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Title SlideWhat’s Next in Covering the
Affordable Care Act
Tami Luhby, CNNMoney
ACA	
  Primer	
  (Individual)	
  
	
  Most	
  Americans	
  have	
  to	
  have	
  coverage	
  in	
  2014	
  
	
  
	
  14	
  states	
  plus	
  DC	
  ran	
  own	
  exchange/36	
  used	
  
Healthcare.gov	
  
	
  
	
  Penalty	
  is	
  $95	
  or	
  1%	
  of	
  income,	
  whichever	
  greater	
  
	
  
	
  Medicaid	
  expansion:	
  27	
  states,	
  plus	
  DC	
  
ACA	
  Primer	
  (Employer)	
  
For	
  big	
  businesses,	
  employer	
  mandate	
  kicks	
  in	
  2015	
  
	
  
For	
  businesses	
  with	
  50-­‐99	
  employees,	
  2016	
  
	
  
	
  Small	
  businesses	
  under	
  50	
  employees	
  exempt/use	
  SHOP	
  	
  
	
  Employer	
  penalty	
  
First	
  Open	
  Enrollment	
  
8	
  million	
  signed	
  up	
  
	
  
85%	
  get	
  subsidies	
  
	
  
Young	
  Invincibles	
  
	
  
Medicaid:	
  6.7	
  million	
  
What	
  we	
  don’t	
  know	
  
Who	
  paid	
  premiums	
  
	
  
Who	
  was	
  uninsured	
  previously	
  
	
  
Who	
  is	
  newly	
  eligible	
  for	
  Medicaid	
  
	
  
??????	
  
??????	
  
??????	
  
Finding	
  stories:	
  Real	
  people	
  
Go to clinics
Talk to insurance agents
Chat with employees
Stop by community activists
 Number	
  of	
  uninsured	
  Minnesotans	
  falls	
  to	
  all-­‐Fme	
  low	
  
Finding	
  stories:	
  Doctors/Hospitals	
  
More	
  paXents	
  
	
  
Sicker	
  paXents	
  	
  
	
  
New	
  pracXces	
  
 More	
  paFents	
  flocking	
  to	
  ERs	
  under	
  Obamacare	
  
Finding	
  stories:	
  Small	
  business	
  
Will	
  they	
  provide	
  insurance?	
  
	
  
Is	
  it	
  more	
  affordable?	
  
New	
  Hampshire	
  businesses	
  vexed	
  by	
  insurance	
  delay	
  
Medicaid	
  
Just	
  over	
  half	
  of	
  states	
  have	
  expanded	
  
	
  
6.7	
  million	
  new	
  people	
  have	
  been	
  added	
  to	
  rolls	
  
	
  
Can	
  doctors	
  &	
  hospitals	
  handle	
  the	
  load?	
  
	
  
How	
  many	
  were	
  already	
  eligible?
In	
  Texarkana,	
  Uninsured	
  and	
  on	
  the	
  Wrong	
  Side	
  of	
  a	
  State	
  Line	
  
Preparing	
  for	
  2015
Open	
  enrollment:	
  Nov	
  15	
  
	
  
Insurers	
  
	
  
Community	
  acXvists	
  
	
  
Medical	
  community	
  
	
  
Businesses	
  
Preparing	
  for	
  2015:	
  Insurers	
  
New	
  rates	
  
	
  
New	
  deducXbles/policies	
  
	
  
New	
  companies	
  entering	
  market	
  
	
  
New	
  servicing	
  policies	
  
Preparing	
  for	
  2015:	
  Local	
  acFvists	
  
Outreach	
  to	
  uninsured	
  
	
  
What	
  did	
  they	
  learn?	
  
	
  
What	
  will	
  they	
  do	
  
differently?	
  
	
  
How	
  will	
  they	
  connect?	
  
Preparing	
  for	
  2015:	
  PracFFoners	
  
Hospitals	
  
	
  
Community	
  clinics	
  
	
  
Doctors’	
  offices	
  
	
  
Pharmacies	
  
Preparing	
  for	
  2015:	
  Businesses	
  
Small	
  businesses	
  
	
  
Large	
  employers	
  
SHOP	
  plans	
  
Eligibility	
  
	
  
Subsidies	
  
	
  
Employee	
  choice	
  
Preparing	
  for	
  2015:	
  story	
  examples	
  
CiFes	
  brace	
  for	
  impact	
  of	
  ‘Cadillac’	
  tax
Stories	
  to	
  do	
  
How	
  are	
  people	
  using	
  benefits	
  
	
  
How	
  is	
  medical	
  community	
  reacXng	
  
	
  
How	
  are	
  exchanges/acXvists	
  preparing	
  for	
  2015	
  
	
  
How	
  are	
  insurers/businesses	
  preparing	
  for	
  2015	
  

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What's Next in Covering the Affordable Care Act - Tami Luhby

  • 1. Title SlideWhat’s Next in Covering the Affordable Care Act Tami Luhby, CNNMoney
  • 2. ACA  Primer  (Individual)    Most  Americans  have  to  have  coverage  in  2014      14  states  plus  DC  ran  own  exchange/36  used   Healthcare.gov      Penalty  is  $95  or  1%  of  income,  whichever  greater      Medicaid  expansion:  27  states,  plus  DC  
  • 3.
  • 4. ACA  Primer  (Employer)   For  big  businesses,  employer  mandate  kicks  in  2015     For  businesses  with  50-­‐99  employees,  2016      Small  businesses  under  50  employees  exempt/use  SHOP      Employer  penalty  
  • 5. First  Open  Enrollment   8  million  signed  up     85%  get  subsidies     Young  Invincibles     Medicaid:  6.7  million  
  • 6. What  we  don’t  know   Who  paid  premiums     Who  was  uninsured  previously     Who  is  newly  eligible  for  Medicaid     ??????   ??????   ??????  
  • 7. Finding  stories:  Real  people   Go to clinics Talk to insurance agents Chat with employees Stop by community activists
  • 8.  Number  of  uninsured  Minnesotans  falls  to  all-­‐Fme  low  
  • 9. Finding  stories:  Doctors/Hospitals   More  paXents     Sicker  paXents       New  pracXces  
  • 10.  More  paFents  flocking  to  ERs  under  Obamacare  
  • 11. Finding  stories:  Small  business   Will  they  provide  insurance?     Is  it  more  affordable?  
  • 12. New  Hampshire  businesses  vexed  by  insurance  delay  
  • 13. Medicaid   Just  over  half  of  states  have  expanded     6.7  million  new  people  have  been  added  to  rolls     Can  doctors  &  hospitals  handle  the  load?     How  many  were  already  eligible?
  • 14. In  Texarkana,  Uninsured  and  on  the  Wrong  Side  of  a  State  Line  
  • 15. Preparing  for  2015 Open  enrollment:  Nov  15     Insurers     Community  acXvists     Medical  community     Businesses  
  • 16.
  • 17. Preparing  for  2015:  Insurers   New  rates     New  deducXbles/policies     New  companies  entering  market     New  servicing  policies  
  • 18. Preparing  for  2015:  Local  acFvists   Outreach  to  uninsured     What  did  they  learn?     What  will  they  do   differently?     How  will  they  connect?  
  • 19. Preparing  for  2015:  PracFFoners   Hospitals     Community  clinics     Doctors’  offices     Pharmacies  
  • 20. Preparing  for  2015:  Businesses   Small  businesses     Large  employers  
  • 21. SHOP  plans   Eligibility     Subsidies     Employee  choice  
  • 22. Preparing  for  2015:  story  examples  
  • 23. CiFes  brace  for  impact  of  ‘Cadillac’  tax
  • 24. Stories  to  do   How  are  people  using  benefits     How  is  medical  community  reacXng     How  are  exchanges/acXvists  preparing  for  2015     How  are  insurers/businesses  preparing  for  2015