Transcript Public Health Agenda - United Way of Southeast Louisiana

United Way of Southeast Louisiana
Public Policy Committee
Educational Session: Medicaid Maximization
Dr. Karen DeSalvo, Health Commissioner, City of New Orleans» October 8, 2013
Why Health Coverage Matters
 679 people die in Louisiana
annually as a result of being
uninsured
 The cost of caring for the
uninsured amounts to a
$1,000/year “hidden” tax
on those with private
insurance
Profile of the Uninsured
780,000 people in LA – the typical
uninsured person is:
 Ages 18-64
 Male
 White, non-Hispanic
 Native born
 High school graduate
 Employed
 Living below 138% of federal
poverty line (FPL)
 Food service, construction, retail,
health care, child care, school,
and hotel workers.
The Affordable Care Act:
3 Key Provisions
1. Insurance reforms: guaranteed issue, modified
community rating, no pre-existing condition exclusions
2. Coverage expansion – through Medicaid, up to
138% FPL
3. Coverage expansion – through Private Health
Insurance on the Marketplace
ACA is financed through:
 Medicare payment cuts and savings
 Disproportionate Share Hospital payment cuts
 New taxes
History of Health Reform
in Louisiana is Bipartisan
2005
• Hurricane Katrina and Levee Failures
2006
• Louisiana Healthcare Redesign Collaborative
2007
• Coalition of Leaders in Louisiana Healthcare
2007
• Primary Care Access to Stabilization Grant
2008
• Louisiana Health First
2010
• Greater New Orleans Community Health Connection
2013
• GNOCHC Extension
Community Health Centers
History of Health Reform
in Louisiana is Bipartisan
2005
• Hurricane Katrina and Levee Failures
2006
• Louisiana Healthcare Redesign Collaborative
2007
• Coalition of Leaders in Louisiana Healthcare
2007
• Primary Care Access to Stabilization Grant
2008
• Louisiana Health First
2010
• Greater New Orleans Community Health Connection
2013
• GNOCHC Extension
Medicaid Maximization Impact




291,000 uninsured adults in Louisiana below 138% FPL would
gain comprehensive insurance (DHH and Legislative Fiscal Office - LFO)
Expected to bring nearly $16 billion in federal health care
investment to the state over 10 years (KFF)
Would increase economic activity in Louisiana an additional $1.8
billion in 2016 alone (Families USA, 2013)
The federal government would cover 100% of cost for first 3 years
and 94% of all costs
Louisiana Legislative Fiscal Office, Fiscal Note
Scenario
Take-Up Rate
SGF Savings, 10 yrs
Low Impact
75%
$510 million
High Impact
95%
$185 million
The Affordable Care Act:
3 Key Provisions
1. Insurance reforms: guaranteed issue, modified
community rating, no pre-existing condition exclusions
2. Coverage expansion – through Medicaid, up to 138%
FPL
3. Coverage expansion – through Private Health
Insurance on the Marketplace
ACA is financed through:
 Medicare payment cuts
 Disproportionate Share Hospital payment cuts
Calculating Premium Assistance:
$9.00/hr part-time worker
KFF Premium Subsidy Calculator
kff.org/interactive/subsidycalculator
Thank you.
www.nola.gov/health
[email protected]