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The expansion of
Medicaid, and new Health Insurance Exchanges are the two key sources of
health care coverage starting in 2014, for the currently uninsured
population. Starting in 2014, people with family incomes up to 138% of the poverty level ($31,809 for a family of four and $15,415 for a single person in 2012) will generally be eligible for the Medicaid program. And, people buying coverage on their own in new state-based health insurance exchanges will be eligible for federal tax credits to subsidize the cost of insurance. Tax credits will be calculated on a sliding scale basis for people with family income up to four times the poverty level ($92,200 for a family of four and $44,680 for a single person in 2012). According to the Kaiser Family Foundation, on average, an estimated 17% of the non-elderly population nationwide would benefit from the Medicaid expansion and tax credits. States are deciding whether to adopt Medicaid expansion, and need to weigh in many different factors in the decision making process– fiscal impact, consumer protection, market readiness, impact on the rest of the market, etc. Health plans, especially those who currently serve Medicaid managed care, may experience an increase in their current membership with relative unknown characteristics. Providers serving these populations under newer forms of payment structures will be impacted by these dynamics. Join us on Thursday, January 31st, 2013, as Milliman's Rong Yi, PhD and Stacey Muller, FSA, MAAA provide descriptions of the currently uninsured population, where they may be getting coverage under different scenarios, their health status, the impact to Medicaid plans and the Exchanges, and how to design risk adjustment to reflect their unique characteristics. |
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Participants will be able to:
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Interested attendees would include:
Attendees would represent organizations including:
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