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The View from State Government’s Hill


           Anchorage Health Care Provider Community Forum
           Deborah Erickson, Alaska Health Care Commission
           September 2, 2010
   Employer
   Private Insurance Market 
    Regulator
   Medicaid Program 
    Administrator
   Public Health Service Provider
   Safety Net Service Support
   Health Care Delivery System 
    Planning & Development
   Alaska is participating as a 
    plaintiff in the 20‐state 
    lawsuit led by Florida.
   Challenging the 
    Constitutionality of:
     The individual mandate 
      requiring individuals to 
      purchase health insurance
     Unfunded mandates 
      imposed on state 
      governments
   Implement Employer Requirements
   Implement Medicaid Expansion
   State Options
       High Risk Pool
       Early Retirees Reinsurance Program
       Health Insurance Exchange
       Insurance Market Reforms
       Early Medicaid Expansion
       Service Delivery and Payment Reforms
       Public Health & Prevention Programs
       Health Workforce Development Programs   5
1. Budgetary Costs 
2. Changes to State Statutes and Regulations
3. Agency Policy and Programmatic Changes
4. New Employer Obligations
5. State Flexibility
6. Role in the Health Care System              6
   State Operating Budget ($7.3 B (FY 11; w/o debt))
     Medicaid             $1.4  B       (DHSS $2.3 B)
     Education                 1.4   B
     Transportation              .7  B
     University of Alaska        .8  B
     Public Safety               .2  B
     Courts                      .1  B
     Corrections                 .3  B   
   AK DHSS’s Health Care Reform Agenda
       Alaska Health Care Commission
       Medicaid Reform
       Care Management
       Health Information Technology (EHR/HIE)
       Workforce Development

   Alaska Health Care Commission’s Agenda
       Access
       Cost
       Quality 
       Prevention 
For More Information Please Visit:

Alaska’s federal health care law information 
                  website at:

http://hss.state.ak.us/fedhealth/



                                                9

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Federal Health Reform - the View from State Government

  • 1. The View from State Government’s Hill Anchorage Health Care Provider Community Forum Deborah Erickson, Alaska Health Care Commission September 2, 2010
  • 2. Employer  Private Insurance Market  Regulator  Medicaid Program  Administrator  Public Health Service Provider  Safety Net Service Support  Health Care Delivery System  Planning & Development
  • 3. Alaska is participating as a  plaintiff in the 20‐state  lawsuit led by Florida.  Challenging the  Constitutionality of:  The individual mandate  requiring individuals to  purchase health insurance  Unfunded mandates  imposed on state  governments
  • 4.
  • 5. Implement Employer Requirements  Implement Medicaid Expansion  State Options  High Risk Pool  Early Retirees Reinsurance Program  Health Insurance Exchange  Insurance Market Reforms  Early Medicaid Expansion  Service Delivery and Payment Reforms  Public Health & Prevention Programs  Health Workforce Development Programs 5
  • 6. 1. Budgetary Costs  2. Changes to State Statutes and Regulations 3. Agency Policy and Programmatic Changes 4. New Employer Obligations 5. State Flexibility 6. Role in the Health Care System 6
  • 7. State Operating Budget ($7.3 B (FY 11; w/o debt))  Medicaid  $1.4  B (DHSS $2.3 B)  Education 1.4   B  Transportation .7  B  University of Alaska .8  B  Public Safety .2  B  Courts .1  B  Corrections .3  B   
  • 8. AK DHSS’s Health Care Reform Agenda  Alaska Health Care Commission  Medicaid Reform  Care Management  Health Information Technology (EHR/HIE)  Workforce Development  Alaska Health Care Commission’s Agenda  Access  Cost  Quality   Prevention