health care policy & financing fitting the pieces together: the safety net and the affordable...
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Fitting the Pieces Together: The Safety Net and the Affordable Care Act
Susan E. Birch, Colorado Department of Health Care Policy and FinancingOctober 4, 2011
1Improving access to cost-effective, quality health care services for Coloradans.Susan E. Birch
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Improving access to cost-effective, quality health care services for Coloradans. 2Susan E. Birch
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• Colorado’s Safety Net Program Overview
• Delivery System Reforms
• Accountable Care Collaborative
• Long-Term Services and Supports
• Affordable Care Act Impact
Improving access to cost-effective, quality health care services for Coloradans. 3Susan E. Birch
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• Federally designated agency to receive funds for Medicaid Child Health Plan Plus (CHP+)
• Administers the following programs:- Medicaid- CHP+- Home and Community -Based Services (HCBS)
Medicaid Waivers - Colorado Indigent Care Program (CICP)
Improving access to cost-effective, quality health care services for Coloradans. 4Susan E. Birch
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Improving access to cost-effective, quality health care services for Coloradans. 5
*Projections from the Department’s November 1, 2010, Budget RequestExpansions are a result of HB 09-1293, the Colorado Health Care Affordability Act
Medicaid Expansions
Susan E. Birch
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Improving access to cost-effective, quality health care services for Coloradans. 6
35,000
40,000
45,000
50,000
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*Includes children and prenatal.** Projections from the Department’s November 1, 2010 Budget Request.Expansions are a result of HB 09-1293, the Colorado Health Care Affordability Act.
CHP+ Expansions
Susan E. Birch
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• Colorado Health Institute
• Colorado Community Health Network
• Colorado Regional Health Information Organization
• Center for Improving Value in Health Care– All Payer Claims Database
• Health Insurance Exchange Workgroups
Improving access to cost-effective, quality health care services for Coloradans. 7Susan E. Birch
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Improving access to cost-effective, quality health care services for Coloradans. 8Susan E. Birch
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Improving access to cost-effective, quality health care services for Coloradans. 9Susan E. Birch
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• Eligibility Modernization– Identity, Income and U.S. citizenship
electronic verification
– Automatic re-enrollment
• Dual Eligibility
• Systems of Care
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Improving access to cost-effective, quality health care services for Coloradans. 11Susan E. Birch
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• Board will create exchange
• HIE Work Groups–Marketing, Enrollment and Outreach;
– Eligibility, Verification and Enrollment;
– Small Employers Workgroup; and
– Data Advisory Workgroup.
Improving access to cost-effective, quality health care services for Coloradans. 12Susan E. Birch