1 / 8

National Healthcare Reform Overview

National Healthcare Reform Overview . Presentation for the Delaware Health Care Commission May 6, 2010. Reform Provisions Affecting States. Medicaid Expansion Exchange Insurance Reforms Delivery System Reforms Immediate Reforms: High Risk Pool Web Portal Medicaid MOE .

galia
Download Presentation

National Healthcare Reform Overview

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. National Healthcare Reform Overview Presentation for the Delaware Health Care Commission May 6, 2010

  2. Reform Provisions Affecting States • Medicaid Expansion • Exchange • Insurance Reforms • Delivery System Reforms • Immediate Reforms: • High Risk Pool • Web Portal • Medicaid MOE

  3. Implementation Timeline 2010 • Drug Rebate • Medicaid MOE Requirement and Expansion Option • High Risk Pool • Re-insurance • Web Portal • State Exchange Standards and Grant Opportunities • HHS Office of Coordinated Health Care • Review of Unreasonable Increases in Health Insurance Premiums • New Federal Insurance Rules • State Waiver Regulations Released from HHS

  4. Implementation Timeline 2011 • Potential 1% FMAP Increase • Medicaid to Cover Tobacco Cessation for Pregnant Women • Medicaid Community-Based Services Option

  5. Implementation Timeline 2012 and 2013 • CLASS Program • Notification of State-Based Exchange Participation • Health Choice Compacts

  6. Implementation Timeline 2014 • Individual Mandate • Employer Requirements • Guaranteed Issue • Adjusted Community Rating • State-Based Exchanges become Operational • Medicaid Expansion to 133% FPL • Additional State Medicaid Plan Requirements • Reductions in DSH Funding • State Law or Regulation Required to Establish Reinsurance Entity

  7. Implementation Timeline 2015-2019 • Annual Medicaid Enrollment Reporting • Tax Credits for CHIP-Eligible Children to go into Exchange • States with Waivers Being Operating Alternative Programs • Large Employers in State Exchange

  8. State Implementation Planning and Resources • State Health Reform Working Group • NGA: www.nga.org/healthreform • HHS • NAIC, NASMD

More Related