Insure Tennessee

Overview

• Insure Tennessee proposal • Hospital role in funding • Who benefits • Outreach plans

Insure Tennessee Proposal

• Alternative Medicaid expansion approach focused on: – Personal responsibility – Cost – Healthcare reform • Provide health insurance coverage to more than 200,000 uninsured Tennesseans who earn less than 138 percent FPL • Creates no new taxes thanks to commitment from Tennessee’s hospitals

Insure Tennessee Proposal

• Insure Tennessee is the next step in Tennessee’s Delivery System Reform Initiative, which launched in 2013 • The main focus of the initiative to date has been on aligning incentives at the provider level through payment reform • Insure Tennessee is designed to align incentives at the consumer level by promoting personal responsibility

Insure Tennessee Proposal

Insure Tennessee Proposal

• Insure Tennessee will leverage the enhanced federal funding which will pay for between 90 and 100 percent of the cost. • Once the federal match decreases below 100 percent in 2017, Tennessee hospitals have committed to covering the state’s portion of the cost. • The program will automatically terminate in the event that either federal funding or support from the hospitals is modified in any way.

Insure Tennessee Proposal

• The plan must be approved by the Tennessee General Assembly and receive formal approval from federal officials at CMS before implementation. • Governor Bill Haslam has called a special legislative session to address the proposal.

– Begins Monday, Feb. 2 – Expected to last one to two weeks

The Role of Hospitals

• THA’s board of directors unanimously voted to cover the state’s portion of the cost for Insure Tennessee.

• Funding will be provided through the annual hospital assessment.

• Latitude in the assessment will cover any additional cost to the state beginning in 2017

Who Benefits?

• More than 400,000 uninsured Tennesseans below 138 percent FPL could qualify for coverage.

• Approximately 25,000 of these individuals are veterans.

• More than half of the eligible population is employed.

• Insure Tennessee will bring needed coverage to hard-working individuals.

THA Outreach

• Legislators must hear from constituents – Hospital leaders – Trustees – Business leaders – Community leaders • The ask of legislators is simple: – Please support the governor’s Insure Tennessee plan. – If they cannot yet pledge to support the plan, ask them to hold off making any commitment until they learn more about Insure Tennessee.

THA Outreach

• Resources to support outreach at THA.com

– Discussion points – Health and economic impact handouts • Statewide • Urban and rural comparison • County-specific – Details about the hospital assessment • Materials from Coalition for a Healthy Tennessee – www.insuretennesseenow.com

THA Outreach

• Legislative Day on the Hill – Tuesday, Feb. 3 – Briefings at Polk Theater in Tennessee Performing Arts Center • 9:30 a.m. CT • 11:30 a.m. CT – Boxed lunches available from noon to 1 p.m.

– Primary focus is to meet with legislators and/or attend committee hearings

More Information

• Contact THA – Craig Becker, [email protected]

– Beth Berry, [email protected]

– Joe Burchfield, [email protected]