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Semelhante a Powerpoint from Jason Stevenson at Community Forum
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Powerpoint from Jason Stevenson at Community Forum
- 1. Health Reform 101 Bringing the Affordable Care Act to Utah Park City Community Forum December 2, 2013
- 2. Summit County’s marketplace Medical Altius Health Plans Arches BridgeSpan Select Health 60 plans 0 plans 15 plans 23 plans 18 plans 4 plans Source: https://https://insurance.utah.gov/health/Health%20Refrom/ACA_Rate_Individual_20131007_OnExchange.pdf Utah Individual on Exchange Rates - Medical Plans - Non-smoker Rates for plans currently approved (10/072013)
- 3. Costs for health plans will differ by metal tier <60% Catastrophic 60% Bronze Lower Premiums Higher cost-sharing 70% Silver 80% Gold 90% Platinum Higher Premiums Lower cost-sharing
- 4. And now we know the 2014 premiums… Cheapest monthly premiums by age and plan level Rates apply to: • Single person • Summit County resident • Non-smoker Age in years Source: https://https://insurance.utah.gov/health/Health%20Refrom/ACA_Rate_Individual_20131007_OnExchange.pdf Utah Individual on Exchange Rates - Medical Plans - Non-smoker Rates for plans currently approved (10/072013) Summit County
- 5. And now we know the 2014 premiums… Most expensive monthly premiums by age and plan level Rates apply to: • Single person • Summit County resident • Non-smoker Age in years Source: https://https://insurance.utah.gov/health/Health%20Refrom/ACA_Rate_Individual_20131007_OnExchange.pdf Utah Individual on Exchange Rates - Medical Plans - Non-smoker Rates for plans currently approved (10/072013) Summit County
- 6. Who will be helped? (in billions) 16,250 Carbon, Daggett, D uchesne, Emery, Gr and, Morgan, San Juan, Summit, Uint ah, Wasatch 270,000 Utahns will be eligible for premium subsidies [1] “Help is at Hand: Health Insurance Tax Credits for Utah,” Families USA, based on analysis by the Lewin Group, April 2013
- 7. Who is eligible for premium subsidies? A family of four can earn up to $94,200 a year and receive a premium subsidy Source: 2013 Federal Poverty Guidelines, Published in the Federal Register, January 24, 2013 http://healthpartnersamerica.com
- 8. The Reyes Family Income: $53,000 Residence: Park City, Utah Ages: Dad : 45 Mom: 42 Kids: 10, 13 Annual income: $53,000 % of Poverty Level: 225% Expected family contribution: 7.18% of income $9,084 $3,804 $5,280 Monthly premium: The Reyes pay: Subsidy pays: Benchmark Silver Plan Yearly premium cost: The Reyes’ contribution: Subsidy received: $757 $317 per month $440 per month Source: Kaiser Family Foundation Subsidy Calculator; http://kff.org/interactive/subsidy-calculator; Image source: CBPP
- 9. The Shumways Income: $44,000 Residence: Provo, Utah Ages: Dad : 24 Mom: 23 Kid: On the way Annual income: % of Poverty Level: Expected contribution: Benchmark Silver Plan $44,000 225% 7.19% of income Yearly premium cost: $6,458 The Shumway’s contribution: $3,162 Subsidy received: $3,297 Monthly premium: The Shumway’s pay: Subsidy pays: $538 $263 per month $274 per month Source: Kaiser Family Foundation Subsidy Calculator; http://kff.org/interactive/subsidy-calculator; Image source: JohnCropper
- 10. Mr. and Mrs. Smith Income: $42,000 Residence: Roy, Utah Ages: 60, 62 Annual income: % of Poverty Level: Expected contribution Yearly premium cost: The Smith’s contribution: Subsidy received: $10,698 $3,634 $7,064 Monthly premium: The Smiths pay: Subsidy pays: Benchmark Silver Plan $42,000 271% 8.65% of income $891 $303 per month $589 per month Source: Kaiser Family Foundation Subsidy Calculator; http://kff.org/interactive/subsidy-calculator; Image source: Creative Commons
- 11. Find out how much you would pay… Kaiser Family Foundation - Premium Subsidy Calculator www.kff.org
- 12. How the ACA is funded: Cuts (in billions) Total: $741 billion Uncompensated care for hospitals (DSH) [2013-2022] Other $114 $56 $156 Medicare / Medicaid payment rates $415 Medicare Advantage [Chart] CBO / Washington Post Wonkblog http://www.washingtonpost.com/blogs/wonkblog/wp/2012/08/30/how-congress-paid-for-obamacare-in-two-charts//
- 13. How the ACA is funded: Taxes (in billions) Total: $893 billion Medical devices tax $87 Penalties (individuals) $55 High-earners capital gains taxes [2013-2022] Penalties (employers) $106 ‘Cadillac’ $111 health plans $318 $216 Cost-savings [Chart] CBO / Washington Post Wonkblog http://www.washingtonpost.com/blogs/wonkblog/wp/2012/08/30/how-congress-paid-for-obamacare-in-two-charts//
- 14. What are the penalties for remaining uninsured in 2014? $285 [Chart] Kaiser Family Foundation $975 $2,085
- 16. Who are the helpers? Navigator Certified Application Counselor Experts trained to help others evaluate their insurance options on the new insurance marketplace.
- 17. Where can I get help? www.healthcare.gov CuidadoDeSalud.gov
- 18. Where can I get help? www.takecareutah.org Our trained counselors are ready to help you understand your new options to find affordable health care coverage today
- 19. More resources are on the way…
- 20. Where can I get help? Dial 2-1-1 United Way’s 2-1-1 information specialists are standing by to answer your health care questions
- 21. Where can I get help? Community Health Clinics www.auch.org Association of Utah Community Health Our health clinics can help you enroll in new insurance coverage for you and your family.
- 22. Where can I get help? Insurance brokers www.utah.gov/agentsearch/search.html www.utah.gov Many brokers are trained and certified to help individuals and businesses with enrollment
- 23. What state agencies can do… (2) Being sick No one can be denied doesn’t matter or priced out of anymore coverage for a preexisting condition (1) healthcare.gov 70% (4) Subsidies will make premiums more affordable (5) Navigators will help you sign up 60% (in bill ion s) 80% (3) It’s private insurance (and it’s good insurance) 90%
- 24. Want to learn more? Call or email UHPP to schedule a presentation just like this one Jason Stevenson Education and Communications Director cell. 617-290-8188 work. 801-433-2299 ext. 7 stevenson@healthpolicyproject.org
Notas do Editor
- In 2014, people will be able to purchase health insurance through what are called “exchanges.”The Exchange will be available in 2014 and it is essentially a marketplace where individuals and small businesses can buy affordable coverage. Plans that want to sell in this marketplace must meet important criteria—basically, they have to provide good coverage.You will still have a choice of plans, and still get to choose your doctor.The exchanges won’t take away anything, just make coverage better. Not like Utah’s Exchange…
- In 2014, people will be able to purchase health insurance through what are called “exchanges.”The Exchange will be available in 2014 and it is essentially a marketplace where individuals and small businesses can buy affordable coverage. Plans that want to sell in this marketplace must meet important criteria—basically, they have to provide good coverage.You will still have a choice of plans, and still get to choose your doctor.The exchanges won’t take away anything, just make coverage better. Not like Utah’s Exchange…
- If you or someone you know has questions about the health law, you can direct them to HealthCare.gov.HealthCare.gov has comprehensive, factual, and easy-to-understand information about the Affordable Care Act. HealthCare.gov can also be used to locate health coverage or health services. All you have to do is select your state and answer a series of questions. The site will direct you to information about coverage options and where to go to get affordable health services. The website is also in Spanish at www.CuidadoDeSalud.gov.
- If you or someone you know has questions about the health law, you can direct them to HealthCare.gov.HealthCare.gov has comprehensive, factual, and easy-to-understand information about the Affordable Care Act. HealthCare.gov can also be used to locate health coverage or health services. All you have to do is select your state and answer a series of questions. The site will direct you to information about coverage options and where to go to get affordable health services. The website is also in Spanish at www.CuidadoDeSalud.gov.
- If you or someone you know has questions about the health law, you can direct them to HealthCare.gov.HealthCare.gov has comprehensive, factual, and easy-to-understand information about the Affordable Care Act. HealthCare.gov can also be used to locate health coverage or health services. All you have to do is select your state and answer a series of questions. The site will direct you to information about coverage options and where to go to get affordable health services. The website is also in Spanish at www.CuidadoDeSalud.gov.
- If you or someone you know has questions about the health law, you can direct them to HealthCare.gov.HealthCare.gov has comprehensive, factual, and easy-to-understand information about the Affordable Care Act. HealthCare.gov can also be used to locate health coverage or health services. All you have to do is select your state and answer a series of questions. The site will direct you to information about coverage options and where to go to get affordable health services. The website is also in Spanish at www.CuidadoDeSalud.gov.
- 1st let’s review what is accountable care (slide). Where UT is in process: Jan. 1, 2013 all M plans transition to fully capitated payment structure (will bear full risk). This puts all the plans on a level playing field, the 1st step toward accountable care.From there, will develop quality + outcome measures and payment methodologies (like bonus payments for meeting certain quality benchmarks) to support more robust ACOs. Now is the time to get involved and make sure we bring UT’s excellence in care delivery deeper into Medicaid. If all goes well, we will get better care for patients at the same or possibly at lower cost to the taxpayerUHPP is part of a multi-stakeholders collaborative to make the most of this process. UT Org of Nurse Leaders might want to participate (give Jason’s info)