Silver State Health Insurance Exchange

Transcription

1 Silver State Health Insurance Exchange Budget Hearing February 22, 2017

2 Agenda Exchange s Mission, Vision, Values Open Enrollment 4 Highlights History of Fees Budget Highlights Q & A * Off Season Marketing/Outreach * Federal Technology Fee * Technology Transition * Budget in Brief

3 Silver State Health Insurance Exchange Vision Access to Health Insurance for all Nevadans Mission To Increase the number of insured Nevadans by facilitating the purchase and sale of health insurance that provides access to quality health care through the creation of a transparent, simplified marketplace of qualified health plans Values Consumer-Focused: At the center of the Exchange s efforts are the people it serves, including patients and their families, and small business owners and their employees Innovative: The Exchange strives to be an innovative and forward thinking organization Diversity: Diverse stakeholder involvement is vital to a successful implementation of the Exchange Business Friendly: The Exchange is committed to creating a business friendly environment for the simple purchase of health insurance

4 Open Enrollment 4 Highlights November 1, 2016 January 31, 2017 Total Enrollment 89,061 Returning Enrollment 59,862 New Enrollees 29,199 4

5 History of Fees Rates Dollars FY 14 FY 15 FY 16 FY 17 FY 18 $4.95 Per Enrollee for Qualified Health Plans (QHPs)/$.36 for Standalone Dental Plans $13 Per Enrollee for Qualified Health Plans (QHPs)/$.83 for Standalone Dental Plans 3% of Total Premiums Collected by Carriers for QHPs and Standalone Dental 3.15% of Total Premiums Collected by Carriers for QHPs and Standalone Dental 3.15% of Total Premiums Collected by Carriers for QHPs and Standalone Dental $661 thousand (Actual) $5.2 million (Actual) $8.9 million (Actual) $10.6 million (Projected) $11.5 million (Projected) 5

6 Budget Highlights The Silver State Exchange is self-supporting and does not use General Funds. Gov Rec $22,078,188 with Reserves Gov Rec $17,634,781 with Reserves Total Available Positions 13 6

7 Off Season Marketing/Outreach Campaign M150 Category 04 - $1,218,615 The Exchange was able to leverage existing grant funds in SFY17 to develop an off-season marketing and outreach campaign. * Expanded outreach to underserved consumers. * Outreach/Marketing includes: Essential Health Benefit and Insurance Education, Blog, Capture campaign, Health literacy education, year round event attendance, joining chambers, and community engagement. Evident that outreach and education must be year round and not only limited to Open Enrollment. 7

8 Federal Technology Fee E276 Category 11 - $6,411,548 Represents fees to utilize the federal application, eligibility, enrollment technology and consumer assistance center (HealthCare.gov). Fee for Plan Year (PY) 2017 $2,656,734 (July-December), and 6 months PY18 $3,754,850 (Jan-June). CMS set fee for Plan Year 17 (PY17) at 1.5% of premium. CMS NBPP PY18 fee will be 2% of premium and 3% beginning PY19. 8

9 Technology Transition E275 Category 12 FY18 $3,803,293 FY19 $5,645,285 Represents the costs associated with transitioning from Healthcare.gov (HC.gov) to a private exchange platform to improve operational efficiencies and realize cost savings to the State. Utilizes Exchange reserves to transition to existing and proven technology which includes application, eligibility, enrollment and call center. If budget is approved as requested the transition from HC.gov to private platform could begin in July 2017 with full transition off of HC.gov by June * OEP begins November 2018 allowing 3 months of testing. 9

10 Budget in Brief REVENUE FY 18 FY 19 Balance Forward $10.6m $5.5m Licenses and Fees $11.5m $12.1m Total $22.1m $17.6m EXPENSES FY 18 FY 19 Personnel/Operating/Marketing $4.9m $4.9m Federal Technology Fee $6.4m - Technology Transition $3.8m $5.6m* Navigators / Misc. $1.5m $1.5m Total Expenses $16.6m $12m Reserve $5.5m $5.6m *$3.7m savings by switching to state based technology platform ($9.3m est. Fed cost in FY 19 versus $5.6m technology platform cost) 10

11 Q & A Constituent Services Ryan High rhigh@exchange.nv.gov Public Information Officer Janel Davis J-davis@exchange.nv.gov Executive Director Heather Korbulic hkorbulic@exchange.nv.gov