Health Reform in Community Settings: Affordable Care Act Implementation in Georgia Patricia Ketsche, PhD Associate Professor and Fellow, GHPC.

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Presentation transcript:

Health Reform in Community Settings: Affordable Care Act Implementation in Georgia Patricia Ketsche, PhD Associate Professor and Fellow, GHPC

Health Insurance Exchange Private Insurance Medicaid Coverage Expansion under the ACA

Changes in Public Coverage Medicaid Expansion – Status as of September 16,

Changes in Private Coverage Health Insurance Exchange Private Insurance GAP Coverage Expansion without Medicaid

Insurance Regulation Individual Mandate Subsidies for Small Business Changes in Private Coverage

Exchange/Market Place Subsidies for Individuals Changes in Private Coverage

Exchange Participation – Status as of May 28, 2013 Changes in Private Coverage

Actuarial Value DeductibleCoinsurance Monthly Premium (40 Yr. Old) Bronze60%$6,3000% $251 Silver70%$3,00010% $310 Gold87%$7500% $394 Features of Exchange Plans Blue Cross Plans - Region 3 Source: : Insurance company filings with Georgia Insurance Commissioner

Insurance Regions for Exchange Premiums

Exchange Offerings by Insurance Region RegionsBCBSPeach StateKaiserAlliantHumana 1Y 2YYYY 3YYYYY 4YYY 5YY 6YY 7YY 8YYY 9YY 10YYY 11YY 12YY 13YYY 14YY 15Y 16YY

Changes in Private Coverage Determining the Subsidy Based on 2 nd lowest premium for silver plan in your market Compare that to the maximum % of income required based on income as % of poverty Difference = subsidy Available to purchase lower cost coverage

Changes in Private Coverage Coverage Option - Exchange 2 Adult Household without Employer coverage Family IncomePercent of Poverty Premium Subsidy in the Exchange Family contribution for coverage $10,00064% 0$6,036 $19,000123%$5,656 $380 $22,200142%$5,261 $775 $40,000258%$3,312$2,725 $60,000387%$336$5,700 *Based on a hypothetical plan premium of $6,036 for a silver plan. Actual subsidy depends upon 2 nd lowest cost silver plan based on age and market.

Changes in Private Coverage Variation in Premiums by Region RegionSilver Premium – 40 Year Old Subsidy with $12,000 income Net Costs 10 – NW Georgia$245 $225$20 3 – Atlanta$251$231$20 12 – Middle Georgia $300$280$20 15 – SW Georgia$442$422$20 1 – SW Georgia$482$462$20

Decisions – Families with children below 235% FPL Does my employer offer Affordable coverage? Enroll Enroll Self (spouse?) Medicaid/ PeachCare for Kids Enroll Family Exchange Determine Subsidy with and without children Enroll in Family Coverage Enroll Adults Medicaid / PeachCare for Kids

Georgias Uninsured (in thousands) (2 year average, ) Children (18 and under) Adults Total Uninsured3201,529 By Income <= 100% FPL > % of FPL > % of FPL40261 >400% of FPL34186 By Citizenship Citizen2981,278 Non-citizen Source: ASEC supplement to the Current Population Survey, 2012 and 2013

Economic Impact Estimates - State Health Insurance ExchangeMedicaid Direct Effect2 Billion4 Billion Total Effect4 Billion8 Billion Employment35,00070,000 Local Tax Revenue70 Million146 Million State Tax Revenue65 Million130 Million Factors: Number of Medicaid Enrollees Cost per Enrollee Economic Multiplier State income tax rate

Federal Spending – 10 year estimates from CBO Fees, Taxes and Penalties Medicaid Insurance Premium Subsidies Medicare Savings +/ trillion +/ trillion

Current national estimates – CBO (May 2013) Source of coverage Change Employer57%56%-1% Non Group and Other9%8%-1% Medicaid/CHIP13%20%+7% Uninsured21%11%-10% Exchange0%9%+9%

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