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Colorado HealthOP Media Kit 2013.10.1

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Colorado HealthOP Media Kit 2013.10.1

Colorado HealthOP Media Kit 2013.10.1

Published in: Economy & Finance, Business

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  • 1. HEALTHOP At Colorado HealthOP, we believe health insurance should be hassle-free. We’ve adopted a “no surprises” philosophy so members know in advance what’s covered and their share of the costs. Done right, health insurance can be a catalyst for making healthcare better. That’s why Colorado HealthOP puts decision-making back into our members’ hands. We’ve streamlined the claims process to make sure bills get paid on time. Our members are our priority, so we’re committed to resolving issues quickly and efficiently with common-sense customer service. It’s our intention to get it right the first time— and every time. With health insurance plans that are focused on people rather than profits, our members have the care they need and a say in getting the coverage they want. We put our members in charge —of their health, of their health plan, and ultimately, of Colorado’s health. -driven plans that put people ahead of profits... that’s coverage as it should be. h us at www.COHealthOP.org formation about cooperative businesses in other industries, visit www.rmfu.org/co-op. A Straight-forward Approach Advancing Health and Wellness in Colorado COLOR Colorado HealthOP is a nonprofit h insurance cooperative (CO-OP) wor to improve health and reverse spiraling costs of health insuranc Colorado, with the help of our mem We put people over profits and give members a voice in how the com is run. For example, when our reve is greater than our costs, our mem influence how we use the ex to make our plans even better— lowering premiums, adding ben or improving quality. That’s he insurance the way it should be Health insurance from a CO-OP working to k Colorado Healt Member-driven Health Insurance
  • 2. COLORADO HEALTHOP Health insurance should be there when people are sick or injured—but it should also help people stay healthy. At Colorado HealthOP, we make preventive care accessible and affordable. At Colorado HealthOP, we believe health insurance should be hassle-free. We’ve adopted a “no surprises” philosophy so members know in advance what’s covered and their share of the costs. Done right, health insurance can be a catalyst for making healthcare better. That’s why Colorado HealthOP puts decision-making back into our members’ hands. Colorado HealthOP is a nonprofit health insurance cooperative (CO-OP) working to improve health and reverse the spiraling costs of health insurance in Colorado, with the help of our members. We put people over profits and give our members a voice in how the company is run. For example, when our revenue is greater than our costs, our members influence how we use the excess to make our plans even better— by lowering premiums, adding benefits or improving quality. That’s health insurance the way it should be. Healthy members mean lower healthcare costs for everyone. That’s why we encourage and reward wellness activities. For example, when our members take specific health actions, they get lower healthcare costs. We help members make healthy decisions today, so they can benefit from lower costs and a healthier future. We’ve streamlined the claims process to make sure bills get paid on time. Our members are our priority, so we’re committed to resolving issues quickly and efficiently with common-sense customer service. It’s our intention to get it right the first time— and every time. With health insurance plans that are focused on people rather than profits, our members have the care they need and a say in getting the coverage they want. We put our members in charge —of their health, of their health plan, and ultimately, of Colorado’s health. Health insurance from a CO-OP working to keep Colorado healthy with member-driven plans that put people ahead of profits... that’s coverage as it should be. To learn more, connect with us at www.COHealthOP.org Colorado HealthOP was founded by the Rocky Mountain Farmers Union. For more information about cooperative businesses in other industries, visit www.rmfu.org/co-op. Member-driven Health Insurance Helping Our Members Stay Healthy A Straight-forward Approach Advancing Health and Wellness in Colorado
  • 3. 7900 E. Union Avenue Suite 250 Denver, CO 80237 Main: 720-627-8900 Fax: 303-221-1654 www.COHealthOP.org We’re new. We’re different. And we’re turning health insurance upside down. Colorado HealthOP is a registered trade name of Colorado Health Insurance Cooperative, Inc.
  • 4. 7900 E. Union Avenue, Suite 250 Denver, CO 80237 www.COHealthOP.org Media Contact: Shannon Fern 303.433.7020 shannon.fern@COHealthOP.org The Patient Protection and Affordable Care Act Signed into law by President Barack Obama in March 2010, the Patient Protection and Affordable Care Act (PPACA) is intended to provide affordable healthcare to all American citizens and reduce the growth in healthcare spending. The PPACA also established “essential health benefits,” a set of healthcare service categories, including maternity and newborn care, preventive care and chronic disease management, and pediatric care, among others, that must be covered by certain health plans beginning in 2014. What Consumers and Employers Need to Know Consumers… • State health exchanges were established, creating an online marketplace for individuals to access affordable health insurance options. • The exchanges help promote competition among insurance plans with cost, coverage and quality ratings readily available to assist consumers in making educated purchasing decisions. • In Colorado, Connect for Health Colorado is the state’s online health insurance marketplace (www.ConnectforHealthCO.com). It will open for business in October 2013, with health coverage taking effect January 1, 2014. • The launch of Connect for Health Colorado ushers in a new era of choice, giving consumers more access to affordable health insurance from a wide variety of insurers. • Consumers who qualify may apply for income-based, financial assistance to purchase health insurance through Connect for Health Colorado. These discounts are intended for individuals, couples and families who are not eligible for Medicare or Medicaid and do not have access to affordable healthcare coverage through their employers. • Consumers who do not secure insurance coverage in 2014 may have to pay fines of $95 per adult or 1 percent of adjusted family income – whichever is greater. Fines will escalate in future years. Employers… • Small employers and nonprofits with 2 to 50 employees can use exchanges like Connect for Health Colorado to offer employees small group health insurance plans. • Some businesses with fewer than 25 employees that provide health insurance coverage may be eligible for a new federal tax credit to offset insurance costs. These small business tax credits will be equivalent to up to 50 percent of the cost to provide insurance (35 percent for nonprofits). • More competition in the health insurance market enables small businesses to make choices that help them better manage their healthcare costs. • The PPACA requires employers with 50 or more full-time employees to provide insurance coverage. Those that do not could potentially be fined. What the Changes in Healthcare Mean for Colorado Consumers and Employers
  • 5. Jack Westfall, MD, MPH Chief Medical Officer As Colorado HealthOP’s chief medical officer and expert in family medicine and rural health, Jack Westfall, MD, MPH, will lead the CO-OP’s efforts to support member health needs through a robust statewide network of care. In his role as chief medical officer, Dr. Westfall will be active in the development of Colorado HealthOP’s integrated care model and population health programs to optimize the clinical effectiveness of Colorado’s first statewide nonprofit health insurance cooperative. Dr. Westfall serves as clinical professor of family medicine for the University of Colorado School of Medicine. There, he has held multiple teaching appointments since 1995, served as associate dean for rural health from 2004 to 2013, and was the Patrick and Kathleen Thompson endowed chair in rural health from 2008 to 2013. Board certified in family practice, Dr. Westfall has served as a family physician at the Yuma Clinic in Yuma, Colo., at Plains Medical Center in Limon, Colo. and for Rose Family Medicine in Denver. He is the founder and director of the High Plains Research Network, a practice and community based network that aims to improve health in eastern Colorado. He has also served as director of community engagement for the Colorado Clinical Translational Science Institute, a collaboration among the University of Colorado Denver, University of Colorado Boulder, and multiple healthcare and community organizations with a goal to accelerate the application of research into improved patient care and public health. Dr. Westfall is a member of the American Academy of Family Physicians, the Colorado Academy of Family Physicians, the American Public Health Association, the Colorado Public Health Association, the Society of Teachers of Family Medicine, the Colorado Rural Health Center, and the National Rural Health Association. Among other awards, Dr. Westfall has received the Chancellor’s Diversity Award from the University of Colorado Denver and the North American Primary Care Research Group President’s Award. Dr. Westfall received his doctorate and a master’s degree in public health from the University of Kansas. He completed his internship in internal medicine and pediatrics at the Wichita Center for Graduate Medical Education and completed his residency at the University of Colorado, Department of Family Medicine, where he also served as chief resident. 7900 E. Union Avenue, Suite 250 Denver, CO 80237 www.COHealthOP.org Media Contact: Shannon Fern 303.433.7020 shannon.fern@COHealthOP.org
  • 6. Julia Hutchins Chief Executive Officer Julia has dedicated her career to improving the healthcare system. Prior to becoming chief executive officer of Colorado HealthOP, she was vice president of business development at Colorado Access, where she was responsible for expanding the company’s business relationships and developing products for Connect for Health Colorado and other new programs. In this role, Julia worked collaboratively with the Rocky Mountain Farmers Union Educational and Charitable Foundation to explore the feasibility of starting a cooperative health plan in Colorado. Julia has been a key part of the business planning process for Colorado HealthOP and was instrumental in preparing its federal loan application.   Julia has a breadth of experience and knowledge in designing and implementing healthcare programs. Prior to joining Colorado Access, she was the senior director of business development and planning for Alameda Alliance for Health, a non-profit health plan in the San Francisco area. While there, her accomplishments included the successful implementation and growth of the company’s Medicare Advantage plan. She has also served as a program manager, policy analyst and community organizer for various government and non-profit organizations. Julia holds a bachelor of arts from Washington University in St. Louis, Mo., as well as a master’s in public health and a master’s in public policy from the University of California, Berkeley. 7900 E. Union Avenue, Suite 250 Denver, CO 80237 www.COHealthOP.org Media Contact: Shannon Fern 303.433.7020 shannon.fern@COHealthOP.org
  • 7. 1 Adults represent the majority (about 83 percent) of Colorado’s uninsured.2 Demographics • Currently, 829,000 Coloradans are uninsured, which is up from 678,000 in 2009.1 • About one in five Colorado adults between the ages of 19 and 64 did not have health insurance in 2010.3 • Six in 10 (about 94,000) of Colorado’s uninsured adults are male.3 • The uninsured rate for adults varies dramatically by region—from a low of 7 percent in Douglas County to a high of 27 percent in Adams County.3 Income and Employment • Forty percent of uninsured adults in Colorado have annual incomes below 133 percent of the federal poverty level, or about $29,000 for a family of four.2 • More than one-third of uninsured Coloradans are employed, either full- or part-time.3 Access to Insurance • Eighty-five percent of uninsured Coloradans cite cost as the reason they do not have health insurance.4 Among employed Coloradans, almost one in five workers is uninsured.1 • More than 64 percent of small business owners who do not provide insurance said they would, if it were cheaper.7 • Sixty-three percent of all Colorado small businesses are eligible for tax credits under the Affordable Care Act but do not offer health benefits.8 Nearly one in 10 Colorado children are uninsured.5 While the vast majority (more than 90 percent) of Colorado children already have insurance, the latest data from the 2011 American Community Survey suggest that about 125,000 (or 9.7 percent) are uninsured.5 More than 1.5 million people in Colorado are uninsured or underinsured, and the number of uninsured is rising. 1 7900 E. Union Avenue, Suite 250 Denver, CO 80237 www.COHealthOP.org Media Contact: Shannon Fern 303.433.7020 shannon.fern@COHealthOP.org
  • 8. 2 Approximately 650,000 Coloradans are underinsured, or 13 percent of the state’s population.6, 9 Individuals who are “underinsured” have heath insurance, but not enough to cover the costs of their medical expenses, leading to out-of-pocket expenses that they are unable to pay.6 Demographics • Non-Hispanic whites in Colorado have the highest rate of underinsurance (15 percent), followed by Hispanics (10 percent) and non-Hispanic African Americans (9 percent).6 • Although adults ages 65 and older are one of the most insured age groups (only 2 percent are uninsured), approximately one in five are underinsured.6 Income and Employment • The majority of underinsured Coloradans had annual family incomes below 200 percent of the federal poverty level and experience out-of-pocket health expenses of at least 5 percent of their annual income.6 • Coloradans with incomes of less than $30,000 have the highest rates of underinsurance; nearly one in four (23 percent) are underinsured.6 Access to Insurance • The majority of underinsured Coloradans, 83 percent, receive healthcare coverage through the private market, either through their employer or purchased privately.6 • Thirteen percent of underinsured Coloradans are covered by Medicare, and an additional 13 percent receive coverage through individually purchased insurance.6 Access to Care • Underinsured Coloradans are just as likely to report problems paying a medical bill as uninsured Coloradans.6 • Underinsured Coloradans are more likely to forgo medical care than their adequately insured peers.6 Sources: 1 Colorado Health Access Survey Issue Brief: Overview of Coloradans’ Health Care Coverage, Access and Utilization 2 Colorado Health Institute data sheet, June 2012 3 Colorado Health Institute, Health Insurance Status of Colorado Adults, 2012 Update 4 The Colorado Trust, Colorado Health Access Survey Issue Brief: The Affordability of Health Insurance in Colorado, 2011 5 Colorado Health Institute, Children’s Health Insurance Status, 2013 Update 6 The Colorado Trust, Issue Brief: The Magnitude of Underinsurance in Colorado, 2010 7 National Small Business Association 2009 Health Care Survey of Small Business 8 Kaiser Permanente 2012 poll of small business owners 9 United States Census Bureau, 2012 Population Estimate

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