5 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 HK Outreach & Marketing in Rural Oregon
6 www.oregonhealthykids.gov www.facebook.com/OregonHealthyKids For More Information…
7 Coverage Expansions Under P.L. 111-148 1.New mandatory Medicaid eligibility category 2.For individuals who buy through an Exchange: –Premium assistance through refundable tax credit –Reduced cost-sharing
8 Non-elderly, non-pregnant persons not entitled to Medicare; i.e., childless adults & certain parents With incomes at or below 133% FPL Medicaid Expansion in 2014
9 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 Subsidies in an Exchange in 2014
10 Uninsured in Oregon by FPL (2008) FPL# Oregon% Oregon 100 - 133300,70048.4 134 - 400222,000+35.8+ Over 40063,00010.2 Total620,600100.
12 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…. Strategic Implications
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