Presentation Transcript

1. The Patient Protection and Affordable Care Act

   Young Adult Outreach and Education
2. Who are Young Invincibles?
3. Overview How does the ACA affect young adults Young adult outreach
4. Uninsured Young Adults in Mississippi 26.9% of US residents 18 - 34 are uninsured Overall national uninsurance rate is approximately 15.7% 28% of Mississippi residents 18 - 34 are uninsured Overall statewide uninsurance rate is approximately 16.2%
5. How many people in Mississippi could get health insurance?
6. ACA Provisions Already in Effect that Help Young Adults
7. What’s Already in Effect Dependent Coverage Free Preventive Care No denial for pre-existing condition for under 19 Student Health Plans Women’s Health Contraception Community Health Centers
8. Dependent Coverage and Preventive Care Under 26 can stay on parent’s plan Under 19 – no denial for pre-existing conditions Free Preventive Care – no co-pays on screenings and check-ups
9. Student Health Plans Previously limited regulations Now subject to standardized ACA requirements Must include preventive care benefits 80/20 Ratio
10. Women’s Health Benefits Well-women visits Support for breastfeeding Domestic violence screening and counseling Mammograms and cancer screenings
11. Contraception As of Aug 2012, new health insurance plans must cover contraception with no co-pay Religiously-affiliated institutions get 1 year delay After Aug. 2013, employees and students get coverage directly from insurance companies Religious institutions exempt
12. Growth of Community Health Centers (CHCs) Currently 8,000 CHCs provide care to 20 million individuals In June 2012 grants went to 219 community health centers around the country Increased number of patients served by 1.25 million By 2014, total funding of $2.2 billion
13. What Changes Will Come in 2014?
14. Changes to Come Medicaid Expansion Subsidies Exchanges/Marketplaces Individual Mandate
15. Mississippi and Medicaid Currently eligible: Low-income children and pregnant women Eligible in 2014: EVERYONE <133% of FPL States can decide whether to expand Gov. Bryant opposed, state legislature will decide 124,000 young adults
16. Subsidies/Tax Credits Those making 133-400 % of the federal poverty level (FPL) will qualify for subsidies (tax credits) to buy insurance on the exchange 133% of FPL for 1 person is $14,900 400% of FPL for 1 person is $44,000
17. How Much of a Subsidy? Four tiers of plans – Bronze, Silver, Gold, and Platinum Subsidies are calculated based on Silver plan Individuals can use subsidy for any plan
18. Ex-cha-cha-cha-Changes Shop for insurance Each state is different, some will have federally-facilitated exchanges (FFEs) Subsidies applied directly Mississippi Insurance Department is likely building state exchange
19. Other important parts of the ACA Catastrophic plans Marketed to the young Targets those with financial hardship No Annual Limits in 2014 (already phasing out) Tax Credit for employers (already started) Picture Source: http://wymancenter.org/the-importance-of-bulking-up-the-muscle-of-perseverance/
20. Individual Mandate and Penalties Individuals must have qualifying health insurance If not, penalties $95 the first year Rises in 2016 - $695 Exemptions Picture Source: http://thepinkleague.com/2012/08/30/so-whats-the-lowdown-the-basics-of-football-part-2/
21. Jessica, 19 years old Part-time student, part-time job $10,000/year before taxes~ 87% of poverty Without Medicaid expansion, she doesn’t qualify for Medicaid and would not have health insurance
22. Jeff, 21 years old Part-time student, full-time construction worker Earns $23,000/year Takes home: $1,438/month Total health premium: $283/month With tax credits he pays: $121/month
23. Overview: ACA and Young Adults Young adults have high rates of uninsurance The ACA has many provisions that help young adults Dependent Coverage Student Health Plans Contraception and Women’s Health Changes to come Expanded Medicaid Subsidies Exchanges Individual Mandate
24. Outreach and Education for Young Adults in Mississippi
25. Overview Health Care Outreach Mobile Technology Social Media Challenges Navigators Timeline
26. Health Care Outreach Traditional Outreach Tabling Group presentations Hosting events New Outreach Strategies
27. Mobile Outreach Your Healthcare Finder Find doctors in the area For Android and iPhone Mobile Website Text Message Services QR Codes Can be scanned and direct users to your website
28. Find a Doctor Find doctors and Community Health Centers in your area Search by location with GPS or zip code Search by name or category Shows user ratings of doctors in the area
29. Healthcare FAQ Explains how to find health insurance for different people (students, chronic conditions, buying your own plan) Explains the health care law Defines common health insurance terms
30. Waiting Room Game Fun game for people to play while passing time in the waiting room
31. Using Social Media Facebook Create events Send news updates Twitter Connect with new people Coordinate plans Retweet Be fun! Picture Source: Wikimedia Commons
32. Why do I need Insurance? It’s expensive ACA offers new options I’m young and healthy Injuries can happen to anyone Make it personal Why do I need health insurance? Uninsured drives up health care costs Individual mandate requires insurance
33. Navigators & Assisters State exchanges – formal “Navigator” program Funded through State’s Exchange Aids with outreach and enrollment States with federal exchanges– Assisters will provide help on outreach
34. Timeline: What to Look For Present – end of 2012: Educate young adults about ACA Ensure young adults are on dependent coverage Jan 2013 – Oct 2013: Educate young adults about the upcoming Exchanges. Oct 1st, 2013 – March 31st, 2014 Open enrollment for exchanges Ensure young adults are getting subsidies and Medicaid, if possible
35. Key Takeaways @YI_Care ACA is phasing in, some changes already underway Outreach and education Traditional outreach Social media and mobile technology Big changes in 2013 Like us on Facebook Follow us on Twitter