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Impact of Reform onSources of Insurance and Hospital Finance

Stephen A. FrayneSenior Vice President, Health Policy

Connecticut Hospital AssociationSeptember 21 and 30, 2011

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903%

331%

3229%

536Medicare 16%

343Uninsured 10%

Total: 1,32439%

FFS SAGA Managed

2,113Private Insurance

61%

Balancing Connecticut Hospital Finances2008 Population by Insurance Type

(in Thousands)

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1093%

712%

39511%

571Medicare 16%

380Uninsured 11%

Total: 1,52643%

FFS SAGA(MLIA)

Managed

2,059Private Insurance

57%

Balancing Connecticut Hospital FinancesMay 2011 Population by Insurance Type

(in Thousands)

4

$-270Medicare

$-137Uninsured

$+1,075Private Insurance

+3%

$ -810

Margin-19%

Medicaid$-403

$-145 $-117 $-141 FFS MLIA Managed

Margin+25%

2010 Balancing Connecticut Hospital Finances(in millions)

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Connecticut After Reform –2014Uninsured and Medicaid Enrollment

2014

2008 -2011 2014

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110-126Uninsured 3%-4%

571Medicare 16%

2,397-2,186Private

Insurance/Exchange67%-61%

Connecticut Population by Insurance Type – After ReformBased on Lower Estimate of Medicaid Enrollment

2014

Total: 1,188-1,399

33%-39% 507-702Medicaid 14%-20%

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$-1,012Medicare

$-97Uninsured

$+1,404Private Insurance

Projection2014 Balancing Connecticut Hospital Finances

(in millions)

-4.5%

$-1858

Margin-44% $-749

Medicaid Managed CareMargin+25%