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Health Insurance Exchange CCMU Annual Conference Panel Gretchen Hammer

Health Insurance Exchange CCMU Annual Conference Panel Gretchen Hammer. Exchange Basics. Virtual marketplaces – where thousands of people, insured and uninsured, will seek information to select and purchase health insurance.

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Health Insurance Exchange CCMU Annual Conference Panel Gretchen Hammer

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  1. Health Insurance Exchange CCMU Annual Conference PanelGretchen Hammer

  2. Exchange Basics • Virtual marketplaces – where thousands of people, insured and uninsured, will seek information to select and purchase health insurance. • Estimates are 300,000 uninsured individuals may obtain coverage through the exchange. • Many parameters defined in Patient Protection and Affordable Care Act (enabling legislation). • Key decisions made at state level about the structure, governance, and role of the exchange.

  3. Known Parameters • Exchanges will be the exclusive vehicle for individuals and families to obtain subsidized insurance coverage but there will continue to be and individual and small group market outside the Exchange. • States have the option to create separate exchanges for individuals and small businesses and state, regional or multi-state exchanges. • Federal legislation defines a number of requirements – minimum benefits, disclosure, subsidy levels.

  4. Colorado Progress • Community Forums • Build shared understanding about Exchanges. • Seek and collect input from wide range of stakeholders on best way to structure the Exchange(s). • Develop a “Stakeholder Perspective” document that can inform the efforts of the general assembly and new governor during the 2011 session and moving forward. • Colorado received roughly $1 million pre-pre-planning grant. • Enabling legislation is planned for 2011.

  5. Exchange and the Underserved • The opportunity for access to private insurance for many low and moderate income Coloradans. • A highly accessible and effective Exchange will be the key to successful implementation of the individual mandate. • Implementing the Exchange is a huge task with vision and values, technical, broad ranging systems impact and political components.

  6. Exchange and the Underserved CCMU’s areas of Interest: • Public Program and Subsidized Coverage Interactions • Eligibility screening and determination for subsidies and public programs • The chance to effectively manage “statistically predictable” transitions between public programs and subsidized private coverage • Accessibility for the underserved • Accessible and understandable information and processes • Products that meet the complex needs of the underserved

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