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Colorado Health Care Leaders Webinar Series: Publicly-funded Health Insurance Programs
Colorado Health Care Leaders Webinar Series: Publicly-funded Health Insurance Programs
Colorado Health Care Leaders Webinar Series: Publicly-funded Health Insurance Programs
Colorado Health Care Leaders Webinar Series: Publicly-funded Health Insurance Programs
Colorado Health Care Leaders Webinar Series: Publicly-funded Health Insurance Programs
Colorado Health Care Leaders Webinar Series: Publicly-funded Health Insurance Programs
Colorado Health Care Leaders Webinar Series: Publicly-funded Health Insurance Programs
Colorado Health Care Leaders Webinar Series: Publicly-funded Health Insurance Programs
Colorado Health Care Leaders Webinar Series: Publicly-funded Health Insurance Programs
Colorado Health Care Leaders Webinar Series: Publicly-funded Health Insurance Programs
Colorado Health Care Leaders Webinar Series: Publicly-funded Health Insurance Programs
Colorado Health Care Leaders Webinar Series: Publicly-funded Health Insurance Programs
Colorado Health Care Leaders Webinar Series: Publicly-funded Health Insurance Programs
Colorado Health Care Leaders Webinar Series: Publicly-funded Health Insurance Programs
Colorado Health Care Leaders Webinar Series: Publicly-funded Health Insurance Programs
Colorado Health Care Leaders Webinar Series: Publicly-funded Health Insurance Programs
Colorado Health Care Leaders Webinar Series: Publicly-funded Health Insurance Programs
Colorado Health Care Leaders Webinar Series: Publicly-funded Health Insurance Programs
Colorado Health Care Leaders Webinar Series: Publicly-funded Health Insurance Programs
Colorado Health Care Leaders Webinar Series: Publicly-funded Health Insurance Programs
Colorado Health Care Leaders Webinar Series: Publicly-funded Health Insurance Programs
Colorado Health Care Leaders Webinar Series: Publicly-funded Health Insurance Programs
Colorado Health Care Leaders Webinar Series: Publicly-funded Health Insurance Programs
Colorado Health Care Leaders Webinar Series: Publicly-funded Health Insurance Programs
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Colorado Health Care Leaders Webinar Series: Publicly-funded Health Insurance Programs

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CHI is hosting a series of webinars designed especially for Colorado health care leaders who need credible, timely information to help them make informed decisions. This webinar provided an overview …

CHI is hosting a series of webinars designed especially for Colorado health care leaders who need credible, timely information to help them make informed decisions. This webinar provided an overview of publicly-funded insurance programs in Colorado, such as Medicaid and the Child Health Plan Plus (CHP+).

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  • 1. The Changing LandscapeIn Colorado for Publicly-funded Health Insurance Programs
    1
    May 25, 2011
    Colorado Health Care Leaders Webinar Series
  • 2. A Brief Introduction to CHI
    CHI is a trusted and leading source of credible health information for Colorado leaders. Our insight is used to:
    Inform policy
    Contribute to effective implementation
    Support state efforts to improve health
    2
  • 3. Introduction to Webinar
    • How do I ask questions during the webinar?
    • 4. Special thanks to The Colorado Health Foundation
  • Summary of presentation
    Your Presenter
    Amy Downs
    Director for Policy and Research
    Colorado Health Institute
    Overview of publicly-funded programs
    Recent changes
    Looking towards the future
    4
  • 5. Medicaid
    Health insurance program for low income parents, children, elders and people with disabilities
    Financed by federal and state government, but administered by the states
    Provides acute and long-term care services (580,000 enrollees in Colorado)
    States that participate must cover mandatory populations and services
    5
  • 6. Child Health Plan Plus (CHP+)
    Created in 1997 and jointly financed by states and the federal government
    Serves low income children and pregnant women who do not qualify for Medicaid (up to 250% of FPL)
    Families pay annual enrollment fee
    Currently 68,000 children and1,900 pregnant women enrolled
    6
  • 7. Colorado Indigent Care Program
    CICP is not insurance coverage
    Clinics and hospitals partially compensated for care provided to uninsured and underinsured individuals (at or below 250% of the federal poverty level)
    218,000 individuals served through CICP in FY 2009-10
    7
  • 8. Current eligibility standards for programs in Colorado
    8
  • 9. Medicaid caseloads have been increasing
    SOURCE: Colorado Department of Health Care Policy and Financing, Executive Budget Request, Nov. 1, 2010
    9
  • 10. 10
  • 11. 11
  • 12. Distribution of Medicaid enrollment and expenditures by eligibility category
    SOURCE: Colorado Department of Health Care Policy and Financing, Executive Budget Request, Nov. 1, 2010
    12
  • 13. Appropriations are increasing for HCPF
    SOURCE: Colorado Department of Health Care Policy and Financing
    NOTE: Includes all appropriations to the Department of Health Care Policy and Financing. FY 2010-11 includes original appropriation, FY 2011-012 includes Nov. 1, 2010 request.
    13
  • 14. Colorado Health Care Affordability Act (H.B. 09-1293)
    Eligibility expansion funded without General Fund expenditures
    State assesses hospital fees and draws down federal Medicaid match
    State using additional federal funds to expand eligibility for Medicaid and the Child Health Plan Plus (CHP+)
    In return, hospitals receive increase in Medicaid and CICP payments
    14
  • 15. Recent initiatives
    Increased outreach and enrollment
    Medicaid Value-Based Care Coordination Initiative
    Utilization controls and benefits reviews
    Increased payment recoveries and emphasis on fraud reduction
    Denying claims for hospital re-admissions within 48 hours
    15
  • 16. Medical homes
    Team approach
    Comprehensive, continuous, coordinated care
    Preventive care, health education, coordination of care and medications
    Between 2009 and 2010, percentage of children without a physician visit declined from 32% to 6%
    16
  • 17. Accountable Care Collaborative
    Integrates patient-centered medical home model with analysis of data
    Outcome-based model of care
    7 Regional Care Collaborative Organizations
    Care coordination, medical and network management
    Shared accountability with providers for outcomes and costs
    17
  • 18. Federal policy changes to publicly funded health insurance programs
    18
  • 19. Current eligibility standards for programs in Colorado
    19
  • 20. Eligibility standards in Colorado after state and federal health reforms
    NOTES: Federal health reform does not make changes to Medicaid eligibility for elders and people with disabilities. CICP will likely continue to serve individuals who do not qualify for Medicaid or CHP+ or are uninsured or underinsured.
    20
  • 21. 21
    Please insert map 10 (without map 10 in title) with safety net layer on top of it.
  • 22. Other federal initiatives addressing cost and quality
    Center for Medicare and Medicaid Innovation
    Medical and health homes
    Accountable care organizations
    Bundled and global payments
    Federal Coordinated Health Care Office
    22
  • 23. Future webinars
    June 8 – The Private Market
    June 22 – A Profile of Your Community’s Health
    July 20 – The Colorado Health Insurance Exchange
    Register for all webinars at:
    www.coloradohealthinstitute.org/webinars
    23
  • 24. Questions?
    Amy Downs
    Director for Policy and Research
    Colorado Health Institute
    (720) 382-7091
    downsa@coloradohealthinstitute.org
    24

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