About MNSURE. Minnesota s health insurance marketplace

Size: px
Start display at page:

Download "About MNSURE. Minnesota s health insurance marketplace"

Transcription

1 About MNSURE Minnesota s health insurance marketplace

2 Overview What is Mnsure What has been done to date What s next

3 What is MNsure?

4 What is MNsure? A new marketplace where Minnesotans can find, compare, choose, and get quality health care coverage that best fits your needs and your budget.

5 Why a Health Insurance Marketplace? Subject of ongoing dialogue in Minnesota since 2006 Provision within the federal Affordable Care Act (ACA) enacted in March 2010

6 Why a Health Insurance Marketplace? More Choice Consumer has many plans to pick from and can pick the one that best fits their needs Lower Costs for Consumer Simple One-Stop Shop Quality Ratings Multiple plans in one place means greater market incentives for competition on quality & cost Makes it easier to search, select and enroll, plus greater mobility and portability Consumer can find transparent comparison information on the plans and health providers

7 Marketplace Set Up Options Option 1: State Based Exchange Option 2: State Partnership Exchange Option 3: Federally-facilitated Exchange without Partnership

8 Minnesota s Choice Option 1: State Based Exchange Option 2: State Partnership Exchange Option 3: Federally-facilitated Exchange without Partnership

9 How will MNsure Work?

10 How will MNsure work? One process to determine eligibility for Qualified Health Plan Financial assistance/tax credits to lower premiums Medicaid Children s Health Insurance Program (CHIP) Reduced cost sharing Offers choice of plans and levels of coverage Insurance companies compete for your business

11 Projected Audience Over 1 million Minnesotans Individual Consumers 370,000 Small Businesses and Employees 155,000 Medical Assistance Enrollees 690,000

12 Who can use MNsure? Not be incarcerated Live in service area Be a U.S. citizen

13 When can you enroll? Initial open enrollment starts October 1, 2013 and ends March 31, 2014 Annual open enrollment periods after that run October 15 through December 7 Special enrollment periods available in certain circumstances during the year Members of federally-recognized tribes may enroll or change plan designations one time per month

14 Consumer Assistance Network Website + Toll-free call center + In person assistance = Help when you need it

15 What s Been Done to Date

16 Grant Funding Federal Grant of $1 M February 2011 Federal Grant of $4.2 M August 2011 Federal Grant of $23 M February 2012 Federal Grant of $42.5 M August 2012 Federal Grant of $39.3 M January 2012 Planning Development Technical Infrastructure Stakeholder Consultations Market Research Technical Infrastructure Program Integration Operations Outreach Branding

17 Stakeholder Engagement Advisory Task Force 15 members Provides guidance on issues related to the development of a health insurance marketplace for Minnesota. Technical Work Groups 185 members Develop, discuss, and provide technical assistance on options to the Advisory Task Force Adverse Selection Finance Governance Individual Eligibility IT and Operations Measurement and Reporting Navigators and Agents/Brokers Outreach, Communications & Marketing Plan Certification Small Employers and Employees Tribal Consultation

18 Federal Planning Landmarks Design Review May 2012 Assessed progress on IT and operational functions Blueprint Certification Application November 2012 Described readiness to perform exchange activities and functions for states seeking approval to operate a state-based exchange Conditional Approval Received December 20 Certification Documents and Approval Notification

19 System Development

20 Marketplace Interactions

21 The User Experience Helps to design a user experience that is responsive to people s different needs, desires and expectations.

22 How might MNsure look?

23 MNsure Legislation HF5/SF1 Introduced January 10, 2013 Heard and passed in 18 House and Senate Committees More then 100 amendments offered Over 100 hours of debate Signed into law March 20, 2013

24 MNsure Governance Executive Branch Board 7 members Appointed by the Governor Confirmation by the House and Senate 4 year staggered terms 2 term limit

25 MNsure Governance Board Members Commissioner of DHS 6 appointed to represent interests of consumers, small employers, uninsured, health care system Board appoints advisory committees of stakeholders

26 MNsure Oversight Legislative Oversight Committee 10 members from House and Senate 6 of the majority 4 of the minority Review the finances, operations and rules of the marketplace

27 MNsure Funding 2014 May withhold up to 1.5% of policy premiums No more than 25% of 2012 MCHA assessment Approx. $42 million 2015 May withhold up to 3.5% of policy premiums No more than 50% of 2012 MCHA assessment Approx. $84 million 2016 May withhold up to 3.5% of policy premiums No more than 100% of 2012 MCHA assessment Approx. $168 million

28 Qualified Health Plans All plans meeting requirements allowed in 2014; Board may select best starting in 2015 Plans must meet minimum certification requirements Plan submissions by mid-may Certification Criteria:

29 Plan Levels of Coverage Levels of Coverage Plan Pays on Average Enrollees Pay on Average* (in addition to the monthly plan premium) Bronze 60 % 40 % Silver 70 % 30 % Gold 80 % 20 % Platinum 90 % 10 %

30 Consumer Assistance Services Qualifications 1. Demonstrate proven connections to the communities MNsure will serve, or demonstrate the ability to form relationships with consumers, including uninsured and underinsured consumer 2. Successfully complete MNsure's certification training program 3. Comply with any privacy and security standards applicable to MNsure

31 Consumer Assistance Services Eligible Organizations Have existing, or could readily establish, relationships with consumers in Minnesota, including uninsured and underinsured, likely to be eligible to enroll through MNsure Community and consumer non-profit focused groups Trade, industry and professional organizations Farming organizations Religious organizations Chamber of Commerce Agents/Brokers Coalitions and collaborative efforts Tribal organizations State and local human services

32 Consumer Assistance Services Duties/Responsibilities Maintain expertise in eligibility, enrollment & program specifications Conduct public education activities Provide information & services in fair, accurate and impartial manner Religious organizations Facilitate enrollment in QHPs offered in MNsure Provide referrals for grievance, complaint or question Provide information in culturally and linguistically appropriate manner to needs of the population

33 Consumer Assistance Services Certification Training Consumer Assistance Partners MNsure will develop a certification training program MNsure will administer web-based training Applicable staff (navigator, in-person assister, or certified application counselor) must complete training with minimum passing score Agents/Brokers Establish minimum certification training standards Training and proficiency assessment administered by MNsure Applicable staff must complete training with minimum passing score

34 Consumer Assistance Services Compensation In-Person Assister Infrastructure and outreach grants competitive solicitation process Payment per enrollment (until funds are depleted) Pay-for-performance payments Certified Application Counselors Do not receive payment from MNsure or health carriers Agent/Brokers Continued commission from carriers

35 What s Next

36 Next Steps Business Operations Technology Outreach & Marketing Customer Service/Call Center Navigators/Brokers Plan certification and comparison info Eligibility and enrollment Premium processing Hardware/software Federal Hub Privacy/Security Program Integration Branding Name/Logo for the Exchange Messaging Outreach TV, radio, social media, etc.

37 Public Education Website

38 Upcoming Key Dates April: Consumer Assistance Program finalized May: MNsure Board appointed May: Health insurance plans filed with DOC & MDH Summer: System usability testing; Consumer Assistance training; MNsure at the MN State Fair September: Call Center opens October 1: Enrollment begins

39 Tribal Specific Topics Tribal Consultation Tribal Sponsorship Certification Requirements Indian Addendum Consumer Assistance / In-Person Assisters Eligibility

40 MNsure Tribal Process Registration Tribes will register as a Tribal third party payer Submit sponsored individual s membership data or information Select QHP the Tribe will subsidize Submit banking information for monthly payments

41 MNsure Tribal Process Premiums Tribes will be responsible for notifying members/sponsored individuals of their eligibility for Tribal subsidies and information on QHPs selected. Individual s portion of premium will be adjusted on individual invoice or on small employer employee share of invoice. Sponsored individuals and Tribal sponsors will be notified when premiums change for change in plan or other life event changes impacting plan selection and/or premium.

42 MNsure Tribal Process Payments MNsure will aggregate premiums for Tribes so one invoice/payment per month per Tribe will be sent. Tribes will be responsible for notifying MNsure and sponsored members when amending amount paying for members and/or members sponsoring. MNsure will send funding to appropriate carrier. All payments will be electronic

About MNSURE Minnesota s health insurance marketplace

About MNSURE Minnesota s health insurance marketplace About MNSURE Minnesota s health insurance marketplace Presentation to Minnesota Department of Health Rural Health Advisory Committee/Flex Advisory Committee May 21, 2013 Mario Vargas, MNsure Outreach Manager

More information

Adopted Permanent Rules Relating to Policies and Procedures to Certify Entities to Deliver Consumer Assistance Services

Adopted Permanent Rules Relating to Policies and Procedures to Certify Entities to Deliver Consumer Assistance Services 1.1 1.2 1.3 1.4 1.5 1.6 1.7 1.8 1.9 1.10 1.11 1.12 1.13 1.14 1.15 1.16 1.17 1.18 1.19 1.20 1.21 1.22 1.23 1.24 1.25 Adopted Permanent Rules Relating to Policies and Procedures to Certify Entities to Deliver

More information

Office of Consumer Information and Insurance Oversight. State Planning and Establishment Grants for the Affordable Care Act s Exchanges

Office of Consumer Information and Insurance Oversight. State Planning and Establishment Grants for the Affordable Care Act s Exchanges Office of Consumer Information and Insurance Oversight State Planning and Establishment Grants for the Affordable Care Act s Exchanges Minnesota Quarterly Project Report Date: 6/7/2012 State: Project Title:

More information

Subject HHS Commentary From Preamble Regulatory Provision Agent Specific Provisions Definition of Agent/Broker

Subject HHS Commentary From Preamble Regulatory Provision Agent Specific Provisions Definition of Agent/Broker National Association of Health Underwriters Overview of Provisions in the Proposed Federal Rule on the Establishment of Exchanges and Qualified Health Plans (Released on July 11, 2011) of Specific Interest

More information

Understanding the Health Insurance Marketplace. September 2013

Understanding the Health Insurance Marketplace. September 2013 Understanding the Health Insurance Marketplace September 2013 1. Health Insurance Marketplace To provide qualified individuals and employers Access to affordable coverage options Ability to buy certain

More information

Plans; Exchange Standards for Employers, 77 Fed. Reg (March 27, 2012) (to be codified at 45 C.F.R. pts. 155, 156, and 157).

Plans; Exchange Standards for Employers, 77 Fed. Reg (March 27, 2012) (to be codified at 45 C.F.R. pts. 155, 156, and 157). May l8, 2012 Establishment of Exchanges and Qualified Health Plans and Exchange Standards for Employers The New England Council James T. Brett President & CEO Healthcare Committee Chairs Frank McDougall

More information

Navigators. Connecting people to health care in 2014

Navigators. Connecting people to health care in 2014 Navigators Connecting people to health care in 2014 *Includes slides from Navigators: Guiding People Through the Exchange, a PPT prepared by Community Catalyst What is the Affordable Care Act? Most sweeping

More information

Consumer Assistance in Health Benefit Exchanges. Maryland Health Connection - Community Outreach Summit

Consumer Assistance in Health Benefit Exchanges. Maryland Health Connection - Community Outreach Summit Consumer Assistance in Health Benefit Exchanges June 5, 2013 Maryland Health Connection - Community Outreach Summit Melinda Dutton Partner 2 Overview of Federal Policy and Requirements & Maryland Implementation

More information

Navigators and In-Person Assistors: Exchanges October 2012

Navigators and In-Person Assistors: Exchanges October 2012 0 Navigators and In-Person Assistors: Exchanges October 2012 Support for this resource provided through a grant from the Robert Wood Johnson Foundation s State Health Reform Assistance Network program.

More information

Understanding the Health Insurance Marketplace. August 2013

Understanding the Health Insurance Marketplace. August 2013 Understanding the Health Insurance Marketplace August 2013 Objectives This session will help you Explain the Health Insurance Marketplace Identify who will benefit Define who is eligible Explain the enrollment

More information

Maryland Health Benefit Exchange. Grand Rounds Presentation. Rebecca Pearce Executive Director, MHBE. October 17, 2012

Maryland Health Benefit Exchange. Grand Rounds Presentation. Rebecca Pearce Executive Director, MHBE. October 17, 2012 Maryland Health Benefit Exchange Grand Rounds Presentation Rebecca Pearce Executive Director, MHBE October 17, 2012 A service of the Maryland Health Benefit Exchange Today s Agenda! Background on Maryland

More information

Navigator, Agent and Broker Work Group

Navigator, Agent and Broker Work Group Minnesota Health Insurance Exchange Navigator, Agent and Broker Work Group Advisory Task Force Meeting October 24, 2012 Advisory Task Force Meeting Navigator, Agent & Broker Work Group October, 2012 Summary

More information

Draft Blueprint for Approval of Affordable State-based and State Partnership Insurance Exchanges

Draft Blueprint for Approval of Affordable State-based and State Partnership Insurance Exchanges Draft Blueprint of Afdable -based and Partnership Insurance Exchanges Introduction The Afdable Care Act establishes Afdable Insurance Exchanges (Exchanges) to provide individuals and small business employees

More information

Navigators and the Affordable Care Act

Navigators and the Affordable Care Act Navigators and the Affordable Care Act Stacey Pogue, Senior Policy Analyst, Center for Public Policy Priorities pogue@cppp.org 512-823-2863 Webinar February 22, 2013 CPPP.org Webinar Instructions You must

More information

HHS Issues Proposed Rules on Implementing Health Insurance Exchanges

HHS Issues Proposed Rules on Implementing Health Insurance Exchanges HHS Issues Proposed Rules on Implementing Health Insurance Exchanges July 2011 The Department of Health and Human Services (HHS) on July 11, 2011 released two sets of proposed regulations to implement

More information

Blueprint for Approval of Affordable Statebased and State Partnership Insurance Exchanges

Blueprint for Approval of Affordable Statebased and State Partnership Insurance Exchanges Blueprint of Afdable based and Partnership Insurance Exchanges Introduction The Afdable Care Act establishes Afdable Insurance Exchanges (Exchanges) to provide individuals and small business employees

More information

HHS Notice of Proposed Rulemaking: Establishment of Exchanges and Qualified Health Plans

HHS Notice of Proposed Rulemaking: Establishment of Exchanges and Qualified Health Plans HHS Notice of Proposed Rulemaking: Establishment of Exchanges and Qualified Health Plans Clarifications and suggestions contained in the preamble are noted in italics. Requests for comment are noted in

More information

THE AFFORDABLE CARE ACT: NAVIGATORS

THE AFFORDABLE CARE ACT: NAVIGATORS 1 THE AFFORDABLE CARE ACT: NAVIGATORS In 2014, thousands of Coloradans will be able to access health care coverage through the Colorado Health Benefit Exchange (COHBE), many of whom will be seeking coverage

More information

Health Insurance Exchange Blueprint Application Progress. Public Meeting Presentation October 10, 2012

Health Insurance Exchange Blueprint Application Progress. Public Meeting Presentation October 10, 2012 Health Insurance Exchange Blueprint Application Progress Public Meeting Presentation October 10, 2012 What is the Blueprint? The Blueprint is the application describing readiness to perform Exchange activities

More information

Outreach and Enrollment Lauren Seno Project Specialist

Outreach and Enrollment Lauren Seno Project Specialist Outreach and Enrollment Lauren Seno Project Specialist lseno@wphca.org 608-443-2955 Focus for Today Explore the health care environment following the second open enrollment period and external pressures

More information

Health Insurance Exchanges: Health Insurance Navigators and In-Person Assistance

Health Insurance Exchanges: Health Insurance Navigators and In-Person Assistance Cornell University ILR School DigitalCommons@ILR Federal Publications Key Workplace Documents 9-25-2013 Health Insurance Exchanges: Health Insurance Navigators and In-Person Assistance Suzanne M. Kirchhoff

More information

The Politics and Impact of PPACA on Brokers and Employers

The Politics and Impact of PPACA on Brokers and Employers The Politics and Impact of PPACA on Brokers and Employers By Janet Trautwein, CEO National Association of Health Underwriters The Unintended Consequences Dependents to Age 26 and lifetime and annual limits

More information

California Code of Regulations Title 10. Investment Chapter 12. California Health Benefit Exchange ( 6650 et seq.) Article 8. Enrollment Assistance.

California Code of Regulations Title 10. Investment Chapter 12. California Health Benefit Exchange ( 6650 et seq.) Article 8. Enrollment Assistance. California Code of Regulations Title 10. Investment Chapter 12. California Health Benefit Exchange ( 6650 et seq.) Article 8. Enrollment Assistance. 6650. Definitions.... 2 6652. Certified Enrollment Entities....

More information

Washington State Health Benefit Exchange

Washington State Health Benefit Exchange Washington State Health Benefit Exchange State of Reform Washington Healthcare Policy Conference January 4, 2012 Richard Onizuka, PhD Assistant Director, Health Care Policy richard.onizuka@hca.wa.gov Source:

More information

Enrolling in Coverage Through the New Health Insurance Marketplaces

Enrolling in Coverage Through the New Health Insurance Marketplaces Enrolling in Coverage Through the New Health Insurance Marketplaces! Elaine Saly, Health Policy Analyst Claire McAndrew, MPH, Senior Health Policy Analyst Jessica Hiemenz National Consumer Law Center August

More information

Maryland Health Connection An Update on Maryland s Implementation of the State-Based Exchange

Maryland Health Connection An Update on Maryland s Implementation of the State-Based Exchange Maryland Health Connection An Update on Maryland s Implementation of the State-Based Exchange Tequila Terry Director, Plan & Partner Management Maryland Health Benefit Exchange October 4, 2013 Today s

More information

Providing Accessible Enrollment Assistance Under the ACA

Providing Accessible Enrollment Assistance Under the ACA Providing Accessible Enrollment Assistance Under the ACA Association of University Centers on Disabilities Conference Elaine Saly Families USA March 13, 2013 The Need for Assistance 75% of those eligible

More information

Patient Protection and Affordable Care Act; Exchange Functions: Standards for

Patient Protection and Affordable Care Act; Exchange Functions: Standards for DEPARTMENT OF HEALTH AND HUMAN SERVICES 45 CFR Part 155 [CMS-9955-P] RIN 0938-AR75 Patient Protection and Affordable Care Act; Exchange Functions: Standards for Navigators and Non-Navigator Assistance

More information

MNsure - Preliminary FY 2016 Budget (to be finalized in June 2015)

MNsure - Preliminary FY 2016 Budget (to be finalized in June 2015) MNsure - Preliminary FY 2016 Budget (to be finalized in June 2015) Dollars in thousands RESOURCES Beginning Balance 39 Premium Withhold Revenue 9,605 Enrollment Year 2014 1.50% 0 Enrollment Year 2015 3.50%

More information

Understanding the Health Insurance Marketplace. Health Insurance Marketplace 07/03/2013. Understanding the Marketplace 1

Understanding the Health Insurance Marketplace. Health Insurance Marketplace 07/03/2013. Understanding the Marketplace 1 Understanding the Health Insurance Marketplace August 14, 2013 Catherine Leonis Health Insurance Marketplace To provide qualified individuals and employers Access to affordable coverage options Ability

More information

Navigators: September 7, Maryland Health Benefit Exchange Board. Navigator and Enrollment Advisory Committee Meeting

Navigators: September 7, Maryland Health Benefit Exchange Board. Navigator and Enrollment Advisory Committee Meeting Navigators: A Background Paper September 7, 2011 Donna Folkemer Maryland Health Benefit Exchange Board Navigator and Enrollment Advisory Committee Meeting Purpose of the Report Provides background information

More information

Navigators and In-Person Assistors: Medicaid Integration October 2012

Navigators and In-Person Assistors: Medicaid Integration October 2012 0 Navigators and In-Person Assistors: Medicaid Integration October 2012 Support for this resource provided through a grant from the Robert Wood Johnson Foundation s State Health Reform Assistance Network

More information

H.F. 3. Overview. Summary. Bill Summary. First engrossment. Liebling and others. Date March 11, 2019

H.F. 3. Overview. Summary. Bill Summary. First engrossment. Liebling and others. Date March 11, 2019 Bill Summary Subject Authors Analyst OneCare Buy-In Liebling and others Randall Chun Date March 11, 2019 Overview This bill directs the commissioner of human services to make various changes in the delivery

More information

Health Care Industry Advisory Committee

Health Care Industry Advisory Committee Health Care Industry Advisory Committee Synthesis of Discussion of November 19, 2013 The Committee found it difficult to move to a discussion about possible future changes to MNsure when so much is not

More information

Overview of the ACA and Wisconsin Medicaid Reforms. Covering Kids & Families Wisconsin Wisconsin Primary Health Care Association

Overview of the ACA and Wisconsin Medicaid Reforms. Covering Kids & Families Wisconsin Wisconsin Primary Health Care Association Overview of the ACA and Wisconsin Medicaid Reforms Covering Kids & Families Wisconsin Wisconsin Primary Health Care Association Updated September 9, 2013 Topics to be Covered What is the ACA? Wisconsin

More information

NOTICE TO STUDENT EMPLOYEES: New Health Insurance Marketplace Coverage Options and Your Health Coverage

NOTICE TO STUDENT EMPLOYEES: New Health Insurance Marketplace Coverage Options and Your Health Coverage NOTICE TO STUDENT EMPLOYEES: New Health Insurance Marketplace Coverage Options and Your Health Coverage Distribution of this notice to all employees is required under the federal Patient Protection and

More information

Frequently Asked Questions on Exchanges, Market Reforms and Medicaid

Frequently Asked Questions on Exchanges, Market Reforms and Medicaid DEPARTMENT OF HEALTH & HUMAN SERVICES Centers for Medicare & Medicaid Services 7500 Security Boulevard, Mail Stop C2-21-15 Baltimore, Maryland 21244-1850 Date: December 10, 2012 Subject: Frequently Asked

More information

MNsure Certified Application Counselor Services Agreement with Tribal Nation Attachment A State of Minnesota

MNsure Certified Application Counselor Services Agreement with Tribal Nation Attachment A State of Minnesota MNsure Certified Application Counselor Services Agreement with Tribal Nation Attachment A State of Minnesota 1. MNsure Duties A. Application Counselor Duties (a) (b) (c) (d) (e) (f) Develop and administer

More information

HEALTH CARE REFORM Focus on Group Coverage Blue Cross and Blue Shield of Minnesota. All rights reserved.

HEALTH CARE REFORM Focus on Group Coverage Blue Cross and Blue Shield of Minnesota. All rights reserved. HEALTH CARE REFORM Focus on Group Coverage 2011 Blue Cross and Blue Shield of Minnesota. All rights reserved. Current Insurance Coverage Environment Minnesota United States Uninsured 9% Ot her Public 1%

More information

State of Arkansas Consumer Assistance Advisory Committee In Person Assister Program:

State of Arkansas Consumer Assistance Advisory Committee In Person Assister Program: State of Arkansas Consumer Assistance Advisory Committee In Person Assister Program: IPA Reimbursement Strategies October 12, 2012 www.pcghealth.com Agenda Topics of Discussion I. Welcome 1:00-1:10 II.

More information

SENATE, No. 551 STATE OF NEW JERSEY. 215th LEGISLATURE PRE-FILED FOR INTRODUCTION IN THE 2012 SESSION

SENATE, No. 551 STATE OF NEW JERSEY. 215th LEGISLATURE PRE-FILED FOR INTRODUCTION IN THE 2012 SESSION SENATE, No. STATE OF NEW JERSEY th LEGISLATURE PRE-FILED FOR INTRODUCTION IN THE 0 SESSION Sponsored by: Senator NIA H. GILL District (Essex and Passaic) Senator JOSEPH F. VITALE District (Middlesex) SYNOPSIS

More information

State of Minnesota HOUSE OF REPRESENTATIVES

State of Minnesota HOUSE OF REPRESENTATIVES 11/21/16 This Document can be made available in alternative formats upon request 01/09/2017 REVISOR SGS/JC 17-0522 State of Minnesota HOUSE OF REPRESENTATIVES 82 NINETIETH SESSION H. F. No. Authored by

More information

Affordable Care Act: Impact on the Indiana Market

Affordable Care Act: Impact on the Indiana Market 1 Affordable Care Act: Impact on the Indiana Market Seema Verma President SVC, Inc 2 Affordable Care Act Key accomplishment is access ~48.6 million uninsured in America* ~800 thousand uninsured in Indiana*

More information

Enrolling in coverage outside of Open Enrollment

Enrolling in coverage outside of Open Enrollment Enrolling in coverage outside of Open Enrollment The webinar will begin at 12:00. If you can see this screen you are prepared to participate. The webinar is not being recorded, but this PowerPoint will

More information

Consumer Perspective on the Health Insurance Marketplace and Medicaid Expansion. Laval Miller-Wilson Temple University School of Law April 20, 2013

Consumer Perspective on the Health Insurance Marketplace and Medicaid Expansion. Laval Miller-Wilson Temple University School of Law April 20, 2013 Consumer Perspective on the Health Insurance Marketplace and Medicaid Expansion Laval Miller-Wilson Temple University School of Law April 20, 2013 PHLP: Oldest & Only Non-Profit Law Firm Focused Exclusively

More information

HCR Support Specialist Training Module II

HCR Support Specialist Training Module II HCR Support Specialist Training Module II The ACA and the Individual Market Your Trainer Today: Constance Starkey Individual Mandate What is the mandate? What are the exceptions? What is the penalty for

More information

Health Care Reform. Navigating The Maze Of. What s Inside

Health Care Reform. Navigating The Maze Of. What s Inside Navigating The Maze Of Health Care Reform What s Inside Questions and Answers on Health Care Reform Health Care Reform Timeline Health Care Reform Glossary Questions and Answers on Health Care Reform I

More information

Navigating the New Health Care Law

Navigating the New Health Care Law Navigating the New Health Care Law For Sole Proprietors and Small Businesses (50 employees or less) This presentation is intended for educational purposes only and not intended as a legal, tax, or insurance

More information

Affordable Insurance Exchanges: More Choices, Competition and Clout

Affordable Insurance Exchanges: More Choices, Competition and Clout Affordable Insurance Exchanges: More Choices, Competition and Clout An Exchange is a State-based competitive marketplace where individuals and small businesses will be able to purchase affordable private

More information

Affiliated Service Providers of Indiana Navigator Program ICCMHC Webinar January 13, 2014

Affiliated Service Providers of Indiana Navigator Program ICCMHC Webinar January 13, 2014 Affiliated Service Providers of Indiana Navigator Program ICCMHC Webinar January 13, 2014 The mission of ASPIN is to provide innovative educational programs, resource management, program development, and

More information

Subsidized Health Coverage through MNsure

Subsidized Health Coverage through MNsure INFORMATION BRIEF Research Department Minnesota House of Representatives 600 State Office Building St. Paul, MN 55155 Randall Chun, Legislative Analyst 651-296-8639 Updated: October 2018 Subsidized Health

More information

AFFORDABLE INSURANCE EXCHANGES: HIGHLIGHTS OF THE PROPOSED RULES

AFFORDABLE INSURANCE EXCHANGES: HIGHLIGHTS OF THE PROPOSED RULES 45 CFR, Parts 155 and 156 Patient Protection and Affordable Care Act; Establishment of Exchanges and Qualified Health Plans 45 CFR Part 153 Patient Protection and Affordable Care Act: Standard Related

More information

Tennessee Public Health Association. Overview of the Affordable Care Act

Tennessee Public Health Association. Overview of the Affordable Care Act Tennessee Public Health Association Overview of the Affordable Care Act Susie Baird Director of Policy Health Care Finance and Administration September 12, 2013 1 Origins of ACA Signed into law on March

More information

AMERICAN HEALTH BENEFIT EXCHANGE MODEL ACT

AMERICAN HEALTH BENEFIT EXCHANGE MODEL ACT Draft: 11/15/10 A new model As adopted by the Exchanges (B) Subgroup, Nov. 15, 2010 Underlining and overstrikes show changes from the previous Nov. 11 draft. Comments are being requested on this draft

More information

Update on the New York Health Benefit Exchange Sherry Tomasky Director, Stakeholder Engagement

Update on the New York Health Benefit Exchange Sherry Tomasky Director, Stakeholder Engagement Update on the New York Health Benefit Exchange Sherry Tomasky Director, Stakeholder Engagement Westchester-Putnam Access to Health Care Coalition April 18, 2013 What is an Exchange? Organized marketplace

More information

Nevada Health Link. Agenda. NCSL Atlanta, GA. August 14, 2013

Nevada Health Link. Agenda. NCSL Atlanta, GA. August 14, 2013 Nevada Health Link Operated by the Silver State Health Insurance Exchange NCSL Atlanta, GA August 14, 2013 Agenda 1. Who we are Nevada Statistics Systems Process Flow 2. Status of Implementation 3. Federal

More information

Dennis G. Shea, Ph.D. Associate Dean for Undergraduate Programs and Outreach Professor of Health Policy and Administration College of Health and

Dennis G. Shea, Ph.D. Associate Dean for Undergraduate Programs and Outreach Professor of Health Policy and Administration College of Health and Dennis G. Shea, Ph.D. Associate Dean for Undergraduate Programs and Outreach Professor of Health Policy and Administration College of Health and Human Development Summary of before 2010 Overview What is

More information

HEALTH INSURANCE EXCHANGE / INTEGRATED ELIGIBILITY SYSTEM (HIX/IES) OVERVIEW. MTF July 2013

HEALTH INSURANCE EXCHANGE / INTEGRATED ELIGIBILITY SYSTEM (HIX/IES) OVERVIEW. MTF July 2013 HEALTH INSURANCE EXCHANGE / INTEGRATED ELIGIBILITY SYSTEM (HIX/IES) OVERVIEW MTF July 2013 WHAT YOU NEED TO KNOW Topics Part 1: Health Insurance Exchange / Integrated Eligibility System (HIX/IES) Overview

More information

Insurance (Coverage) Reform

Insurance (Coverage) Reform Arkansas Health Law Check Up Insurance (Coverage) Reform Create Insurance Marketplaces For individuals & small businesses Expand Medicaid to 138% FPL Arkansas alternative = Private Option, not Arkansas

More information

The Massachusetts Health Connector Massachusetts Health Policy Forum 2019 Student Forum

The Massachusetts Health Connector Massachusetts Health Policy Forum 2019 Student Forum The Massachusetts Health Connector Massachusetts Health Policy Forum 2019 Student Forum MARISSA WOLTMANN Director of Policy and Applied Research Today s Focus Background on the Health Connector Challenge:

More information

The California Health Benefit Exchange: Eligibility and Enrollment Design Options Stakeholder Workgroups Meeting

The California Health Benefit Exchange: Eligibility and Enrollment Design Options Stakeholder Workgroups Meeting The California Health Benefit Exchange: Eligibility and Enrollment Design Options Stakeholder Workgroups Meeting In-person/Webinar event Thursday, September 15, 2011 Welcome Partners Thanks to our partners:

More information

OVERVIEW OF THE AFFORDABLE CARE ACT. September 23, 2013

OVERVIEW OF THE AFFORDABLE CARE ACT. September 23, 2013 OVERVIEW OF THE AFFORDABLE CARE ACT September 23, 2013 Outline The New Continuum of Coverage Medicaid and CHIP Are Changing The New Marketplaces Insurance Affordability Programs Shared Responsibility Requirement

More information

The Affordable Care Act: Information for Wyoming Consumers

The Affordable Care Act: Information for Wyoming Consumers The Affordable Care Act: Information for Wyoming Consumers The Wyoming Department of Insurance The Affordable Care Act is a federally-mandated health care and health insurance law. Wyoming citizens and

More information

Considerations for American Indians in the Health Insurance Exchange. Thursday, September 27, 2012

Considerations for American Indians in the Health Insurance Exchange. Thursday, September 27, 2012 Considerations for American Indians in the Health Insurance Exchange Thursday, September 27, 2012 Foundations of American Indian Health Care Policy United States Constitution Treaties Laws Executive Orders

More information

The Affordable Care Act; 2014 and Beyond

The Affordable Care Act; 2014 and Beyond The Affordable Care Act; 2014 and Beyond Presented by: Lacey Robinson, ACA Certified Vice President & Senior Benefits Consultant Gregory & Appel December 10, 2013 Agenda 2014 ACA Mandates ACA Intention

More information

Eligibility & Enrollment Regulations

Eligibility & Enrollment Regulations Eligibility & Enrollment Regulations Thien Lam Deputy Director, Eligibility & Enrollment California Health Benefit Exchange Board Meeting September 19, 2013 Eligibility & Enrollment Proposed State Regulations

More information

Basic Health Program-State Background Information

Basic Health Program-State Background Information Basic Health Program-State Background Information State Name: Minnesota Program Name (if different than Basic Health Program): MinnesotaCare BHP Blueprint Designated State Contact: Name: Title: Dr. James

More information

Exchange Blueprint Application

Exchange Blueprint Application Exchange Blueprint Application As part of a State s Conditional Approval decision, the MHBE is required post the following sections of the Blueprint Exchange Application: Section 1.2: Exchange board and

More information

The Affordable Care Act: Implementation in Illinois

The Affordable Care Act: Implementation in Illinois The Affordable Care Act: Implementation in Illinois Stephanie F. Altman, J.D. Programs and Policy Director Health & Disability Advocates www.hdadvocates.org www.illinoishealthmatters.org November 2013

More information

AFFORDABLE CARE ACT (ACA) AMBASSADOR TRAINING PROGRAM. Presented in conjunction with

AFFORDABLE CARE ACT (ACA) AMBASSADOR TRAINING PROGRAM. Presented in conjunction with AFFORDABLE CARE ACT (ACA) AMBASSADOR TRAINING PROGRAM Presented in conjunction with Who We Are State s largest progressive advocacy coalition Convener of NJ for Health Care Coalition NJ For Health Care/NJ

More information

Health Insurance Marketplace

Health Insurance Marketplace Health Insurance Marketplace Briefing on the Affordable Care Act 2014 Ben J. Altheimer Oral Symposium UALR Bowen School of Law February 28, 2014 David Nilasena, MD Centers for Medicare & Medicaid Services

More information

Health Care Reform Update. April 2013

Health Care Reform Update. April 2013 Health Care Reform Update April 2013 2013 Compliance Issues Summary of Benefits and Coverage Simple explanation of benefits and costs 4 double sided pages, 12 point or larger font Can provide in paper

More information

HEALTH INSURANCE MARKETPLACE. May 21,

HEALTH INSURANCE MARKETPLACE. May 21, HEALTH INSURANCE MARKETPLACE May 21, 2013 Agenda Introduction and Welcome Health Insurance Marketplaces Market Reforms Overview Enrollment Process The Marketplace and Small Businesses Applying for Small

More information

Section H.202 As Introduced H.202 As Passed the House Changed name of Vermont Health Reform Board to Green Mountain Care Board

Section H.202 As Introduced H.202 As Passed the House Changed name of Vermont Health Reform Board to Green Mountain Care Board Page 1 of 18 Section H.202 As Introduced H.202 As Passed the House Throughout Changed name of Vermont Health Reform Board to Green Mountain Care Board 1 Principles for health care reform It is the policy

More information

2014 AFFORDABLE CARE ACT (OBAMA CARE)

2014 AFFORDABLE CARE ACT (OBAMA CARE) 2014 AFFORDABLE CARE ACT (OBAMA CARE) Planning for 2014 Tax Return Filings O Beginning 2014, the ACA requires all persons be covered by health insurance O Individuals not covered by Medicare, their employers,

More information

Department of Health and Human Services. Page 1

Department of Health and Human Services. Page 1 Health Benefit Exchange: Overview Nevada Department of Health and Human Services April 12, 2011 Page 1 Agenda Introductions Purpose of the Public Forums Overview of the Health Benefit Exchange What is

More information

In addition to the definitions in Section 6410 of Article 2 of this chapter, for purposes of this article, the following terms shall mean:

In addition to the definitions in Section 6410 of Article 2 of this chapter, for purposes of this article, the following terms shall mean: CERTIFIED PLAN-BASED ENROLLMENT PROGRAM OF THE CALIFORNIA HEALTH BENEFIT EXCHANGE CALIFORNIA CODE OF REGULATIONS, TITLE 10, CHAPTER 12, ARTICLE 9 ADOPT SECTIONS 6700, 6702, 6704, 6706, 6708, 6710, 6712,

More information

Covered California Overview

Covered California Overview Covered California Overview David Panush Director, External Affairs Covered California February 1, 2013 Los Angeles Chamber of Commerce Covered California Governance Independent Public Entity with Qualified

More information

Washington Health Benefit Exchange

Washington Health Benefit Exchange Washington Health Benefit Exchange HEALTHCARE REFORM SEMINAR November 25th, 2013 ACA INFORMATIONAL SESSION FOR SMALL BUSINESS OWNERS The Affordable Care Act Exchange Basics Today s Agenda Exchange Functions

More information

California Code of Regulations Add Article 9. Plan-Based Enrollers ( 6700 et seq.) Title 1. Investment Chapter 12. California Health Benefit Exchange

California Code of Regulations Add Article 9. Plan-Based Enrollers ( 6700 et seq.) Title 1. Investment Chapter 12. California Health Benefit Exchange California Code of Regulations Add Article 9. Plan-Based Enrollers ( 6700 et seq.) Title 1. Investment Chapter 12. California Health Benefit Exchange 6700 Definitions... 2 6702 Certified Plan-Based Enrollment

More information

(Senate Bill 387) Health Insurance Health Care Access Program Establishment Individual Market Stabilization (Maryland Health Care Access Act of 2018)

(Senate Bill 387) Health Insurance Health Care Access Program Establishment Individual Market Stabilization (Maryland Health Care Access Act of 2018) Chapter 38 (Senate Bill 387) AN ACT concerning Health Insurance Health Care Access Program Establishment Individual Market Stabilization (Maryland Health Care Access Act of 2018) FOR the purpose of requiring

More information

The Affordable Care Act in Action. Carla Haddad, MPH The Health Resources and Services Administration Office of Planning, Analysis and Evaluation

The Affordable Care Act in Action. Carla Haddad, MPH The Health Resources and Services Administration Office of Planning, Analysis and Evaluation The Affordable Care Act in Action Carla Haddad, MPH The Health Resources and Services Administration Office of Planning, Analysis and Evaluation Percent of the Nonelderly Populations who are Eligible Uninsured

More information

Policy Short Takes: Minnesota Comprehensive Health Association

Policy Short Takes: Minnesota Comprehensive Health Association HEALTH ECONOMICS PROGRAM Policy Short Takes: Minnesota Comprehensive Health Association A STATE-BASED HIGH-RISK POOL This policy short take outlines the history, costs and policy challenges associated

More information

1 DEPARTMENT OF HEALTH & HUMAN SERVICES Centers for Medicare & Medicaid Services 200 Independence Avenue SW Washington, DC 20201 Date: May 1, 2013 From: Center for Consumer Information and Insurance Oversight

More information

DRAFT ONLY - Tribal Sponsorship Program Policies and Procedures Checklist

DRAFT ONLY - Tribal Sponsorship Program Policies and Procedures Checklist American Indian Health Commission for Washington State Improving Indian Health through Tribal-State Collaboration DRAFT ONLY - Tribal Sponsorship Program Policies and Procedures Checklist Under the Patient

More information

2017 Minnesota Health Access Survey. Alisha Simon & Stefan Gildemeister Health Economics Program March 14, 2018

2017 Minnesota Health Access Survey. Alisha Simon & Stefan Gildemeister Health Economics Program March 14, 2018 2017 Minnesota Health Access Survey Alisha Simon & Stefan Gildemeister Health Economics Program March 14, 2018 Agenda Brief overview of the MNHA 2017 Results in Context Covering the uninsured 2017 and

More information

General Guidance on Federally-facilitated Exchanges

General Guidance on Federally-facilitated Exchanges 1 General Guidance on Federally-facilitated Exchanges Center for Consumer Information and Insurance Oversight Centers for Medicare & Medicaid Services May 16, 2012 2 Contents I. Background... 3 II. State

More information

Agents, Brokers and Navigators: Issues to Consider When Creating A State-Based Health Insurance Exchange Jessica Fulginiti Waltman

Agents, Brokers and Navigators: Issues to Consider When Creating A State-Based Health Insurance Exchange Jessica Fulginiti Waltman Agents, Brokers and Navigators: Issues to Consider When Creating A State-Based Health Insurance Exchange Jessica Fulginiti Waltman SVP, Government Affairs National Association of Health Underwriters For

More information

NM Insurance Update. Leadership Albuquerque. Linda Wedeen Interim CEO 12/21/2016

NM Insurance Update. Leadership Albuquerque. Linda Wedeen Interim CEO 12/21/2016 NM Insurance Update Leadership Albuquerque 12/21/2016 Linda Wedeen Interim CEO National Health Insurance Scene 2 ~80% of population covered through their employer, Medicaid or Medicare. The rest get insurance

More information

State Consultation on the Development of a Federal Exchange

State Consultation on the Development of a Federal Exchange State Consultation on the Development of a Federal Exchange The Affordable Care Act (ACA) directs the Secretary of Health and Human Services (HHS) to facilitate the establishment of an Exchange in any

More information

Wisconsin Regional Enrollment Outreach Strategy. UW Population Health Enrollment Summit July 16, 2013

Wisconsin Regional Enrollment Outreach Strategy. UW Population Health Enrollment Summit July 16, 2013 Wisconsin Regional Enrollment Outreach Strategy UW Population Health Enrollment Summit July 16, 2013 1 Outline Wisconsin Vision and Commitment Enrollment Background and Estimates Proposed Outreach Strategy;

More information

MNsure SHOP. Presentation to MNsure Consumer & Small Employer Advisory Committee Karina Milosovich, SHOP Director

MNsure SHOP. Presentation to MNsure Consumer & Small Employer Advisory Committee Karina Milosovich, SHOP Director MNsure SHOP Minnesota s Small Business Health Options Program Presentation to MNsure Consumer & Small Employer Advisory Committee Karina Milosovich, SHOP Director July 21, 2015 Agenda MNsure SHOP: Background,

More information

Request for Information: Provider Directory Data Management Service for MNsure

Request for Information: Provider Directory Data Management Service for MNsure Request for Information: Provider Directory Data Management Service for MNsure Minnesota s Commitment to Diversity and Inclusion The State of Minnesota is committed to diversity and inclusion in its public

More information

Washington Coalition of Medicaid Organizations Navigator Program Update MARCH 31, 2017

Washington Coalition of Medicaid Organizations Navigator Program Update MARCH 31, 2017 Washington Coalition of Medicaid Organizations Navigator Program Update MARCH 31, 2017 1 Agenda Federal and State Exchange News OE 4 Enrollment Highlights Exchange/Navigator Updates and Activities 2 Exchange

More information

The Impact of Health Reform s State Exchanges

The Impact of Health Reform s State Exchanges The Impact of Health Reform s State Exchanges May 2, 2013 Orlando, Florida Presented by: Layna S. Cook 225-381-7083 lcook@bakerdonelson.com The Affordable Care Act The Patient Protection and Affordable

More information

Tribal Advisory Workgroup. March 7, 2013

Tribal Advisory Workgroup. March 7, 2013 Tribal Advisory Workgroup March 7, 2013 January Board Updates Received conditional certification from the federal government to operate as a state-based Exchange starting January 1, 2014. Received Level

More information

Affordable Care Act (ACA) An Overview of Key Provisions

Affordable Care Act (ACA) An Overview of Key Provisions Affordable Care Act (ACA) An Overview of Key Provisions Locey & Cahill, LLC Presentation to the: New York State Association of Management Advocates for School Labor Affairs, Inc. 36 th Annual Summer Conference

More information

Health Care Reform: General Q&A for Employees

Health Care Reform: General Q&A for Employees From Health Care Reform: General Q&A for Employees Common questions answered I ve heard a lot about the health care reform law. When do the reforms become effective? The health care reform bill was signed

More information

Health Care Reform. The Affordable Care Act

Health Care Reform. The Affordable Care Act 1 Health Care Reform The Affordable Care Act House Keeping items.. 1. All phone lines are muted so please send any questions you may have via the chat session during the webinar. 2. All slides will be

More information

The Health Insurance Marketplace 101 August 2013

The Health Insurance Marketplace 101 August 2013 The Health Insurance Marketplace 101 August 2013 Thursday, September 12, 2013, 7:00 pm Health Insurance Marketplace Elissa Balch is a Management Analyst for the Centers for Medicare & Medicaid Services

More information