coloradocare covers everyone saves billions designed in colorado for coloradans 1 senator jeanne...
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ColoradoCareCovers Everyone
Saves BillionsDesigned in Colorado for Coloradans
www.ColoradoCareYes.co
Senator Jeanne Nicholson nicholsonjeanne@gmail.com
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What is wrong with our current health care payment system?
Introduction
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Number Uninsured/Underinsured
350,000 Coloradans are without insurance in 2015 Colorado Health Institute 2015
Survey
2011 2013 2015
15.8%14.3%
6.7%
12.8%13.9%
16.4%Uninsured Underinsured
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We are paying higher health
insurance premiums than
we need to
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2016 Colorado Projected*
Health Care Spending
Total Colorado Health Care Spending $50.5 Billion Administrative
Costs
$15.6 Billion (31%) **Projected under ACA, using current payment system
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US Wastes $750B
$2.8T
$210B
$190B
$130B$105B $75B $55B Health Care Costs (Billions)
Missed Prevention Opportunities
Unnecessary Services
Insurance and Bureaucratic Costs
Fraud
Institute of Medicine 2012
$2.8 Trillion is Spent Annually
Inefficient Care & Errors
Excessive Prices
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Health Care Waste
$750 Billion Wasted Annually
More than the entire Federal K-12 Education
Budget
U.S. Department of Education
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Excessive Administrative Costs
Source: Bureau of Labor Statistics; NCHS; Himmelstein/Woolhandler analysis of CPS
Gro
wth
3000%
2500%
2000%
1500%
1000%
500%
0
1970 1980 1990 2000 2010
Administrators
Physicians
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US Health Care Paradox
If banking worked liked health care ATM transactions would take days. If home building were like healthcare, carpenters, electricians, and plumbers would work from different blueprints. If shopping were like health care, prices would not be posted and could vary widely within the same store depending on who was paying.The Institute of Medicine, 2010
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Source: Kaiser Family Foundation (http://www.kff.org) analysis.*Produced by: Larry Levitt, MPP, Anne Jankiewicz, and David Rousseau, MPH
Health Coverage with Affordable Care Act
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Health Coverage with ColoradoCare
Get a Smart
Card and Choose a Provider
Are you a Colorado Resident?
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Insurance with High Deductibles has Increased
3% of Insured in 2003
11% of Insured in 2014
2011 OECD
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Boulder Information
Colorado Health Institute 2015 Survey
jdh.hamkins.org
In Boulder there were5.2%, 20,424 peopleunderinsured in 2015
Boulder County would Save $6.5 M annually
City of Boulder would Save $6.4 M annually
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Hinsdale County Information
www.rootsweb.ancestry.com
Hinsdale County would Save $176.657 annually
listosaur.com
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Gunnison County Information
http://www.gunnisoncounty.org/
Gunnison County would Save $9.5 Million annually
//www.imfromdenver.com
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Gilpin County Information
www.waymarking.com
Gilpin County would Save $1.3 Million annually
www.landsofcolorado.com
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Clear Creek County
johncarmichaels.typepad.com
Clear Creek County would Save $1.1 Million annually
www.halslamppost.com
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US Health Care Paradox
“Health Care in America presents a fundamental paradox. The past 50 years have seen an explosion in biomedical knowledge, dramatic innovation in therapies and surgical procedures and management of conditions that previously were fatal yet American health care is falling short on basic dimensions of quality, outcome, cost, and equity.”
The Institute of Medicine, 2010
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ColoradoCare: Covers every Coloradan Decreases costs by $4.5B Increases coverage System designed in Colorado by
Coloradans
The Solution
23 ColoradoCare Key Feature
Full Choice of Primary
Care Provider
Not from a narrow network
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What about our Health Care Providers?
Providers would remain in private practices to ensure choice and quality care.
Providers would be well paid to assure good providers remain in Colorado in sufficient numbers to avoid long waiting times
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Comprehensive Benefits, a Platinum Plus Plan
Primary and specialty care Hospitalization Prescription drugs Medical equipment Mental health & substance
use services Emergency & urgent care Preventive & wellness service
Chronic disease management Rehabilitative services & devices Pediatric care including oral, vision,
& hearing services Laboratory services Maternity & newborn care Palliative & end-of- life care Some adult oral health benefits
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Benefit Terms
No Deductibles No Co-pays on
Preventive Care Modest Co-payments
for other services (with hardship waivers available to insure access to proper care)
Children are covered regardless of age (even over age 26) as long as they are Colorado residents
Beneficiaries temporarily living or traveling in another state are covered for routine and urgent care.
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What It Costs
Employers will pay 6.67% of payroll
Employees pay 3.33% of their income
In place of current health care premiums and deductible costs
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On $50,000 IncomeYour employer pays $278
monthly You pay $139 monthly
On $100,000 Income*Your employer pays $556
monthlyYou pay $278 monthly
For Example:
*Capped at $350,000 filing individually, $450,000 filing jointly
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Non-payroll andSelf Employed Income
Pay less than10% of Personal income*
*This is a state tax which is a deductible expense on federal and state taxes with an effective impact of 5.577% to 8.537% depending on your
tax bracket.
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Retired Coloradans
Medicare continues with ColoradoCare as a Supplement
Individual income filers - Social Security Income and retirement income is exempt up to $33,000
Joint income tax filer- Social Security Income and retirement income is exempt up to $60,000
Other income (non-retirement) subject to a premium tax of ≤10%
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For Example
Couple with $100K annual Social Security &
Retirement Income
Will pay about $3,080 ColoradoCare annual premium
versus
Current Medigap Plan with Rx $4,800
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More Details
The Premium tax can only increase by a state wide vote
ColoradoCare will be exempt from TABOR
Cost for the injury portion of car insurance will be reduced
ColoradoCare will cover the medical portion of Workers
Compensation, reducing this cost for businesses by an
estimated 59%
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ColoradoCare Governance
Interim 3 year appointed 15-member Board of Trustees
21-member non-partisan elected Board of Trustees will oversee ColoradoCare (3 from each of seven districts)
Coloradans are the shareholders
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Cooperatives: A proven Business Model
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The Truth, the Whole Truth, and Nothing But the TruthOpponents will say:
"The truth“- Colorado Care will raise taxes $25 B
But they won't say "The whole truth": Colorado spends > $ 50 billion on health
care Colorado Care will reduce combined
premium and out-of-pocket expenses by $4.5B
You won’t have to buy insurance or pay deductibles
Every resident in our state will have excellent coverage!
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The Truth, the Whole Truth, and Nothing But the Truth
"The Truth" Opponents will say Colorado Care will
cause significant job loss in the health insurance industry (administrative jobs!)
But they won't say there will be job churn but overall there will be a net increase in Colorado jobs and an improvement in Colorado's economy
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The Truth, the Whole Truth, and Nothing But the Truth
And nothing but the truth:
Opponents will say you will not receive good care but Colorado Care will provide Platinum Plus care, better than we have now
But they won’t say that health care decisions will be made between you and your provider – no middle man involved!
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Be a Colorado resident-owned system Cover every Colorado resident Ensure comprehensive, high quality, platinum plus, accessible and affordable life time health care Collect premiums from Coloradans based on income Cost significantly less than our current system
ColoradoCare would:
Summary
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Next Steps
ColoradoCare Ballot Initiative #20
Collect 98,492 valid signatures by Oct 2015
Educate Coloradans about Initiative #20 Pass Initiative #20 in November 2016
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Next Steps
Once the initiative is passed, our legislature would enact legislation in 2017 for ColoradoCare to:
Obtain an Affordable Care Act 1332 Waiver to implement
An affordable state-based plan that provides ahealth care payment system for
all Colorado residents
Implement ColoradoCare Initiative #20 by January 2019
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Next Steps
Implementation of ColoradoCare involves:
Repurposing the Health Benefits Exchange Managing Colorado Medicaid Managing the medical portion of Workman’s
Compensation Collecting federal Patient Protection and
Affordable Care Act monies
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How you can support
ColoradoCare:
Learn more by going to our website: ColoradoCareYes.co
Register to vote if you are not registered
Sign a petition
Circulate a petition
Educate your family and friends about ColoradoCareYES
Contribute to ColoradoCareYES AND
Vote for ColoradoCareYES in November of 2016
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Fiscally Conservative,Socially Just.
Thank you for coming
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