Fitting the pieces together the safety net and the affordable care act
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Fitting the Pieces Together: The Safety Net and the Affordable Care Act. Susan E. Birch, Colorado Department of Health Care Policy and Financing October 4, 2011. Susan E. Birch. COLORADO FUN FACTS. Susan E. Birch. AGENDA. Colorado’s Safety Net Program Overview Delivery System Reforms

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Fitting the Pieces Together: The Safety Net and the Affordable Care Act

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Fitting the pieces together the safety net and the affordable care act

Fitting the Pieces Together: The Safety Net and the Affordable Care Act

Susan E. Birch, Colorado Department of Health Care Policy and FinancingOctober 4, 2011

Susan E. Birch

Improving access to cost-effective, quality health care services for Coloradans.


Colorado fun facts

COLORADO FUN FACTS

Susan E. Birch

Improving access to cost-effective, quality health care services for Coloradans.


Agenda

AGENDA

  • Colorado’s Safety Net Program Overview

    • Delivery System Reforms

      • Accountable Care Collaborative

      • Long-Term Services and Supports

  • Affordable Care Act Impact

Susan E. Birch

Improving access to cost-effective, quality health care services for Coloradans.


Department of health care policy and financing

DEPARTMENT OF HEALTH CARE POLICY AND FINANCING

  • Federally designated agency to receive funds for Medicaid Child Health Plan Plus (CHP+)

  • Administers the following programs:

    - Medicaid

    - CHP+

    - Home and Community -Based Services (HCBS)

    Medicaid Waivers

    - Colorado Indigent Care Program (CICP)

Susan E. Birch

Improving access to cost-effective, quality health care services for Coloradans.


Medicaid caseload

MEDICAID CASELOAD

Medicaid Expansions

*Projections from the Department’s November 1, 2010, Budget Request

Expansions are a result of HB 09-1293, the Colorado Health Care Affordability Act

Susan E. Birch

Improving access to cost-effective, quality health care services for Coloradans.


Chp caseload

CHP+ CASELOAD

CHP+ Expansions

*Includes children and prenatal.

** Projections from the Department’s November 1, 2010 Budget Request.

Expansions are a result of HB 09-1293, the Colorado Health Care Affordability Act.

Susan E. Birch

Improving access to cost-effective, quality health care services for Coloradans.


Partnerships

PARTNERSHIPS

  • Colorado Health Institute

  • Colorado Community Health Network

  • Colorado Regional Health Information Organization

  • Center for Improving Value in Health Care

    • All Payer Claims Database

  • Health Insurance Exchange Workgroups

Susan E. Birch

Improving access to cost-effective, quality health care services for Coloradans.


Putting the pieces together acc

PUTTING THE PIECES TOGETHER: ACC

Susan E. Birch

Improving access to cost-effective, quality health care services for Coloradans.


Rccos the safety net

RCCOS & THE SAFETY NET

Susan E. Birch

Improving access to cost-effective, quality health care services for Coloradans.


Innovations

INNOVATIONS

  • Eligibility Modernization

    • Identity, Income and U.S. citizenship electronic verification

    • Automatic re-enrollment

  • Dual Eligibility

  • Systems of Care

Susan E. Birch

Improving access to cost-effective, quality health care services for Coloradans.


Fitting the pieces together the safety net and the affordable care act

Susan E. Birch

Improving access to cost-effective, quality health care services for Coloradans.


Health care reform

HEALTH CARE REFORM

  • Board will create exchange

  • HIE Work Groups

    • Marketing, Enrollment and Outreach;

    • Eligibility, Verification and Enrollment;

    • Small Employers Workgroup; and

    • Data Advisory Workgroup.

Susan E. Birch

Improving access to cost-effective, quality health care services for Coloradans.


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