Alaska Tribal Health Insurance Program Overview
"Learn about the Alaska Tribal Health System and the Tribally-Sponsored Health Insurance Program offered by the Alaska Native Tribal Health Consortium. Explore the program structure, marketplace enrollment, tax process, and evaluation. Discover how nationwide tribal organizations are sponsoring health insurance for tribal members, leading to enhanced access to medical services, cost savings, and increased resources. Dive into the demonstration project approved by Alaska tribal health organizations and the establishment of S.HIP to enroll Alaska Natives and American Indians in comprehensive health insurance coverage. Find out about the participating tribal health organizations in the T-SHIP program."
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Presentation Transcript
Alaska Tribal Health System Tribally-Sponsored Health Insurance Program Alaska Native Tribal Health Consortium April 2016
Overview 1. T-SHIP Program Structure 2. Marketplace Enrollment & Coverage 3. Tax Process 4. Evaluation 2
- - - - - - - - - - - ------ - - - - - - - - - - - - - --- - - - - - - - - - - - - - - --- - - - - - - - Do you want your health insurance paid for you?
Program Structure Nationwide, tribes and tribal health organizations are sponsoring health insurance policies for some or all of their tribal members, because: Health insurance policies will pay tribal health programs for medical services Health insurance policies will pay for patients seen at private facilities, saving tribe s Purchased Referred Care money 4
Program Structure Alaska tribal health organizations approved a system- wide demonstration project in 2013 Alaska tribal leaders sought consistency in a statewide approach to tribal health insurance sponsorship Alaska Native people are generally cared for by several Tribal health organizations at multiple locations, the insurance benefits and cost savings may be realized differently 5
Program Structure S.HIP established to enrollAlaska Natives and American Indians in comprehensive health insurance coverage in order to: expand access to health care services for T-SHIP enrollees and to increase the resources available to all beneficiaries of theAlaska Tribal Health System. 6
Program Structure T-SHIP Participating THOs Arctic Slope Native Association Ketchikan Indian Community Metlakatla Indian Community Southcentral Foundation SouthEastAlaska Regional Health Consortium T anana Chiefs Conference Consortium Kenaitze Indian Tribe KodiakArea Native Association Norton Sound Health Corporation Alaska Native Tribal Health 7
Program Structure Statewide Tribal steering committee oversees Program design and policies Operations, Priorities, and Evaluation Meeting quarterly in 2016 Next meeting: May 16, 2016 8
Marketplace Coverage S.HIP sponsors certain IHS-eligible individuals for insurance coverage by paying the premium for a policy on the Health Insurance Marketplace. T-SHIP established agreed upon eligibility criteria Private insurance provides essential health benefits Federal government provides two types of assistance through the Marketplace Premium tax credits Cost-sharing reductions 9
Marketplace Coverage Regional partners assess uninsured individuals for Marketplace sponsorship as well as Medicaid enrollment Regional partners/broker enroll on Healthcare.gov T-SHIP designates the plan to select Coverage is effective 2-6 weeks after enrollment No retroactive coverage 10
Marketplace Coverage Coverage Year Sponsored Policies (#) 2014 200 2015 856 2016 255 Goal for 2016 is 800 sponsored policies 11
Marketplace Coverage S.HIP Statewide Office arranges with plans to streamline administration Aggregate premium payment method Referral for cost-sharing protections process Quality checks for cost-sharing paid to IHPs 12
Tax Process The T-SHIP tax subsidy refund program holds individual patients harmless Reimburse individuals for refunds requested by the IRS related to a health insurance premium tax credit Help individuals find a tax advisor and pay reasonable costs for tax advice related to this health insurance 13
Results S.HIP develops standards for data collection and contracts for ongoing and formal program evaluation and recommendations on Program design Costs Benefits Other impacts 14
Alaska Tribal Health System Tribally-Sponsored Health Insurance www.anthctoday.org/tship 15
Alaska Tribal Health System Tribally-Sponsored Health Insurance Thank you Lorraine Jones, Director Tribally-Sponsored Health Insurance Program Alaska Native Tribal Health Consortium 907-729-2843 lejones@anthc.org Or sponsorship@anthc.org 16
