OHIO HEALTHCARE COVERAGE REFORM INITIATIVE

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OHIO HEALTHCARE COVERAGE REFORM INITIATIVE

• November 20, 2007

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Ohio Healthcare Coverage Reform Goals

• Provide access to quality, affordable health
  insurance for every Ohio child and to reduce the
  total number of uninsured Ohioans by 500,000 by
  2011.
• Increase the number of small employers that are
  able to offer coverage to their workers.

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The Target Population

• Not eligible for Medicaid or Medicare
• Employed or unemployed
• Two categories
• Low Income
• High Income

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Low Income Characteristics

• Little or no disposable income
• Can not seek care if cost sharing is required
• Must have affordable preventative care to avoid
  future health problems

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Sample Maximum EarningsUnder 150 of FPL

• Single - 1,278/Mo or 15,315/Yr
• Two People - 1,711/Mo or 20,535/Yr
• Four People - 2,581/Mo or 30,975/Yr

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High Income Characteristics

• Minimal cost sharing ability to sufficient
  disposable income
• Willing to accept lower benefits for less premium
  
• Willing to gamble on high deductible plans for
  the lowest monthly premium (individuals above
  300 of FPL)
• Includes many young invincibles

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Envisioned Future State for a Healthy Ohio

• Ohioans are achieving and maintaining optimal
  health through personal wellness management and a
  health care delivery system that focuses on the
  promotion of health and the prevention of
  disease. At each stage of life, every Ohioan has
  access to timely, patient-centered, and efficient
  physical and behavioral health care choices. All
  Ohioans have access to primary and preventive
  services as well as education and opportunities
  for healthy lifestyles, and the incidence of
  preventable diseases are at the lowest levels in
  the nation across all population groups.
  Services and care are coordinated through
  widespread use of health information technology,
  thereby improving health outcomes and delivering
  effective, efficient and culturally competent
  health care.