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Report to Advisory Council October 19, 2005 Models Development Work Group. Hollis Turnham Facilitator. Inputs. Six meetings since August, E very other Wednesday Attendance: 40 to 70 people 106 individuals on e-mail list. Over-arching Goals.
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Report to Advisory Council October 19, 2005Models Development Work Group Hollis Turnham Facilitator
Inputs Six meetings since August, Every other Wednesday Attendance: 40 to 70 people 106 individuals on e-mail list
Over-arching Goals Looked at Advisory Council’s “win-win” draft Have 1, 3, and 5 year goals and incremental plan
Five approaches are on the Table Pooling/Insurance Reform Medicaid/SCHIP Expansion Basic Benefit Subpopulation Coverage Universal Coverage
Outreach and financing options will be on the Table Outreach to eligibles not enrolled Maximize federal dollars Vouchers Tax credits Increased rates to state vendors (child care, long-term care, etc., not providing insurance to employees)
Basic Benefit Workers—15 hours a week Regional models Focus on primary, RX, dental Mandated initial preventative care Visit within 6 months of enrollment
Medicaid Expansion Increase coverage of parents From 35% and 50% of FPL ($5,632 and $8,045 annual income) To 150% to 200% FPL ($24,135 to $32,180 annual income)
Pooling/Reinsurance Open state employee health plan for buy-in by other employers AND individuals Need subsidies for low-wage employers and low-wage workers
Universal Coverage Multiple payers Tiered model Basic coverage for everyone, More coverage with additional payment Integrate other public health payers— Worker’s comp, auto insurance, uninsured motorists
Subpopulations Folks between jobs Young adults-college, first job County health plan coverage
Next meeting:October 26, 20051 until 4 p.m. Reflecting info from: Household Survey Landscape Analysis Waiting for the Employer Survey Advice from the Advisory Council
Hollis TurnhamHollis@Paraprofessional.org517-327-0331 Ken Miller MillerK3@Michigan.gov 517-241-1932