Report to Advisory Council October 19, 2005 Models Development Work Group

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Report to Advisory Council October 19,
2005Models Development Work Group

• Hollis Turnham
• Facilitator

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Inputs

• Six meetings since August,
• Every other Wednesday
• Attendance 40 to 70 people
• 106 individuals on e-mail list

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Over-arching Goals

• Looked at Advisory Councils win-win draft
• Have 1, 3, and 5 year goals and incremental plan

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Five approaches are on the Table

• Pooling/Insurance Reform
• Medicaid/SCHIP Expansion
• Basic Benefit
• Subpopulation Coverage
• Universal Coverage

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Outreach and financing options will be on the
Table

• Outreach to eligibles not enrolled
• Maximize federal dollars
• Vouchers
• Tax credits
• Increased rates to state vendors
• (child care, long-term care, etc., not providing
  insurance to employees)

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Basic Benefit

• Workers15 hours a week
• Regional models
• Focus on primary, RX, dental
• Mandated initial preventative care
• Visit within 6 months of enrollment

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Medicaid Expansion

• Increase coverage of parents
• From 35 and 50 of FPL (5,632 and 8,045
  annual income)
• To 150 to 200 FPL (24,135 to 32,180 annual
  income)

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Pooling/Reinsurance

• Open state employee health plan for buy-in by
  other employers AND individuals
• Need subsidies for low-wage employers and
  low-wage workers

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Universal Coverage

• Multiple payers
• Tiered model
• Basic coverage for everyone,
• More coverage with additional payment
• Integrate other public health payers
• Workers comp, auto insurance, uninsured
  motorists

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Subpopulations

• Folks between jobs
• Young adults-college, first job
• County health plan coverage

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Next meetingOctober 26, 20051 until 4 p.m.

• Reflecting info from
• Household Survey
• Landscape Analysis
• Waiting for the Employer Survey
• Advice from the Advisory Council

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Hollis TurnhamHollis_at_Paraprofessional.org517-327
-0331

• Ken Miller
• MillerK3_at_Michigan.gov
• 517-241-1932