Medicaid Redesign Better for Idaho’s taxpayers, businesses, and patients.
25
Medicaid Redesign Better for Idaho’s taxpayers, businesses, and patients
-
Upload
cory-aldous -
Category
Documents
-
view
242 -
download
1
Transcript of Medicaid Redesign Better for Idaho’s taxpayers, businesses, and patients.
Medicaid RedesignBetter for Idaho’s taxpayers, businesses, and patients
Where we stand
Health care
options for Idaho’s
low income workers
MedicaidCounty Indigent Program
State Catastrophic Fund
Emergency
Departments
Charitable Orgs.Communit
y Health Centers
Who are the “medically indigent”?
Working Idahoans
Minimum wage = $15,080/year
31,000 employed Idahoans at minimum wage
Self-employed & Small Business Employees
$7,164 Groceri
es
$10,820 Rent
$3,476 Utilities
$2,748 Gasolin
e$24,208
Annual Cost of Living *
* U.S. Bureau of Labor Statistics - averages are based on 2.6 person households
Idaho has a choice
Status
Quo
MedicaidRedesign
High costStatus Quo
State Catastrophic Fund – supported entirely by income taxes
2002
2004
2006
2008
2010
2012
2014
2016
2018
2020
2022
2024
$0
$10,000,000
$20,000,000
$30,000,000
$40,000,000
$50,000,000
$60,000,000
$70,000,000
Catastrophic Health Care Fund
Appropriated
Forecast
High costStatus Quo
County Indigent Fund – supported entirely by property taxes
2002
2004
2006
2008
2010
2012
2014
2016
2018
2020
2022
2024
$0
$10,000,000
$20,000,000
$30,000,000
$40,000,000
$50,000,000
$60,000,000
County Medically Indigent Funding
Forecast
Spent
Low ValueStatus Quo
Expe
nsiv
e >$60 million
Inef
fect
ive <6k
served
Staf
fing 100
employees
Financial RiskStatus Quo
2014
2015
2016
2017
2018
2019
2020
2021
2022
2023
2024
$0
$20,000,000
$40,000,000
$60,000,000
$80,000,000
$100,000,000
$120,000,000
County Indigent State CAT
Financial RiskStatus Quo
• 45,000 qualified but not enrolled
Enrollee
Growth
• $394 million over 10 years
Budget
Status Quo
LowValue
$60+ million budget =
expensive, episodic
treatment for <6k
HighCost
$60 mil/yr budget from county and
state taxes
Financial Risk
45k qualified Idahoans joining Medicaid = $394 million over 10
years
Idaho has a choice
Status
Quo
MedicaidRedesign
MedicaidRede
signEliminate Waste
20142015201620172018201920202021202220232024$0
$20,000,000
$40,000,000
$60,000,000
$80,000,000
$100,000,000
$120,000,000
$140,000,000
Projected County and State Indigent Care Savings
Over $1 billion in tax dollars from
2014 - 2024
Half fiscal year
68% of those who qualify have at least one full-time worker in the household;16% have one or more part-time workers
MedicaidRede
sign
Coverage for Working Idahoans
Provides coverage to adults earning <138% of FPL or a family of four must have income less than $32,500
Adults age 19-64 Must be legal Idaho residents
2013 Federal Poverty Limits <100% FPL 100% to 125% FPL 125% to 138% FPL
Annual Income - Individual $0 - $11,490 $11,491 - $14,362 $14,363 -$15,856
Annual Income - Family of 4 $0 - $23,550 $23,551 - $29,437 $29,438 - $32,499
Medicaid
Redesign
Provide Coverage for Working Idahoans
Idaho minimum wage = $7.25/hr or
$15,080/yr
Personal responsibility and accountability
Coordinated CareManaged Care for chronic
conditionsReduce waste through
technology and electronic health records
Medicaid
Redesign
Redesign the System
Eliminate Waste
Save Idaho taxpayers $1 billion by eliminating two
government programs
Cover Working IdahoansProvide health care
to 149,000 low income Idahoans
System Redesign
Construct a system focused on personal
responsibility.
Medicaid
Redesign
for Idahoans
StatusQuo
Medicaid Redesig
n
Far Reaching Effects…..
<6,000 treated
149,000 covered
for Idaho Businesses
StatusQuo
Medicaid Redesig
n
Far Reaching Effects…..
$12.3-18.5 million in federal penalties for
businesses
Healthier Workforce
for Idaho’s Economy
StatusQuo
Medicaid Redesig
n
Far Reaching Effects…..
Rising taxes or budget cuts to critical programs
Risks for Idaho businesses
16,000 new jobs
Bringing Idaho taxes back to IdahoNot attractive to new
businesses
for Idaho Tax Payers
StatusQuo
Medicaid Redesig
n
Far Reaching Effects…..
$1 Billion in continued County Indigent and CAT
Funds
$394 million for full Medicaid Enrollment
$1 Billion in tax savings through elimination of County Indigent & CAT
Funds
$85 million in savings at the county and state levels AFTER state
portion.
Costs / Savings2014-2024
State Medicaid Increases + $394 Million + $1,043 Million
StatusQuo
Medicaid
Redesign
Costs / Savings2014-2024
State Medicaid Increases + $394 Million + $1,043 Million
State CAT Program costs/savings + $540 Million - $540 Million
County Indigent Programcosts/savings
+ $478 Million - $478 Million
StatusQuo
Medicaid
Redesign
Costs / Savings2014-2024
State Medicaid Increases + $394 Million + $1,043 Million
State CAT Program costs/savings + $540 Million - $540 Million
County Indigent Programcosts/savings
+ $478 Million - $478 Million
DHW mental healthcosts/savings
+ $110 Million - $110 Million
StatusQuo
Medicaid
Redesign
Costs / Savings2014-2024
State Medicaid Increases + $394 Million + $1,043 Million
State CAT Program costs/savings + $540 Million - $540 Million
County Indigent Programcosts/savings
+ $478 Million - $478 Million
DHW mental healthcosts/savings + $110 Million - $110 Million
Total costs/savings
StatusQuo
Medicaid
Redesign
$1.5 Billion
$85 Million
Only one choice
Status Quo• Spend $394
million + keep $1B in inefficient gov’t programs
Medicaid Redesign• Save $85 million &
cover 149,000 Idahoans
www.TheRightMedicineForIdaho.org
