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Report to Advisory Council October 19, 2005 Models Development Work Group

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... term care, etc., not providing insurance to employees) Basic Benefit ... Worker's comp, auto insurance, uninsured motorists. Subpopulations. Folks between jobs ... – PowerPoint PPT presentation

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Title: Report to Advisory Council October 19, 2005 Models Development Work Group


1
Report to Advisory Council October 19,
2005Models Development Work Group
  • Hollis Turnham
  • Facilitator

2
Inputs
  • Six meetings since August,
  • Every other Wednesday
  • Attendance 40 to 70 people
  • 106 individuals on e-mail list

3
Over-arching Goals
  • Looked at Advisory Councils win-win draft
  • Have 1, 3, and 5 year goals and incremental plan

4
Five approaches are on the Table
  • Pooling/Insurance Reform
  • Medicaid/SCHIP Expansion
  • Basic Benefit
  • Subpopulation Coverage
  • Universal Coverage

5
Outreach and financing options will be on the
Table
  • Outreach to eligibles not enrolled
  • Maximize federal dollars
  • Vouchers
  • Tax credits
  • Increased rates to state vendors
  • (child care, long-term care, etc., not providing
    insurance to employees)

6
Basic Benefit
  • Workers15 hours a week
  • Regional models
  • Focus on primary, RX, dental
  • Mandated initial preventative care
  • Visit within 6 months of enrollment

7
Medicaid Expansion
  • Increase coverage of parents
  • From 35 and 50 of FPL (5,632 and 8,045
    annual income)
  • To 150 to 200 FPL (24,135 to 32,180 annual
    income)

8
Pooling/Reinsurance
  • Open state employee health plan for buy-in by
    other employers AND individuals
  • Need subsidies for low-wage employers and
    low-wage workers

9
Universal Coverage
  • Multiple payers
  • Tiered model
  • Basic coverage for everyone,
  • More coverage with additional payment
  • Integrate other public health payers
  • Workers comp, auto insurance, uninsured
    motorists

10
Subpopulations
  • Folks between jobs
  • Young adults-college, first job
  • County health plan coverage

11
Next meetingOctober 26, 20051 until 4 p.m.
  • Reflecting info from
  • Household Survey
  • Landscape Analysis
  • Waiting for the Employer Survey
  • Advice from the Advisory Council

12
Hollis TurnhamHollis_at_Paraprofessional.org517-327
-0331
  • Ken Miller
  • MillerK3_at_Michigan.gov
  • 517-241-1932
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