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NAHU NENY

HPA Member Plans. Commercial Health PlansAetnaBlueCross BlueShield of WNY BlueShield of Northeastern NYCDPHPCIGNA Healthplan of NYElderplanGHIHealth Net HIP of Greater New YorkIndependent HealthMVP Health Care/Preferred CareUnited Healthcare/Oxford Health Plans of New York. Prepaid Heal

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NAHU NENY

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    1. NAHU NENY February 12, 2009

    2. HPA Member Plans Commercial Health Plans Aetna BlueCross BlueShield of WNY BlueShield of Northeastern NY CDPHP CIGNA Healthplan of NY Elderplan GHI Health Net HIP of Greater New York Independent Health MVP Health Care/Preferred Care United Healthcare/Oxford Health Plans of New York Prepaid Health Service Plans Affinity Health Plan AmeriChoice of New York AmeriGroup of New York Fidelis Care New York Hudson Health Plan MetroPlus Neighborhood Health Providers/Suffolk Health Plan Total Care (Syracuse PHSP) WellCare Associate Members (MLTC) HomeFirst Senior Health Partners Senior Whole Health VNS CHOICE

    3. New York State Coverage

    5. New York’s Health Care Taxes HCRA Covered Lives Assessment = $920M Patient Services Surcharge = $1.5B Section 332 Assessments = $112M Premium Taxes = $220M $3.1B

    6. Adding to the Tax Burden 2008-09 State Budget – Deficit Reduction Plan (DRP) $350M increased health care taxes 2009-2010 State Budget – Déjŕ vu all over again $420M more in increased taxes

    7. Adding to the Tax Burden DRP CLA $240M 332 $108M 2009-2010 Budget PSA $126M PSA expansion - $50M TPA claims - $63M 332 $???

    9. Beyond the Budget Legislation/Regulation Managing Managed Care Mandate Proposals Health Care Policy Government Programs Access/Affordability

    10. New York’s Uninsured Approximately 40% eligible but un-enrolled for Government Programs (Source: UHF) 24% of “young invincibles” (age 19–34) uninsured Poor working full and part time Immigrant population $40,000 annual income segment (5.7%)

    11. New York on Universal Coverage Incremental Expansion (system building blocks) Child Health Plus; Family Health Plus; Healthy NY expansion OR Single payer HealtheNet (Gottfried plan) OR Massachusetts Mandate Universal

    12. HPA – Universal/Coverage Principles Incremental steps and phase-in Comprehensive plan includes all sectors Reward evidence-based practice Finance through general fund not premium taxes Build on programs that work Allocate limited funds to maximize coverage

    13. HPA Solution Enroll all currently eligible uninsured in existing programs Expand use of commercial insurance through statutory and regulatory relief to improve affordable access without subsidy Develop premium subsidy mechanisms with commercial products to preserve limited public funds Expand public programs that require more public funds per individual to target near poor working uninsured

    14. THANK YOU ! Questions?

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