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![Page 1: Health Reform in Kansas Murphy Society University of Kansas School of Medicine October 25, 2012 Suzanne Schrandt, J.D. Kansas Health Institute 1.](https://reader036.fdocuments.net/reader036/viewer/2022062518/56649c825503460f9493a972/html5/thumbnails/1.jpg)
Health Reform in Kansas Murphy Society
University of Kansas School of MedicineOctober 25, 2012
Health Reform in Kansas Murphy Society
University of Kansas School of MedicineOctober 25, 2012
Suzanne Schrandt, J.D.
Kansas Health Institute
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Kansas Health InstituteKansas Health Institute
The Kansas Health Institute is an independent, nonprofit health policy and research organization that informs policymakers about important issues affecting the health of Kansans.
Our mission is to inform policymakers by identifying, producing, analyzing and communicating information that is timely, relevant and objective.
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Health in KansasHealth in Kansas
Health Outcomes Ranking, by County
Source: County Health Rankings and Roadmaps Project, Robert Wood Johnson Foundation and University of Wisconsin Population Health Institute, 2012 3
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Kansas Compared to U.S.Kansas Compared to U.S.
Source: Kaiser Family Foundation, State Health Facts, retrieved October 2012 4
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Health Insurance CoverageHealth Insurance Coverage
Primary Sources of Health Insurance, All Kansans (2010-2011)
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Distribution of Kansas HospitalsDistribution of Kansas Hospitals
Source: Kansas Hospital Association, 2011 STAT Report 6
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Kansas Health InstituteKansas Health Institute
7Source: Kansas Association for the Medically Underserved
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Primary Care HPSAsJanuary 2012
Primary Care HPSAsJanuary 2012
Source: KDHE Bureau of Community Health Systems, 2012 8
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Why Health Reform?Why Health Reform?
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Three Primary Components of the ACA
Three Primary Components of the ACA
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Public HealthPublic Health
ACA Public Health Funding March 2010 – September 2012
Source: Kaiser Family Foundation ACA Funds Tracker, September 2012 11
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Cost Containment, Payment and Delivery Reform
Cost Containment, Payment and Delivery Reform
Quality ImprovementPayment AdjustmentsDelivery Reform Transparency/Financial Relationships
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What’s happening in Kansas?What’s happening in Kansas?
Kansas 55 hospitalsAverage penalty of .20%
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What’s happening in Kansas?What’s happening in Kansas?
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What’s happening in Kansas?What’s happening in Kansas?
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Coverage and AccessCoverage and Access
Primary Sources of Health Insurance, All Kansans (2010-2011)
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ACA Coverage ProvisionsACA Coverage Provisions
Access rules Guaranteed Issue Pre-existing condition exclusions
Cost impacts Rating rules Federal assistance
Navigation Health insurance exchanges
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Employment-Based Coverage in Kansas
Employment-Based Coverage in Kansas
Source: KHI Analysis of 2011 Medical Expenditure Panel Survey Data
Private Kansas Employers by Number of Employees
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Uninsured Kansans by ACA Eligibility Category
Uninsured Kansans by ACA Eligibility Category
Source: KHI Analysis of 2010-2011 Current Population Survey Data19
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Medicaid Expansion?Medicaid Expansion?Uninsured Kansas Adults, age 19-64, by ACA Eligibility Category
Source: KHI Analysis of 2010-2011 Current Population Survey Data20
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Medicaid Expansion?Medicaid Expansion?
Cost concernsDSH payment reductionsEmployer liability?
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Coverage Changes Already in Place
Coverage Changes Already in Place
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Provision Impact in Kansas
Dependent coverage to age 26
As of June 2011, 22,000 young adult Kansans were covered through this provision—and that number has likely grown
Preventive services at no cost
529,000 Kansans in private plans and 313,000 Kansans in Medicare have received free preventive care
through this provision
Early Retiree Reinsurance Program
62 Kansas employers including Koch Industries, Sprint, City of Topeka, and Wolf Creek
Federal fundingAround $90 million has been awarded to public and private
Kansas recipients
Lifetime limit prohibition
1.02 million Kansans no longer have lifetime maximum limits on their health insurance plans
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Workforce Funding Opportunities
Workforce Funding Opportunities
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Primary care loan repayment/forgiveness programs
Pediatric specialty/underserved area Public health workforce loan repayment Allied health workforce loan repayment National Health Service Corps Community Health Workforce grants Rural physician/underserved area
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Loan Repayment ChangesLoan Repayment Changes
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Income-Based Repayment (IBR) Reduction from 15 to 10 percent of adjusted
gross income—begins in 2014 for new borrowers
Maximum loan forgiveness period from 25 to 20 years
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Looking ForwardLooking Forward
November elections Sequestration Health insurance exchange
preparation Medicaid expansion decision Ongoing legal challenges
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Questions?Questions?
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Information for policy makers. Health for Kansans.Information for policy makers. Health for Kansans.
Kansas Health InstituteKansas Health Institute
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