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ColoradoCare

ColoradoCare is a state-based healthcare system designed to cover everyone in Colorado, saving billions of dollars in healthcare costs. It offers a full choice of primary care providers and comprehensive benefits.

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ColoradoCare

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  1. ColoradoCare Covers Everyone Saves Billions Designed in Colorado for Coloradans www.ColoradoCareYes.co Senator Jeanne Nicholson nicholsonjeanne@gmail.com

  2. Introduction What is wrong with our current health care payment system?

  3. Number Uninsured/Underinsured 350,000 Coloradans are without insurance in 2015 Colorado Health Institute 2015 Survey

  4. We are paying higher health insurance premiums than we need to

  5. 2016 Colorado Projected*Health Care Spending Total Colorado Health Care Spending $50.5 Billion Administrative Costs $15.6 Billion (31%) * *Projected under ACA, using current payment system

  6. US Wastes $750B $2.8 Trillion is Spent Annually Inefficient Care & Errors Excessive Prices Institute of Medicine 2012

  7. Health Care Waste $750 Billion Wasted Annually More than the entire Federal K-12 Education Budget U.S. Department of Education

  8. Excessive Administrative Costs Growth Administrators Physicians Source: Bureau of Labor Statistics; NCHS; Himmelstein/Woolhandler analysis of CPS

  9. US Health Care Paradox • If banking worked liked health care • ATM transactions would take days. • If home building were like health • care, carpenters, electricians, • and plumbers would work from different blueprints. If shopping were like health care, prices would not be posted and could vary widely within the same store depending on who was paying. The Institute of Medicine, 2010

  10. Health Coverage with Affordable Care Act Source: Kaiser Family Foundation (http://www.kff.org) analysis. *Produced by: Larry Levitt, MPP, Anne Jankiewicz, and David Rousseau, MPH

  11. Health Coverage with ColoradoCare Get a Smart Card and Choose a Provider Are you a Colorado Resident?

  12. Insurance with High Deductibles has Increased 3% of Insured in 2003 11% of Insured in 2014

  13. 2011 OECD

  14. Boulder Information In Boulder there were 5.2%, 20,424 people underinsured in 2015 Colorado Health Institute 2015 Survey jdh.hamkins.org • Boulder County would Save $6.5 M annually • City of Boulder would Save $6.4 M annually

  15. Hinsdale County Information www.rootsweb.ancestry.com listosaur.com Hinsdale County would Save $176.657 annually

  16. Gunnison County Information http://www.gunnisoncounty.org/ //www.imfromdenver.com Gunnison County would Save $9.5 Million annually

  17. Gilpin County Information www.waymarking.com www.landsofcolorado.com Gilpin County would Save $1.3 Million annually

  18. Clear Creek County www.halslamppost.com johncarmichaels.typepad.com Clear Creek County would Save $1.1 Million annually

  19. US Health Care Paradox • “Health Care in America presents a fundamental paradox. The past 50 years have seen an explosion in biomedical knowledge, dramatic innovation in therapies and surgical procedures and management of conditions that previously were fatal yet American health care is falling short on basic dimensions of quality, outcome, cost, and equity.” The Institute of Medicine, 2010

  20. The Solution ColoradoCare: Covers every Coloradan Decreases costs by $4.5B Increases coverage System designed in Colorado by Coloradans

  21. ColoradoCare Key Feature Full Choice of Primary Care Provider Not from a narrow network

  22. What about our Health Care Providers? • Providers would remain in private practices to ensure choice and quality care. • Providers would be well paid to assure good providers remain in Colorado in sufficient numbers to avoid long waiting times

  23. Comprehensive Benefits, a Platinum Plus Plan • Chronic disease management • Rehabilitative services & devices • Pediatric care including oral, vision, • & hearing services • Laboratory services • Maternity & newborn care • Palliative & end-of- life care • Some adult oral health benefits • Primary and specialty care • Hospitalization • Prescription drugs • Medical equipment • Mental health & substance use services • Emergency & urgent care • Preventive & wellness service

  24. Benefit Terms • No Deductibles • No Co-pays on Preventive Care • Modest Co-payments for other services (with hardship waivers available to insure access to proper care) • Children are covered regardless of age (even over age 26) as long as they are Colorado residents • Beneficiaries temporarily living or traveling in another state are covered for routine and urgent care.

  25. What It Costs Employers will pay 6.67% of payroll Employees pay 3.33% of their income In place of current health care premiums and deductible costs

  26. On $50,000 Income For Example: Your employer pays $278 monthly You pay $139 monthly On $100,000 Income* Your employer pays $556 monthly You pay $278 monthly *Capped at $350,000 filing individually, $450,000 filing jointly

  27. Non-payroll andSelf Employed Income Pay less than10% of Personal income* *This is a state tax which is a deductible expense on federal and state taxes with an effective impact of 5.577% to 8.537% depending on your tax bracket.

  28. Retired Coloradans Medicare continues with ColoradoCare as a Supplement • Individual income filers - Social Security Income and retirement income is exempt up to $33,000 • Joint income tax filer- Social Security Income and retirement income is exempt up to $60,000 • Other income (non-retirement) subject to a premium tax of ≤10%

  29. For Example • Couple with $100K annual Social Security & Retirement Income • Will pay about $3,080 ColoradoCare annual premium • versus • Current Medigap Plan with Rx $4,800

  30. More Details • The Premium tax can only increase by a state wide vote • ColoradoCare will be exempt from TABOR • Cost for the injury portion of car insurance will be reduced • ColoradoCare will cover the medical portion of Workers Compensation, reducing this cost for businesses by an estimated 59%

  31. ColoradoCare Governance • Interim 3 year appointed 15-member Board of Trustees • 21-member non-partisan elected Board of Trustees will oversee ColoradoCare (3 from each of seven districts) • Coloradans are the shareholders

  32. Cooperatives: A proven Business Model

  33. The Truth, the Whole Truth, and Nothing But the Truth Opponents will say: • "The truth“- Colorado Care will raise taxes $25 B • But they won't say "The whole truth": • Colorado spends > $ 50 billion on health care • Colorado Care will reduce combined premium and out-of-pocket expenses by $4.5B • You won’t have to buy insurance or pay deductibles • Every resident in our state will have excellent coverage!

  34. The Truth, the Whole Truth, and Nothing But the Truth "The Truth" • Opponents will say Colorado Care will cause significant job loss in the health insurance industry (administrative jobs!) • But they won't say there will be job churn but overall there will be a net increase in Colorado jobs and an improvement in Colorado's economy

  35. The Truth, the Whole Truth, and Nothing But the Truth And nothing but the truth: • Opponents will say you will not receive good care but Colorado Care will provide Platinum Plus care, better than we have now • But they won’t say that health care decisions will be made between you and your provider – no middle man involved!

  36. Summary ColoradoCare would: Be a Colorado resident-owned system Cover every Colorado resident Ensure comprehensive, high quality, platinum plus, accessible and affordable life time health care Collect premiums from Coloradans based on income Cost significantly less than our current system

  37. Next Steps ColoradoCare Ballot Initiative #20 • Collect 98,492 valid signatures by Oct 2015 • Educate Coloradans about Initiative #20 • Pass Initiative #20in November 2016

  38. Next Steps Once the initiative is passed, our legislature would enact legislation in 2017 for ColoradoCare to: • Obtain an Affordable Care Act 1332 Waiver to implement An affordable state-based plan that provides a health care payment system for all Colorado residents • Implement ColoradoCare Initiative #20 by January 2019

  39. Next Steps Implementation of ColoradoCare involves: • Repurposing the Health Benefits Exchange • Managing Colorado Medicaid • Managing the medical portion of Workman’s Compensation • Collecting federal Patient Protection and Affordable Care Act monies

  40. How you can support ColoradoCare: • Learn more by going to our website: ColoradoCareYes.co • Register to vote if you are not registered • Sign a petition • Circulate a petition • Educate your family and friends about ColoradoCareYES • Contribute to ColoradoCareYES AND • Vote for ColoradoCareYES in November of 2016

  41. Fiscally Conservative, Socially Just. Thank you for coming

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