (ADAPs) provide HIV-related prescription drugs to low-income people with HIV/AIDS who have limited or no prescription drug coverage.
More informationDéjà Vu: Michigan Struggles to Fund Medicaid Program
Michigan League FOR Human Services May 2010 S Déjà Vu: Michigan Struggles to Fund Medicaid Program ix years ago: On February 12, 2004, Governor Granholm released her FY2005 Executive Budget. In it, she
More informationINDIGENT CARE PROGRAMS IN SELECTED STATES WITHOUT COPN PROGRAMS Arizona
INDIGENT CARE PROGRAMS IN SELECTED STATES WITHOUT COPN PROGRAMS Arizona The Arizona Health Care Cost Containment System (AHCCCS) is a comprehensive, statewide managed care program which combines state
More informationMedicare taxes on higher income families $318. Cadillac tax on high-cost plans $111. Employer mandate $106
ACA Changes Created new way of counting Medicaid income Removed asset tests for some Medicaid groups Increased Medicaid income levels for children Raised age limit for coverage of children who age-out
More informationWashington 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 informationLouisiana and the Affordable Care Act (ACA)
Louisiana and the Affordable Care Act (ACA) Steve Spires, Louisiana Budget Project stevespires@lano.org 225.236.1401 www.labudget.org About Louisiana Budget Project Provides independent, nonpartisan research
More informationHealth Care Reform Overview How Will People with Hepatitis Benefit?
Health Care Reform Overview How Will People with Hepatitis Benefit? A N N E D O N N E L L Y, H E A L T H C A R E P O L I C Y, P R O J E C T I N F O R M R A C H E L M C L E A N, A D U L T V I R A L H E
More informationEvaluating Medicaid s Options & Obligations After the Supreme Court s ACA Decision. Washington Health Care Authority August 8, 2012
Evaluating Medicaid s Options & Obligations After the Supreme Court s ACA Decision Washington Health Care Authority August 8, 2012 Overview of the Supreme Court Decision Overview of the Decision A divided
More informationThe Affordable Care Act Impact to those with Chronic conditions in Washington State
The Affordable Care Act Impact to those with Chronic conditions in Washington State Four Buckets of the ACA Coverage Continuum Classic Medicaid For Current Medicaid Recipients Medicaid Expansion 0% - 138%
More informationAffordable Access to Health Care: Top Priorities of Heart Disease and Stroke Patients Results from an American Heart Association Patient Survey
Affordable Access to Health Care: Top Priorities of Heart Disease and Stroke Patients Results from an American Heart Association Patient Survey Affordable Access to Health Care: Top Priorities of Heart
More informationMeausure Twice, Cut Once: Utah's Approach to Medicaid Expansion under the Affordable Care Act
Meausure Twice, Cut Once: Utah's Approach to Medicaid Expansion under the Affordable Care Act Associate General Counsel, Office of Legislative Research and General Counsel Utah Legislature Presentation
More informationThe Health Impact of Substance Abuse: Accelerating Disease Progression and Death
November 211 RDA Report 4.85 Olympia, Washington The Health Impact of Abuse: Accelerating Disease Progression and Death David Mancuso, PhD, Melissa Ford Shah, MPP, Alice Huber, PhD, and Barbara Felver,
More informationTimeline: Key Feature Implementations of the Affordable Care Act
Timeline: Key Feature Implementations of the Affordable Care Act The Affordable Care Act, signed on March 23, 2010, puts in place health insurance reforms that will roll out incrementally over the next
More informationUnderstanding Prescription Assistance Programs (PAPs)
Understanding Prescription Assistance Programs (PAPs) The use of prescription medicines has become an increasingly important part of quality medical care. Two out of every three visits to the doctor end
More informationA JOINT MEMORIAL ENCOURAGING THE CREATION OF A SEPARATELY ADMINISTERED NATIVE AMERICAN MEDICAID CATEGORY TO AVOID THE LOSS OF SERVICES TO
A JOINT MEMORIAL ENCOURAGING THE CREATION OF A SEPARATELY ADMINISTERED NATIVE AMERICAN MEDICAID CATEGORY TO AVOID THE LOSS OF SERVICES TO PEOPLE WHOSE ENTIRE MEDICAID EXPENDITURE DOLLARS ARE MATCHED BY
More informationMedicaid Topics Impact of Medicare Dual Eligibles Stephen Wilhide, Consultant
Medicaid Topics Impact of Medicare Dual Eligibles Stephen Wilhide, Consultant Issue Summary The term dual eligible refers to the almost 7.5 milion low-income older individuals or younger persons with disabilities
More informationDiabetes Coverage in the Health Insurance Exchanges & Essential Health Benefits
Diabetes Coverage in the Health Insurance Exchanges & Essential Health Benefits Dr. LaShawn A. McIver, MD, MPH National Director, Public Policy & Strategic Alliances American Diabetes Association O Presentation
More informationTHE FISCAL YEAR 2015 BUDGET FOR MASSHEALTH AND HEALTH REFORM PROGRAMS
THE FISCAL YEAR 2015 BUDGET FOR MASSHEALTH AND HEALTH REFORM PROGRAMS BUDGET BRIEF SEPTEMBER 2014 On July 10, 2014, Governor Deval Patrick signed the budget for fiscal year (FY) 2015, one week into the
More informationkaiser medicaid uninsured commission on The Role of Medicaid for People with Behavioral Health Conditions November 2012
on on medicaid and and the the uninsured November 2012 The Role of Medicaid for People with Behavioral Health Conditions Introduction Behavioral health conditions encompass a broad range of illnesses,
More informationSenate-Passed Bill (Patient Protection and Affordable Care Act H.R. 3590)**
Prevention and Screening Services Cost-sharing Eliminates cost sharing requirements for requirements for all preventive services (including prevention and colorectal cancer screening) that have a screening
More informationHIV Services, Ryan White Programs and the Affordable Care Act: What do we know now?
HIV Services, Ryan White Programs and the Affordable Care Act: What do we know now? Thursday April 10, 2014 Presented by Carole Treston, RN, MPH Chief Nursing Officer Association of Nurses in AIDS Care
More informationHow to Get Affordable Health Care in Florida
How to Get Affordable Health Care in Florida 2008-2009 Compiled by The Health Insurance Resource Center www.ahirc.org The Health Insurance Resource Center was created in 1998 by The Actors Fund, with a
More informationThe affordable way to pay for healthcare expenses not covered by your regular health insurance
The affordable way to pay for healthcare expenses not covered by your regular health insurance America s #1 option for individuals and families that have a $2,000 health insurance deductible or more Enroll
More informationMontana s New Healthcare Plan. February 11, 2016
Montana s New Healthcare Plan February 11, 2016 Health care matters State Medicaid expansions to low-income adults are associated with significant reductions in death and improvements in access, particularly
More informationThe Truth About Gov. Romney s Medicare and Medicaid Reforms
The Truth About Gov. Romney s Medicare and Medicaid Reforms These Changes Would Shift Costs to Seniors, Health Care Providers, Businesses, and States By Topher Spiro July 2012 Introduction Republican presidential
More informationClosing the Gap: Financing Insurance Services with ADAP
Closing the Gap: Financing Insurance Services with ADAP The use of highly active antiretroviral treatment (HAART) has had enormously beneficial effects for many people living with HIV/AIDS (PLWH) but has
More informationIf I have a psychiatric disability. Will Health Reform Help Me?
If I have a psychiatric disability Will Health Reform Help Me? For consumers of mental health services, a review of the bills passed by Congress in 2009 This paper was written by Chris Koyanagi, policy
More informationExpanded Health Insurance Coverage Options under the ACA
Page 1 Expanded Health Insurance Coverage Options under the ACA by Shanna Hanson, FHFMA Summary One of our industry s reform knowledge leaders overviews ways health care coverage is being expanded under
More informationOPPORTUNITIES IN THE AFFORDABLE CARE ACT TO IMPROVE HEALTH CARE COORDINATION AND DELIVERY FOR PEOPLE LIVING WITH HIV
OPPORTUNITIES IN THE AFFORDABLE CARE ACT TO IMPROVE HEALTH CARE COORDINATION AND DELIVERY FOR PEOPLE LIVING WITH HIV Center for Health Law and Policy Innovation chlpi@law.harvard.edu www.chlpi.org CARMEL
More informationHealth and Human Services Commission Department of State Health Services
Health and Human Services Commission Department of State Health Services Presentation to House Committee on Public Health February 17, 2015 Sonja Gaines, HHSC Associate Commissioner for Mental Health Coordination
More informationBasic Health Plan Offers a Chance to Provide Comprehensive Health Care Coverage for Low-Income Minnesotans
Basic Health Plan Offers a Chance to Provide Comprehensive Health Care Coverage for Low-Income Minnesotans The number of uninsured in Minnesota has been on the rise over the last decade, with one out of
More informationSupreme Court upholds the Affordable Care Act in its entirety:
Supreme Court upholds the Affordable Care Act in its entirety: What does this mean for Seniors? The Supreme Court s decision to uphold the Affordable Care Act (ACA) in its entirety is a huge victory for
More informationThe Affordable Care Act
The Affordable Care Act What does it mean for internists? Joshua Becker MD 10/14/2015 VII. 2015 Reforms and Beyond Payment Penalties under Medicare s Pay-for-Reporting Program Value-Based Payment Modifier
More informationFederal 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 informationHealth Care Reform in Massachusetts: The Role of Public Health. John Auerbach, Commissioner
Health Care Reform in Massachusetts: The Role of Public Health John Auerbach, Commissioner States Are the Laboratories for Health Care Reform Three states are implementing plans to achieve near universal
More informationHealth. for Life. Nearly one in five people under age. Health Coverage for All Paid for by All. Better Health Care
Health for Life Better Health Better Health Care National Framework for Change Health Coverage for All Paid for by All Focus on We llness Health Coverage for All Paid for by All Nearly one in five people
More informationBARACK OBAMA S PLAN FOR A HEALTHY AMERICA:
BARACK OBAMA S PLAN FOR A HEALTHY AMERICA: Lowering health care costs and ensuring affordable, high-quality health care for all The U.S. spends $2 trillion on health care every year, and offers the best
More informationCOMPARISON OF THE FY 2015 HOUSE AND SENATE BUDGET PROPOSALS FOR MASSHEALTH AND HEALTH REFORM PROGRAMS
COMPARISON OF THE HOUSE AND SENATE BUDGET PROPOSALS FOR MASSHEALTH AND HEALTH REFORM PROGRAMS BUDGET BRIEF JUNE 2014 The Fiscal Year (FY) 2015 Massachusetts state budget has moved into the final stages
More informationOverview of the Maryland Primary Adult Care (PAC) Program. Rhode Island Policy Makers Breakfast November 17, 2010
Overview of the Maryland Primary Adult Care (PAC) Program Rhode Island Policy Makers Breakfast November 17, 2010 Stacey Davis Deputy Director of Planning Maryland Medicaid Program Maryland Medicaid Provides
More informationThe Economic Benefits of Health Care Reform in New Mexico
The Economic Benefits of Health Care Reform in New Mexico Introduction June 2011 Updated August 2011 Federal health care reform, known officially as the Patient Protection and Affordable Care Act (PPACA,
More informationTHE KANSAS AFFORDABLE CARE ACT IMPLEMENTATION. Linda J. Sheppard November 6, 2014
THE KANSAS AFFORDABLE CARE ACT IMPLEMENTATION Linda J. Sheppard November 6, 2014 The Kansas Market Approximately 348,000 Kansans are uninsured - 12.3% of the state s population 44,130 are children, but
More information1. To create a comprehensive Benchmark plan that will assure maximum tobacco cessation coverage to all populations in Rhode Island:
POSTION STATEMENT Submitted to the Rhode Island Health Benefits Exchange Submitted By the Public Policy Workgroup of the Statewide Tobacco Cessation Committee on Tobacco Cessation Treatment Benchmarks
More informationHealth Care Affordability Act Catamount Health. Senator James Leddy, Chair Vermont Senate Health & Welfare Committee
Health Care Affordability Act Catamount Health Senator James Leddy, Chair Vermont Senate Health & Welfare Committee Principles of Health Care Reform in Vermont Established by Coalition 21 (January 2005)
More informationHCR 101: Your Guide to Understanding Healthcare Reform
HCR 101: Your Guide to Understanding Healthcare Reform Are You Ready for Healthcare Reform? By now, you ve probably been hearing a lot about the Affordable Care Act (also known as healthcare reform or
More informationMassachusetts Health Care Reform and Cancer Care. Therese Mulvey, MD Southcoast Centers for Cancer Care February 2010
Massachusetts Health Care Reform and Cancer Care Therese Mulvey, MD Southcoast Centers for Cancer Care February 2010 Southcoast Health System in Massachusetts Southcoast Primary and Secondary Markets An
More informationMassachusetts Health Connector logo. What Does National Health Care Reform Mean for You?
Massachusetts Health Connector logo What Does National Health Care Reform Mean for You? 1 National health care reform offers more opportunities for individuals, families, and small businesses to save on
More informationPresented to: 2007 Kansas Legislature. February 1, 2007
MARCIA J. NIELSEN, PhD, MPH Executive Director ANDREW ALLISON, PhD Deputy Director SCOTT BRUNNER Chief Financial Officer Report on: Massachusetts Commonwealth Health Insurance Connector Program Presented
More informationHow To Get A Health Insurance Plan In Texas
Anticipating the Health Insurance Marketplace in Texas HFMA Lone Star Chapter Fall Institute September 16, 2013 1 About Community Health Choice Non-profit Health Maintenance Organization licensed by the
More informationGerry County, Maryland Health Insurance - Plans and Funding Changes
Leighton Ku, PhD, MPH Director, Center for Health Policy Research, GW Maryland Community Health Resources Commission Oct. 2, 2014 Two Health Safety Nets Insurance Safety Net: Medicaid, CHIP, MD Health
More informationMaryland Medicaid Program
Maryland Medicaid Program Maryland s Pharmacy Discount Waiver Tuesday, November 19, 2002 Debbie I. Chang Deputy Secretary for Health Care Financing Maryland Department of Health and Mental Hygiene Overview
More informationThe Health Insurance Marketplace 101
The Health Insurance Marketplace 101 National Newspaper Association 127th Annual Convention & Trade Show September 13, 2013 Office of the Regional Director Community Resource California-Based Arizona,
More informationSOMETHING OLD, SOMETHING NEW: TEXAS TWO HIGH-RISK POOLS
July 19, 2010 Contact: Stacey Pogue, pogue@cppp.org SOMETHING OLD, SOMETHING NEW: TEXAS TWO HIGH-RISK POOLS Thanks to national health reform, Texas now has two separate high-risk pools that offer health
More informationStrengthening Community Health Centers. Provides funds to build new and expand existing community health centers. Effective Fiscal Year 2011.
Implementation Timeline Reflecting the Affordable Care Act 2010 Access to Insurance for Uninsured Americans with a Pre-Existing Condition. Provides uninsured Americans with pre-existing conditions access
More informationHEALTH INSURANCE CHOICES FOR AMERICAN INDIANS
HEALTH INSURANCE CHOICES FOR AMERICAN INDIANS HEALTH INSURANCE IS AN IMPORTANT RESOURCE THAT CAN KEEP YOU AND YOUR FAMILY HEALTHY. If you have ongoing health issues, health insurance can help pay for treatment
More informationPublic Comment of Patricia Bass, RN, MA Chair, CAEAR Coalition Consultant, Philadelphia Department of Public Health
Public Comment of Patricia Bass, RN, MA Chair, CAEAR Coalition Consultant, Philadelphia Department of Public Health Presented to the CDC/HRSA Advisory Committee on HIV and STD Prevention and Treatment,
More informationAFFORDABLE CARE ACT FAQ
AFFORDABLE CARE ACT FAQ What is the Healthcare Insurance Marketplace? The Marketplace is a new way to find quality health coverage. It can help if you don t have coverage now or if you have it but want
More informationStable and Secure Health Care for America: The Benefits of Health Insurance Reform: Table of Contents
Stable and Secure Health Care for America: The Benefits of Health Insurance Reform: Table of Contents HEALTH INSURANCE CONSUMER PROTECTIONS... 1 STABLE AND SECURE HEALTH CARE FOR AMERICA... 2 HEALTH INSURANCE
More information*************************************************************************** OPEN ENROLLMENT
Find answers to commonly asked questions about the Affordable Care Act (ACA), the state and federal marketplaces, Medicaid, Medicare and the Ryan White HIV/AIDS Program below. We have made every effort
More informationJonathan Hanft, PhD Hennepin County Human Services & Public Health Department Jonathan.Hanft@co.hennepin.mn.us
Readiness for Health Insurance Participation by Ryan White Program Providers: The Time is Now! HRSA HIV/AIDS Bureau All Grantee Meeting Session 230, November 27, 2012 Julia Hidalgo, ScD, MSW, MPH Positive
More informationI SSUE BRIEF October 2014. Oklahoma Policy Institute
I SSUE BRIEF October 2014 In 2012, Governor Mary Fallin announced that Oklahoma would reject federal funds to expand the state s Medicaid program to include residents earning up to 138 percent of the federal
More informationEXPANDING THE POSSIBILITIES. mindthe gap: low-income women in dire. need of health insurance
EXPANDING THE POSSIBILITIES mindthe gap: low-income women in dire need of health insurance ABOUT THE CENTER The National Women s Law Center is a non-profit organization whose mission is to expand the possibilities
More informationAN ACT RELATING TO SUBSTANCE ABUSE; PROVIDING FOR TREATMENT, BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF NEW MEXICO:
AN ACT RELATING TO SUBSTANCE ABUSE; PROVIDING FOR TREATMENT, PREVENTION AND INTERVENTION EXPANSION; MAKING APPROPRIATIONS; DECLARING AN EMERGENCY. BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF NEW MEXICO:
More informationGood to Know ColoradoCare Name Change: ColoradoCare would provide access to health care
1 Good to Know ColoradoCare Colorado Health Care Cooperative Name Change: The proposal has been renamed ColoradoCare because it is shorter. It s also less likely to be confused with CoHealthOp, the Colorado
More informationMassachusetts State Health Programs Eligibility and Coverage
Massachusetts State Health Programs Eligibility and Coverage MassHealth Programs MassHealth Standard Children 1-18 w/ income 150% FPL* Pregnant women and their children
More informationFEDERAL GOVERNMENT WILL PICK UP NEARLY ALL COSTS OF HEALTH REFORM S MEDICAID EXPANSION By January Angeles and Matthew Broaddus
820 First Street NE, Suite 510 Washington, DC 20002 Tel: 202-408-1080 Fax: 202-408-1056 center@cbpp.org www.cbpp.org Updated March 28, 2012 FEDERAL GOVERNMENT WILL PICK UP NEARLY ALL COSTS OF HEALTH REFORM
More informationHealth Care Reform: Policy Implications for the Future
Health Care Reform: Policy Implications for the Future Michigan Primary Care Association Douglas M. Paterson, MPA Director of State Policy Promoting, supporting, and developing comprehensive, accessible,
More information