BRSS TACS Initiative Statewide learning network goals: Raise visibility around the ACA/MHPAEA

2. BRSS TACS Initiative • Statewide learning network goals: • Raise visibility around the ACA/MHPAEA • Increase organizational capacity to conduct outreach • Educate the community about eligibility and enrollment

3. Elements/Timeline of BRSS TACS Project • MRC website: Health Care Reform Landing Page • http://www.minnesotarecovery.org/hcr/index.html • Webinars • July 8—ACA/Parity Overview • July 18—MNSure/Eligibility and Enrollment • August 22—Outreach • Conference Calls • July 12, 11 am—ACA Navigators/In-person Assistors • Newsletter • Resources • Information Tables at Recovery Month Events

4. Health Reform The reform continuum

5. Overarching Goal of Health Care Reform “Triple Aim” • Provide an Excellent Patient Experience • Provide High Quality Care • Do This in a Cost Effective Way

6. What do YOU know aboutHealthcare Reform?

8. True or False? • Under healthcare reform, you can get as sick as you want as often as you want, because health insurance companies will no longer be able to implement yearly or lifetime spending caps on your healthcare.

9. True or False? • Starting in 2014, most Americans will have to have a minimum amount of health insurance, or they will have to pay a penalty of $695 or 0.5% of household income, whichever is greater.

10. True or False? • Health insurance companies will have the ability to choose which preventive services they will cover in their insurance plans, such as depression screening, alcohol misuse counseling, and diabetes screening.

11. True or False? • Much like it is today around the country, under healthcare reform, low-income adults that do not have children or disability will not be eligible for Medicaid coverage.

12. Health Reform Hits Main StreetVideo Kaiser Family Foundation http://healthreform.kff.org/the-animation.aspx

13. Insurance Reform • Lifetime caps, Pre-existing conditions • 2/3 of personal bankruptcies are linked to illness & medical bills • Twice as likely to delay or forego care until the condition is serious and costly • Large disparities by race and ethnicity (1.5 to 3 times higher rate uninsured) • Of small employers (1-49 emp), only 38.5% offered coverage @ 18% higher for same plan offered to large employers • Uninsured 3x more likely to be unable to pay for basic necessities due to medical problems than insured

14. Coverage Expansion • No Insurance (in 2011 almost 10% of MN) • Healthcare is the single largest category of government spending • Increases in costs not sustainable • Expansion of Medicaid • Essential Health Benefit(s) • Health Care Exchanges- about 20% of state • Tax credits to small employers

15. Delivery System Redesign • “Parity” (PWPDMHPAEA) • In conjunction with the ACA, it profoundly alters the way we must view and provide healthcare • Screening- intervening early • If we waited until limbs needed to be amputated due to diabetes to treat it! • Why do we wait until psychosis or severe addiction before there is coverage for services? • Health Homes, Behavioral Health Homes • Integrated care is better care • More economical • Longitudinal, more engaged

16. Payment Reform • Medicaid Expansion • Health Insurance Exchanges • Individual Mandate • Employer-sponsored health insurance and tax credits • Expansion of providers eligibility • Workforce development • Use of HIT to improve care.

17. Resources • MNSure • Healthcare.gov • Parity Implementation Coalition • The Kaiser Commission on Medicaid and the Uninsured • http://www.minnesotarecovery.org/hcr/resources.html • http://www.thenationalcouncil.org/topics/healthcare-reform/

18. Resources (continued) Inside Health Reform 101 by Dr. Manoj Jain, MD MPH – Slideshowhttp://www.slideshare.net/MJainMD/affordable-care-act-aca-whats-in-it-healthcare-reform-101 Health Reform Hits Main Street : The YouToons Explain the New Law by Kaiser Family Foundation - Video Animationhttp://kff.org/health-reform/video/health-reform-hits-main-street/ The Future of US Healthcare Part I by Barry Bittman, MD and IIH (Institute for Innovative Healthcare) - Video Sketchhttp://www.youtube.com/watch?feature=player_embedded&v=y51eT-1-BE8

19. Resources (continued) The Future of US Healthcare Part II: Care Coordination by Barry Bittman, MD and IIH (Institute for Innovative Healthcare) - Video Sketchhttp://www.youtube.com/watch?v=C82E075VeIE&feature=channel&list=UL Overview of Provisions of the ACA by American Public Health Association (APHA) http://www.apha.org/NR/rdonlyres/26831F24-882A-4FF7-A0A9-6F49DFBF6D3F/0/ACAOverview_Aug2012.pdf

20. Resources (continued) The US Congress and Health Policy by Harvard Kennedy School of Government – Slideshowhttp://www.slideshare.net/jpwlinkedin/the-us-congress-and-health-policy Kaiser Foundation Education Tutorials on Health Reformhttp://www.kaiseredu.org/en/Topics/Health-Reform.aspx

21. Questions?

22. Next Steps • Invite others to join the statewide learning network • Educate yourself about the Navigator/In-Person Assistors program—funding is available • Attend the conference call on July 2, 3 pm

23. Healthcare Reform slides credit • Many slides from “Non-Wonks’s Guide to Health Reform” presentation by Chuck Ingoglia of the National Council for Behavioral Health • Data taken from State of MN MNSURE website under “healthcare reform” “Quick Facts and Statistics” – http://www.mn.gov/hix/news-room/quick-facts/index.jsp • Other slides from “The Patient Protection and Affordable Care Act- What Does This Mean for Us?” presentation by Charlie Mishek of MN DHS-ADAD