Georgia’s Coverage Gap
Your name
Title
Organization
Introduction slide
•Organization name and logo.
•Other important org. info.
•Member of Cover Georgia coalition
Pathways to Coverage under the ACA
Employer-basedcoverage
Individual/non-group
(healthcare.gov)
(Coverage Gap)
Public healthinsurance coverage
Medicare
Medicaid
TriCare (Veterans)
Kids:PeachCare/Medicaid
People who qualify forMedicaid:
•Children (up to age 19)
•Women who:
•Are pregnant
•Have breast, cervicalcancer
•Low to mid-income
•Aged, blind, disabled(very low income)
•Very low-income parents(Ex: must earn less than$5500/year for family ofthree)
•People in long-term care(nursing homes)
Georgia’s coverage gap
An example
FYI
Federal Poverty Line (FPL)—a measure of income set byUS Dept. of Health &Human Services. Used todetermine a person’seligibility for certainprograms and benefits
FamilySize
AnnualIncome
1
$11,770
2
$15,930
3
$20,090
4
$24,250
100% Federal PovertyLine 2015
Low-wage workers
Construction workers, restaurant servers, retailworkers, child care providers
Parents
Working parents who make 39% FPL and 100% FPL
Non-working parents who make 30% FPL to 100% FPL
Veterans
20,000 Georgia veterans + 4000 spouses
Childless adults who earn less than 100% FPL
Source:http://www.urban.org/uploadedpdf/412775-Uninsured-Veterans-and-Family-Members.pdf
An opportunity for Georgia
The economics of closing the coveragegap
•Georgia can easily cover its share of the costs
•State savings & new revenue will offset new spending
•“Use it or lose it”
•Georgia can opt out at any time
Total 4 year costs $575 million
Total 4 year revenue $700 million
Source
Cost estimates: Tim Sweeney, Georgia Budget & Policy Institute
Other states have closed their gaps
Expansion
•Uninsured rates down 37.7% 1
•Hospitals saved $4.2 billion(2014)2
•Improved health outcomes,especially among older adults,racial/ethnic minorities, andresidents of poorer counties3
• State budget savings
Non-expansion
•Uninsured rates dropped only9% 1
•Hospitals saved $1.5 billion(2014) 2
•No state budget savings
Other states have closed their gaps
Sources:
2. Dept. of HHS,http://www.hhs.gov/news/press/2014pres/09/20140924a.html
3. New England Journal of Medicine
State budget savings & revenue gains
AR
$153 M
KY
$109 M
MI
$468 M
CO
$307 M
WA
$464 M
OR
$275 M
Source: Manatt Health Solutions, States Expanding Medicaid See Significant Budget Savings and Revenue Gains
Key sources ofsavings
When Georgia closes its coverage gap…
People
•Affordable health care access for 300,000Georgians
•Financial, health peace of mind
Economy
•$8 billion per year in new economicactivity
•$220 million per year in new tax revenue
Health Care Industry
•$3 billion in federal money annually
•Reduce uncompensated care costs forall hospitals
•Help to stabilize failing rural hospitals
Workforce
•56,000 new jobs created
Source: Dr. William Custer, Economic Impact of Medicaid Expansion in Georgia
What can you do?
Now!
Sign a postcard to your legislators
•Online at: surveymonkey.com/s/closethecoveragegap
Share your coverage gap story
•Include email address here about where to send coveragegap stories. Can use info@healthyfuturega.org if you’d like.
Add your organization’s name to our list of supporters
Name
Contact info
Stay in touch!
Web address
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#coverga