california health reform proposal l.
Download
Skip this Video
Loading SlideShow in 5 Seconds..
California Health Reform Proposal PowerPoint Presentation
Download Presentation
California Health Reform Proposal

Loading in 2 Seconds...

play fullscreen
1 / 7

California Health Reform Proposal - PowerPoint PPT Presentation


  • 352 Views
  • Uploaded on

California Health Reform Proposal Proposed by Governor Schwarzenegger January 8, 2007 Health Insurance Coverage of the Nonelderly in California, Massachusetts, and the U.S., 2004-2005 Total Population: 35.8 million 6.3 million 256.3 million Uninsured: 6.7 million 677,000 45.4 million

loader
I am the owner, or an agent authorized to act on behalf of the owner, of the copyrighted work described.
capcha
Download Presentation

PowerPoint Slideshow about 'California Health Reform Proposal' - johana


An Image/Link below is provided (as is) to download presentation

Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.


- - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - -
Presentation Transcript
california health reform proposal

California Health Reform Proposal

Proposed by Governor Schwarzenegger

January 8, 2007

health insurance coverage of the nonelderly in california massachusetts and the u s 2004 2005
Health Insurance Coverage of the Nonelderly in California, Massachusetts, and the U.S., 2004-2005

Total Population:

35.8 million

6.3 million

256.3 million

Uninsured:

6.7 million

677,000

45.4 million

SOURCE: KCMU/Urban Institute Analysis of the March 2005 and 2006 Current Population Survey. Two-year pooled estimates also used for the United States.

covering all californians
Covering All Californians
  • Individual Mandate
  • Public Coverage Expansions
    • All children to 300% FPL
    • Legal parents and childless adults up to 100% FPL
    • County-based coverage for undocumented adult immigrants up to 250% FPL
  • Subsidies for Adults 101-250% FPL
    • For purchasing pool or share of employer-sponsored insurance premium
  • Insurance Market Reforms
    • New purchasing pool
    • Guaranteed issue for plans
    • 85% of plan revenues on patient care
  • Financing
    • Medicaid/SCHIP federal match
    • 4% of payroll fee for non-offering employers with 10+ employees
    • “Coverage dividend” fee of 4% for hospitals, 2% for physicians
    • Reprogramming of current state, county, and local funding
proposed coverage by poverty level
Proposed Coverage by Poverty Level

Above 300% FPL

SOURCE: Governor’s Health Care Proposal, January 8, 2007

how the uninsured are covered
How the Uninsured are Covered

People in Thousands

Total: 4.6 million Uninsured

SOURCE: Governor’s Health Care Proposal, January 8, 2007. Coverage estimations are approximations.

financing for california s reform plan
Financing for California’s Reform Plan

Dollars in Billions

$12.1 billion

$12.1 billion

Prevention/Wellness

State Savings*

125 Plan State Tax Loss

Local Funds

County Coverage for Adult Undocumented Immigrants

County Funds**

Employer Fee

Subsidies for Low-Income Adults

Provider Fee

Medi-Cal/SCHIP Expansion

Medi-Cal Payment Increases

Federal Funds

*The state expects to save $203 million through the elimination of several state programs after the reform (Access for Infants and Mothers, Managed Risk Medical Insurance Program, and MediCal Share-of-Cost)

** County funds will be available from the relief of other county obligations

key challenges in california
Key Challenges in California
  • Large number of uninsured
  • Political challenges
    • Individual mandate
    • Employer fee
    • Provider fee
    • Coverage of immigrants
  • Affordability of coverage
  • Adequacy of benefits and subsidies in purchasing pool
  • Ability of individual market to meet increased demand
  • Long-term funding challenges