The Changing LandscapeIn Colorado for Publicly-funded Health Insurance Programs <br />1<br />May 25, 2011<br />Colorado He...
A Brief Introduction to CHI<br />CHI is a trusted and leading source of credible health information for Colorado leaders. ...
Introduction to Webinar<br /><ul><li>How do I ask questions during the webinar?
Special thanks to The Colorado Health Foundation</li></li></ul><li>Summary of presentation<br />Your Presenter<br />Amy Do...
Medicaid <br />Health insurance program for low income parents, children, elders and people with disabilities<br />Finance...
Child Health Plan Plus (CHP+)<br />Created in 1997 and jointly financed by states and the federal government <br />Serves ...
Colorado Indigent Care Program	<br />CICP is not insurance coverage <br />Clinics and hospitals partially compensated for ...
Current eligibility standards for programs in Colorado <br />8<br />
Medicaid caseloads have been increasing<br />SOURCE:  Colorado Department of Health Care Policy and Financing, Executive B...
10<br />
11<br />
Distribution of Medicaid enrollment and expenditures by eligibility category <br />SOURCE:  Colorado Department of Health ...
Appropriations are increasing for HCPF <br />SOURCE:  Colorado Department of Health Care Policy and Financing <br />NOTE: ...
Colorado Health Care Affordability Act (H.B. 09-1293) <br />Eligibility expansion funded without General Fund expenditures...
Recent initiatives <br />Increased outreach and enrollment<br />Medicaid Value-Based Care Coordination Initiative <br />Ut...
Medical homes<br />Team approach <br />Comprehensive, continuous, coordinated care<br />Preventive care, health education,...
Accountable Care Collaborative<br />Integrates patient-centered medical home model with analysis of data   <br />Outcome-b...
Federal policy changes to publicly funded health insurance programs<br />18<br />
Current eligibility standards for programs in Colorado <br />19<br />
Eligibility standards in Colorado after state and federal health reforms <br />NOTES:  Federal health reform does not make...
21<br />Please insert map 10 (without map 10 in title) with safety net layer on top of it.  <br />
Other federal initiatives addressing cost and quality<br />Center for Medicare and Medicaid Innovation<br />Medical and he...
Future webinars<br />June 8 – The Private Market<br />June 22 – A Profile of Your Community’s Health<br />July 20 – The Co...
Questions? <br />Amy Downs <br />Director for Policy and Research <br />Colorado Health Institute<br />(720) 382-7091<br /...
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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 of publicly-funded insurance programs in Colorado, such as Medicaid and the Child Health Plan Plus (CHP+).

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

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

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