Georgia's Coverage Gap and Pathways to Affordable Healthcare
"Explore Georgia's coverage gap, learn about pathways to coverage under the ACA, understand the impact on low-wage workers, and discover the economic aspects of closing the gap. See how Georgia can benefit from closing the coverage gap financially and in terms of public health. Find out about the options available for different groups in accessing healthcare in Georgia."
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Presentation Transcript
Georgias Coverage Gap Your name Title Organization
Introduction slide Organization name and logo. Other important org. info. Member of Cover Georgia coalition
Pathways to Coverage under the ACA People who qualify for Medicaid: Children (up to age 19) Women who: Are pregnant Have breast, cervical cancer Low to mid-income Aged, blind, disabled (very low income) Very low-income parents (Ex: must earn less than $5500/year for family of three) People in long-term care (nursing homes) Employer-based coverage Individual/non-group (healthcare.gov) Medicare (Coverage Gap) Medicaid Public health insurance coverage TriCare (Veterans) Kids: PeachCare/Medicaid
An example FYI Federal Poverty Line (FPL) a measure of income set by US Dept. of Health & Human Services. Used to determine a person s eligibility for certain programs and benefits
Low-wage workers 100% Federal Poverty Line 2015 Construction workers, restaurant servers, retail workers, child care providers Family Size Annual Income Parents 1 $11,770 Working parents who make 39% FPL and 100% FPL Non-working parents who make 30% FPL to 100% FPL 2 $15,930 Veterans 3 $20,090 20,000 Georgia veterans + 4000 spouses 4 $24,250 Childless adults who earn less than 100% FPL Source: http://www.urban.org/uploadedpdf/412775- Uninsured-Veterans-and-Family- Members.pdf
The economics of closing the coverage gap Total 4 year costs $575 million Total 4 year revenue $700 million Georgia can easily cover its share of the costs State savings & new revenue will offset new spending Use it or lose it Georgia can opt out at any time Source Cost estimates: Tim Sweeney, Georgia Budget & Policy Institute
Other states have closed their gaps Expansion Uninsured rates down 37.7% 1 Hospitals saved $4.2 billion (2014)2 Improved health outcomes, especially among older adults, racial/ethnic minorities, and residents of poorer counties3 State budget savings Non-expansion Uninsured rates dropped only 9% 1 Hospitals saved $1.5 billion (2014) 2 No state budget savings Sources: 1. http://hrms.urban.org/briefs/taking-stock-at-mid-year.html 2. Dept. of HHS, http://www.hhs.gov/news/press/2014pres/09/20140924a.html 3. New England Journal of Medicine http://www.nejm.org/doi/full/10.1056/NEJMsa1202099#t=articleResu lts
State budget savings & revenue gains Key sources of savings AR CO KY $153 M $307 M $109 M OR WA MI $275 M $464 M $468 M Source: Manatt Health Solutions, States Expanding Medicaid See Significant Budget Savings and Revenue Gains
When Georgia closes its coverage gap People Affordable health care access for 300,000 Georgians Financial, health peace of mind Health Care Industry $3 billion in federal money annually Reduce uncompensated care costs for all hospitals Economy $8 billion per year in new economic activity $220 million per year in new tax revenue Help to stabilize failing rural hospitals Workforce 56,000 new jobs created Source: Dr. William Custer, Economic Impact of Medicaid Expansion in Georgia
What can you do? Now! Sign a postcard to your legislators Online at: surveymonkey.com/s/closethecoveragegap Share your coverage gap story Include email address here about where to send coverage gap stories. Can use info@healthyfuturega.org if you d like. Add your organization s name to our list of supporters
Name Contact info Stay in touch! Web address Facebook: Twitter: #coverga
