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Rural Health Policy Summit

Rural Health Policy Summit. Barney Speight June 11, 2010. Oregon Healthy Kids: Enrollment Gains. Since July, 2009: 44,966 kids have been enrolled in Healthy Kids (16.65% increase) 13,733 kids in rural counties (30.5%). HK Outreach & Marketing in Rural Oregon.

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Rural Health Policy Summit

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  1. Rural Health Policy Summit Barney Speight June 11, 2010

  2. Oregon Healthy Kids: Enrollment Gains • Since July, 2009: • 44,966 kids have been enrolled in Healthy Kids (16.65% increase) • 13,733 kids in rural counties (30.5%)

  3. HK Outreach & Marketing in Rural Oregon • Prioritizing areas with high rates of uninsurance • Reaching out to: • Clinics, business groups, ag community • Faith-based groups • 4-H • County fair guides • Oregon High School Rodeo finals in Crook county

  4. For More Information… • www.oregonhealthykids.gov • www.facebook.com/OregonHealthyKids

  5. Coverage Expansions Under P.L. 111-148 • New mandatory Medicaid eligibility category • For individuals who buy through an Exchange: • Premium assistance through refundable tax credit • Reduced cost-sharing

  6. Medicaid Expansion in 2014 • Non-elderly, non-pregnant persons not entitled to Medicare; i.e., childless adults & certain parents • With incomes at or below 133% FPL

  7. Subsidies in an Exchange in 2014 • Premium assistance credit • Sliding scale: Premium cost at 2% (100% FPL) to 9.8% (400% FPL) • Maximum out-of-pocket limits reduced from $5,950 individual / $11,900 family • 100-200 FPL: $1,964/$3,927 • 200-300 FPL: $2,975/$5,950 • 300-400 FPL: $3,927/$7,854

  8. Uninsured in Oregon by FPL (2008)

  9. Regional Uninsurance Rates in Oregon (2008)

  10. Strategic Implications • Delivery system capacity • WORKFORCE • I. T. • Connectivity between Exchanges, HHS/CMS, IRS, State of Oregon, Health Plans, etc. • Interoperability of clinical information systems (EMRs, EHRs, etc.) • To be addressed by next presenters….

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