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Bringing Health Home Learning Collaborative

Questions addressed in this presentation. How many uninsured Coloradans are estimated to become newly insured after the implementation of health reform?How many will remain uninsured?What are their characteristics?What are the implications for Colorado's communities?. 2. State and Federal Health Reform.

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Bringing Health Home Learning Collaborative

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    1. Bringing Health Home Learning Collaborative Helping communities prepare for health reform: Coverage estimates of Coloradans after implementation

    2. Questions addressed in this presentation How many uninsured Coloradans are estimated to become newly insured after the implementation of health reform? How many will remain uninsured? What are their characteristics? What are the implications for Colorado’s communities? 2

    3. State and Federal Health Reform Public insurance expansions Private insurance reforms Health promotion and prevention Health care quality and payment reform Financing to expand the primary care workforce 3

    4. 4 The Health Insurance Exchange: a ”shopping mall” for health insurance

    5. Increases funding for federally qualified health centers Appropriates $1.5 billion to National Health Service Corps to recruit primary care providers into HPSAs Awards grants to expand training programs for primary care, dental care, long-term care, behavioral health and public health Awards grants to expand primary care residency programs in community and rural health clinics 5 PPACA improves access to health care

    6. Data sources Uninsured estimates based on CHI’s analysis of the U.S. Census Bureau’s 2008 American Community Survey (ACS) Analytic assumptions based on CHI’s analysis of the Department of Health Care Policy and Financing’s 2008-09 Colorado Household Survey 6

    7. What will be the impact of HB 1293 and PPACA on coverage for uninsured Coloradans? 7

    8. Assumptions and caveats Estimates are a snapshot using the latest data Estimates assume a fully mature program and do not account for population growth Analyses limited to those uninsured at time of the ACS survey Based on take-up rates under current conditions Limited to ages 0-64 years 8

    9. Providing context: The uninsured in Colorado 9

    10. Medicaid caseload is at a historic high 10

    11. Who will become newly insured? Who will remain uninsured? 11

    12. How many uninsured adults and children stand to become insured after health reform?

    13. Pathways to coverage for uninsured children and adults after reforms implemented 13

    14. Spells of uninsurance: Will there be pent-up demand for the chronically uninsured? 14

    15. Income levels of Coloradans newly insured and those likely to remaining uninsured 15

    16. Documentation status… Individuals not lawfully present in the U.S. do not and will not have access to Medicaid, CHP+ or the health insurance exchange Undocumented individuals account for an estimated 28% of remaining uninsured 16

    17. County uninsured estimates County rates available on handout Post-reform uninsured rates range from 2% in Douglas County to 11% in Garfield, Jackson, Moffat , Rio Blanco and Routt Counties NOTE: Rural counties in the same region will have similar rates Caution should be exercised in interpreting and using county level estimates 17

    18. Implications for community capacity 18

    19. 19

    20. Please insert map 10 (without map 10 in title) with safety net layer on top of it. 20

    21. 21

    23. Insert map 3 from scopes of care report PC Workforce (physicians and APNs overlayed with pop. below 200% of FPL) 23

    24. Cost is the most frequent reason that Coloradans are uninsured, but… 24

    25. Implications for community capacity Over 500,000 newly insured adults and children Some “pent up” demand among newly insured adults An aging population will impact capacity for medical and supportive services Increased demands for a primary care workforce The importance of the safety net for the remaining uninsured Connecting individuals and families with coverage and the increased need for information and outreach 25

    26. Questions for the audience How do the data resonate with your experience? What are the unique challenges faced by your community? How will they change after health reform? Looking ahead, what data and information do you need to make informed decisions? 26

    27. Acknowledgements CHI team - Allison Summerton, Anna Furniss, Pamela Hanes and Amy Downs CHI served as administrator of 2008-09 Colorado Household Survey working in partnership with the Colorado Department of Health Care Policy and Financing Survey funded by The Colorado Trust The Colorado Health Foundation 27

    28. Questions? Jeff Bontrager, Program Manager Center for the Study of the Safety Net bontragerj@coloradohealthinstitute.org 303.831.4200 x205 Amy Downs, Director of Policy & Research downsa@coloradohealthinstitute.org Allison Summerton, Research Analyst summertona@coloradohealthinstitute.org 28

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