HIV Policy 2012
•Download as PPTX, PDF•
0 likes•204 views
Planning in a time of uncertainty and change This presentation was originally conducted at the Office of HIV Planning's Community Empowerment Workshop held at St. Luke's Church on October 16, 2012.
Recommended
Recommended
More Related Content
What's hot
What's hot (20)
Viewers also liked
Similar to HIV Policy 2012
Similar to HIV Policy 2012 (20)
More from Office of HIV Planning
More from Office of HIV Planning (20)
Recently uploaded
Recently uploaded (20)
HIV Policy 2012
- 1. HIV Policy 2012 Planning in a time of uncertainty and change
- 2. Let’s remember how far we have come http://youtu.be/haEPLCA_H2Y
- 3. HIV in the 21st Century National HIV/AIDS Strategy Ryan White Program Health Reform ‘Medical Model’ Clinical Care Team ‘Treatment as Prevention’ Test and Treat Strategy High Impact HIV Prevention Prevention with Positives Enhanced Comprehensive HIV Prevention Planning
- 4. HIV Programs in US Ryan White Program Medicaid Medicare Housing Opportunities for People With AIDS - HOPWA Centers for Disease Control and Prevention- CDC AIDS Drugs Assistance Program - ADAP Substance Abuse and Mental Health Services Administration - SAMHSA Veterans Administration - VA
- 6. Ryan White Reauthorization 2013 Medicaid Expansion 2014 Elections November 2012 Essential Health Benefits Uncertainty
- 8. Affordable Care Act Expansion of Medicaid No discrimination by insurance companies Essential health benefits Subsidies for premiums and cost-sharing No $ limits Coordination of care
- 9. Ryan White and Medicaid Expansion 51% Medicaid (disability) Medicaid Expansion to cover 133% FPL ~90%+ Ryan White clients Medicaid eligible in 2014
- 10. 78% 13% 5% 4% Ryan White Clients Income, 2009 <100% FPL 100-199% 200-299% >300% Private 17% Medicare 13% Medicaid 51% Other Public 1% None 17% Unknown 1% Ryan White Clients Insurance Status, 2009
- 11. Estimated Changes to Insurance Status for Philadelphia EMA Ryan White Clients Following the Full Implementation of the ACA 6250 7942 8315 2,047 1,535 1,5352,071 891 518 0 1000 2000 3000 4000 5000 6000 7000 8000 9000 Baseline RW 2014 Average Participation 2014 Enhanced Participation Medicaid ESI Uninsured
- 12. Health Reform and Ryan White Medicaid Expansion?? 75/25 rule??
- 13. Health Reform and Ryan White Program http://vimeo.com/46052691
- 14. National HIV AIDS Strategy Coordinate d response Reduce HIV rate Reduce HIV- related health inequalities Increase access to care for people living with HIV and improve their health outcomes
- 15. Ryan White Reauthorization 2013 Medicaid Expansion 2014 Elections November 2012 Essential Health Benefits Uncertainty
- 16. resources HIVHealthReform.org Kaiser Family Foundation www.kff.org Commonwealth Fund www.commonwealthfund.org/ Office of HIV Planning www.hivphilly.org Nicole Johns Office of HIV Planning 215-574-6760 ext. 108 Nicole.johns@gmail.com
Editor's Notes
- the product of applying research done by the Kaiser Commission on Medicaid and the Uninsured to our EMA. These are estimates based on EMA data that has been noted as limited, due to duplications. OHP staff calculated the projections based on the data reported by AACO for insurance status for 2010, using the participation percentages in the Kaiser report. These participation estimates assumed that those with employer sponsored coverage would have similar participation regardless of outreach efforts (25%). However, the uninsured participation is expected to increase from 57% in the standard participation to 75% in the enhanced participation scenario. Individuals covered under other insurance types were not considered for this model. These projections result in 63% - 66% of Ryan White clients being Medicaid enrolled (this includes the individuals already enrolled in Medicaid). Between 4% - 7% of Ryan White clients will remain uninsured. However, those captured within that 4-7% uninsured may gain access to insurance through employers or through the state insurance exchanges. This Medicaid range is less than the estimate above that 75% of Ryan White clients will be Medicaid-eligible based on income alone, because the Kaiser projections are for enrollment, not just eligibility. There will be a number of individuals who do not enroll in Medicaid for any number of reasons, including lack of knowledge of eligibility, lack of the proper documentation of eligibility, and not wanting to participate.
- 4:00-14:45