Transcript Healthcare and our Community

Joint Meeting of Selected and Interested Community
Leadership
January 22, 2013
Bosque Theater, Waco, Texas
How did we get here?
 Unfunded
 Uninsured/Underinsured – ever growing segment
 Unsustainable Trajectory
 Excessive cost/person – 40% greater
 Rising incidence of Chronic Disease
 Access to Care/Provider Shortage
 Excess Care – Often do what patient wants, not just what
they need – (quantity not quality)
72
Million
Where are the Uninsured?
6.1
Million
45,800
Medicaid
Self Pay
$1 Cost $1 Cost $1 Cost
Gap
$.12
$.27
$.99
$.88
$.73
$.01
$1.70
$1 Cost
Healthcare is Changing!
Affordable Care Act
 Law Upheld by the Supreme Court
 Changes already in effect
 Additional components going into effect over
the next few years
 States allowed to decide on Medicaid
Expansion
 Currently…Texas position is not to expand
Medicaid Overview - Texas
 Medicaid Covers – 4.3 Million Texans
 16% of Population
 Medicaid Enrollees
 Elderly and Disabled
 55% of expenditures
 23% of total enrollees
 Children
 35% of expenditures
 64% of total enrollees
Medicaid Expansion
 Expansion Requirement:
 Coverage for 133% of FPL
 1.1 Million additional Medicaid enrollees
under expansion
 Under the ACA, the Federal Government
 Pays 100% of Medicaid Expansion for 3 years
 Reduced in stages to 90% by 2020
 $5.7 Billion in State Revenue, equals…
 $65.6 Billion in Federal Funding (10yrs)
Medicaid Expansion
 Reality:
 Texans are already paying for this…


Federal taxation is not changed based on participation
Texas would not get this “return”
 Perryman Group Study:
 Expansion could result in a $250 billion boost to the
Texas economy
 Local Impact:
 Over 27,000 additional local residents would gain access
to appropriate healthcare – “coverage” equates to better
health status
Federal Insurance Exchanges
 Large Number of Texans will be eligible
based on criteria
 Provides more affordable coverage for
patients who were uninsured or
underinsured
 If State of Texas decides not to provide
state-run exchange, Feds will
McLennan County
 37,000 total Medicaid enrollees
 Potentially 27,000 additional Medicaid
enrollees with expansion
 45,794 uninsured (23.1% of the population)
 14,000 uninsured would be eligible for
subsidies through the Exchanges
 Ranked 133 out of 221 largest Texas counties
based on health factors
(countyhealthrankings.org)
Thank You!