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Affordable Care Act in Action. By …. [Self Introduction slide]. Content. Introduction Basics on the Affordable Care Act (ACA) Connect for Health Colorado Medicaid Expansion Expanding Coverage Conclusion. Three Pillars of Health Care Reform . Ensure Quality. Contain Costs.
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Content • Introduction • Basics on the Affordable Care Act (ACA) • Connect for Health Colorado • Medicaid Expansion • Expanding Coverage • Conclusion
Three Pillars of Health Care Reform Ensure Quality Contain Costs Expand Coverage
Improving QualityEssential Health Benefits Source: Hoopayz.com
Consumer Protections in the ACA Rating on only 4 factors Age (3:1) Location Family size Tobacco usage (1.15:1) • No exclusion for pre-existing conditions • No lifetime or annual limits • Guaranteed issue and renewability
Cost Containment 80/20 Rule Rate Review
Expanding Coverage • Individual Mandate • Colorado will expand Medicaid to cover approximately 160,000 new Coloradans • Employer Responsibility • 50+ employees: must offer coverage or pay a penalty in 2015 • Under 50 employees: no requirement but may be eligible for financial assistance • Dependents up to age 26 can stay on parents’ plans
Connect for Health Colorado www.connectforhealthco.com 1-855-PLANS-4-YOU (1-855-752-6749)
How much will Insurance cost? Source: Avalere Health LLC
Financial Assistance for Individuals Source: NASTAD, Premium Tax Credits and Cost Sharing Subsidies (Feb, 2013) http://www.connectforhealthco.com/let-us-help/individuals-families/calculators-individuals-families/,
Colorado Medicaid Source: Colorado Health Institute
You won’t have to go it alone! Support for individuals and/or small businesses in-person or telephone using Connect for Health Colorado Assistance Guides will offer: • Information on public and private health insurance options • Access to assistance, training, and a certification program from a central support system
Expanding Coverage: How many uninsured adults and children stand to become insured after health reform in Colorado? Source: Colorado Health Institute
Conclusion First Enrollment Period for the Connect for Health Colorado Marketplace: October 1, 2013 New Individual Coverage begins: January 1, 2014 New Employer Coverage begins: January 1, 2015