arnoldview graph # 1 overview role of cost-sharing experience with cost-sharing in child health plus...
TRANSCRIPT
![Page 1: ArnoldView Graph # 1 OVERVIEW Role of Cost-Sharing Experience With Cost-Sharing in Child Health Plus - Premiums - Copayments Assessing Our Cost-Sharing](https://reader036.vdocuments.net/reader036/viewer/2022083005/56649f2b5503460f94c45d1a/html5/thumbnails/1.jpg)
Arnold View Graph # 1
OVERVIEW
Role of Cost-Sharing
Experience With Cost-Sharing in Child Health Plus
- Premiums
- Copayments
Assessing Our Cost-Sharing Choices
![Page 2: ArnoldView Graph # 1 OVERVIEW Role of Cost-Sharing Experience With Cost-Sharing in Child Health Plus - Premiums - Copayments Assessing Our Cost-Sharing](https://reader036.vdocuments.net/reader036/viewer/2022083005/56649f2b5503460f94c45d1a/html5/thumbnails/2.jpg)
Arnold View Graph # 2
Deter Unnecessary Utilization
Encourage Personal Responsibility
Defray the Cost of the Subsidy
Reduce Substitution of Private Coverage
ROLE OF COST-SHARING
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Arnold View Graph # 3
State Subsidized Health Insurance Program for Children Between 100% and 222% of Poverty
Benefits Include Primary and Acute Care
Families Are Responsible for Small Premium Contributions and Copayments
Health Insurance Is Provided Through Managed Care Plans
OVERVIEW OF CHILD HEALTH PLUS
![Page 4: ArnoldView Graph # 1 OVERVIEW Role of Cost-Sharing Experience With Cost-Sharing in Child Health Plus - Premiums - Copayments Assessing Our Cost-Sharing](https://reader036.vdocuments.net/reader036/viewer/2022083005/56649f2b5503460f94c45d1a/html5/thumbnails/4.jpg)
Arnold View Graph # 4
Premium Contributions
Copayments
EXPERIENCE WITH COST-SHARING IN CHILD HEALTH PLUS
![Page 5: ArnoldView Graph # 1 OVERVIEW Role of Cost-Sharing Experience With Cost-Sharing in Child Health Plus - Premiums - Copayments Assessing Our Cost-Sharing](https://reader036.vdocuments.net/reader036/viewer/2022083005/56649f2b5503460f94c45d1a/html5/thumbnails/5.jpg)
Arnold View Graph # 5
Promote Personal Responsibility
Encourage Purchase of Coverage
Deter Substitution of Private Coverage
Align With Other States Cost-Sharing Requirements
DRIVING FACTORS IN SETTING PREMIUM CONTRIBUTIONS
![Page 6: ArnoldView Graph # 1 OVERVIEW Role of Cost-Sharing Experience With Cost-Sharing in Child Health Plus - Premiums - Copayments Assessing Our Cost-Sharing](https://reader036.vdocuments.net/reader036/viewer/2022083005/56649f2b5503460f94c45d1a/html5/thumbnails/6.jpg)
Arnold View Graph # 6
PREMIUM COST-SHARING IN CHILD HEALTH PLUS
Percent ofPoverty
Primary CareBenefit
Package Only
1996Expansion
Title XXIApproved
Plan
Governor’sLegislativeProposal
0-120% 0 0 0 0
120-150% 0 $9 per monthper child
0 0
150-160% 0 $9 per monthper child
$9 per monthper child
0
160-222% $25 per yearper child
$13 per monthper child
$13 per monthper child
$9 per monthper child
222+ Full premium Full premium Full premium Full premium
![Page 7: ArnoldView Graph # 1 OVERVIEW Role of Cost-Sharing Experience With Cost-Sharing in Child Health Plus - Premiums - Copayments Assessing Our Cost-Sharing](https://reader036.vdocuments.net/reader036/viewer/2022083005/56649f2b5503460f94c45d1a/html5/thumbnails/7.jpg)
Arnold View Graph # 7
Insurers Determine Eligibility and Enroll Families in Child Health Plus
Insurers Collect a Monthly Premium Contribution From Families
IMPLEMENTATION OF COST-SHARING
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Arnold View Graph # 8
CHILDREN ENROLLED IN CHILD HEALTH PLUS
Age
1-5
<1
15-18
13-14
6-12
Family Income Level
Less than 120%
Over 222%160-
222%
120-160%
![Page 9: ArnoldView Graph # 1 OVERVIEW Role of Cost-Sharing Experience With Cost-Sharing in Child Health Plus - Premiums - Copayments Assessing Our Cost-Sharing](https://reader036.vdocuments.net/reader036/viewer/2022083005/56649f2b5503460f94c45d1a/html5/thumbnails/9.jpg)
Arnold View Graph # 9
At What Income Level Should Premium Contributions Begin?
What Amount of Cost-Sharing Is Both Affordable and Does Not Encourage Crowd-Out?
How Should Premium Contributions Be Adjusted for Family Size?
ISSUES IN LEGISLATIVE DEBATE ON PREMIUM CONTRIBUTIONS
![Page 10: ArnoldView Graph # 1 OVERVIEW Role of Cost-Sharing Experience With Cost-Sharing in Child Health Plus - Premiums - Copayments Assessing Our Cost-Sharing](https://reader036.vdocuments.net/reader036/viewer/2022083005/56649f2b5503460f94c45d1a/html5/thumbnails/10.jpg)
Arnold View Graph # 10
Most Utilization Control Is Left to the Managed Care Plan
Copayments Are Used for Services Only Where Additional Utilization Controls Seem Necessary
- Outpatient visits
- Prescription drugs
- Emergency room visits
Implementation of Title XXI Limit on Out-of-Pocket Spending Is Creating Challenges
EXPERIENCE WITH COPAYMENTS IN CHILD HEALTH PLUS
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Arnold View Graph # 11
Examine Enrollment by Income Level
Analyze Utilization by Income Level
Assess Reasons for Disenrollment
Analyze Extent of Crowd-Out and Reasons for Dropping Private Coverage
ASSESSING OUR COST-SHARING CHOICES