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Affordable Care Act in Action. By …. [Self Introduction slide]. Content. Introduction Basics on the Affordable Care Act (ACA) Connect for Health Colorado Medicaid Expansion Expanding Coverage Conclusion. Three Pillars of Health Care Reform . Ensure Quality. Contain Costs.

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Presentation Transcript
  • Introduction
  • Basics on the Affordable Care Act (ACA)
  • Connect for Health Colorado
  • Medicaid Expansion
  • Expanding Coverage
  • Conclusion
three pillars of health care reform
Three Pillars of Health Care Reform

Ensure Quality

Contain Costs

Expand Coverage

consumer protections in the aca
Consumer Protections in the ACA

Rating on only 4 factors

Age (3:1)


Family size

Tobacco usage (1.15:1)

  • No exclusion for pre-existing conditions
  • No lifetime or annual limits
  • Guaranteed issue and renewability
cost containment
Cost Containment

80/20 Rule

Rate Review

expanding coverage
Expanding Coverage
  • Individual Mandate
  • Colorado will expand Medicaid to cover approximately 160,000 new Coloradans
  • Employer Responsibility
    • 50+ employees: must offer coverage or pay a penalty in 2015
    • Under 50 employees: no requirement but may be eligible for financial assistance
  • Dependents up to age 26 can stay

on parents’ plans

connect for health colorado
Connect for Health Colorado

1-855-PLANS-4-YOU  (1-855-752-6749)

how much will insurance cost
How much will Insurance cost?

Source: Avalere Health LLC

financial assistance for individuals
Financial Assistance for Individuals

Source: NASTAD, Premium Tax Credits and Cost Sharing Subsidies (Feb, 2013),

colorado medicaid
Colorado Medicaid

Source: Colorado Health Institute

you won t have to go it alone
You won’t have to go it alone!

Support for individuals and/or small businesses in-person or telephone using Connect for Health Colorado

Assistance Guides will offer:

  • Information on public and

private health insurance


  • Access to assistance,

training, and a certification

program from a central

support system

Expanding Coverage: How many uninsured adults and children stand to become insured after health reform in Colorado?

Source: Colorado Health Institute


First Enrollment Period for the Connect for Health Colorado Marketplace: October 1, 2013

New Individual Coverage begins: January 1, 2014

New Employer Coverage begins: January 1, 2015