Fitting the Pieces Together: The Safety Net and the Affordable Care Act
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HEALTH CARE POLICY & FINANCING Fitting the Pieces Together: The Safety Net and the Affordable Care Act Susan E. Birch, Colorado Department of Health Care Policy and Financing October 4, 2011 1 Improving access to cost-effective, quality health care services for Coloradans. Susan E. Birch
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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 Financing October 4, 2011. Susan E. Birch. COLORADO FUN FACTS. Susan E. Birch. AGENDA. Colorado’s Safety Net Program Overview Delivery System Reforms - PowerPoint PPT Presentation
Transcript of Fitting the Pieces Together: The Safety Net and the Affordable Care Act
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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
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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
Improving access to cost-effective, quality health care services for Coloradans. 10Susan E. Birch
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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
