modifiable.coverage.gap.presentation
TRANSCRIPT
Introduction slide
• Organization name and logo. • Other important org. info. • Member of Cover Georgia coalition
Pathways to Coverage under the ACA
Employer-based coverage
Individual/non-group (healthcare.gov)
(Coverage Gap)
Public health insurance coverage
Medicare
Medicaid
TriCare (Veterans)
Kids: PeachCare/Medicaid
People who qualify for Medicaid:•Children (up to age 19)•Women who: •Are pregnant•Have breast, cervical
cancer•Low to mid-income
•Aged, blind, disabled (very low income)•Very low-income parents
(Ex: must earn less than $5500/year for family of three)•People in long-term care
(nursing homes)
An example
FYIFederal Poverty Line (FPL)—a measure of income set by US Dept. of Health & Human Services. Used to determine a person’s eligibility for certain programs and benefits
Family Size
Annual Income
1 $11,770
2 $15,930
3 $20,090
4 $24,250
100% Federal Poverty Line 2015
Low-wage workers Construction workers, restaurant servers, retail
workers, child care providers
Parents Working parents who make 39% FPL and 100% FPL
Non-working parents who make 30% FPL to 100% FPL
Veterans 20,000 Georgia veterans + 4000 spouses
Childless adults who earn less than 100% FPLSource: http://www.urban.org/uploadedpdf/412775-Uninsured-Veterans-and-Family-Members.pdf
The economics of closing the coverage gap
• Georgia can easily cover its share of the costs• State savings & new revenue will offset new spending• “Use it or lose it”• Georgia can opt out at any time
Total 4 year costs $575 millionTotal 4 year revenue $700 million
SourceCost estimates: Tim Sweeney, Georgia Budget & Policy Institute
Expansion• Uninsured rates down 37.7% 1
• Hospitals saved $4.2 billion (2014)2
• Improved health outcomes, especially among older adults, racial/ethnic minorities, and residents of poorer counties3
• State budget savings
Non-expansion• Uninsured rates dropped only
9% 1
• Hospitals saved $1.5 billion (2014) 2
• No state budget savings
Other states have closed their gaps
Sources: 1. http://hrms.urban.org/briefs/taking-stock-at-mid-year.html 2. Dept. of HHS, http://www.hhs.gov/news/press/2014pres/09/20140924a.html 3. New England Journal of Medicinehttp://www.nejm.org/doi/full/10.1056/NEJMsa1202099#t=articleResults
State budget savings & revenue gains
AR$153 M
KY$109 M
MI$468 M
CO$307 M
WA$464 M
OR$275 M
Source: Manatt Health Solutions, States Expanding Medicaid See Significant Budget Savings and Revenue Gains
Key sources of savings
When Georgia closes its coverage gap…
People• Affordable health care access for 300,000
Georgians• Financial, health peace of mind
Economy• $8 billion per year in new economic
activity• $220 million per year in new tax revenue
Health Care Industry
• $3 billion in federal money annually
• Reduce uncompensated care costs for all hospitals
• Help to stabilize failing rural hospitals
Workforce
• 56,000 new jobs created Source: Dr. William Custer, Economic Impact of Medicaid Expansion in Georgia
What can you do?
Now! Sign a postcard to your legislators
• Online at: surveymonkey.com/s/closethecoveragegap Share your coverage gap story
• Include email address here about where to send coverage gap stories. Can use [email protected] if you’d like.
Add your organization’s name to our list of supporters