2 Health Care Authority Cabinet-level agency with approximately 280 employees Manages over $3 billion each biennium Administers two major health care programs: –Basic Health –Public Employees Benefits Board Ancillary programs include: –Community Health Services –Washington Prescription Drug Program –Health Technology Assessment –Washington Wellness Budget accounts for over 5% of entire State's budget.
7 Overview Premium Structure Define Quality Standards Set Benchmark Rates Procure Benefits Determine Eligibility Invoice Members Receive Payments Access to Care Results Develop Benefit Plan BASIC HEALTH MISSION: Provide access to quality, affordable health coverage to low-income Washington State residents.
12 Premium Structure Premium formula based on: Income Band (A-H) Age Band (Ages 0-65+) Federal Income Guidelines (0-200%) Other Factors Percent of income sliding scale –FIG 0 –125% is fixed 6% Percent of premium sliding scale Choice of health carrier Premiums are set for members in Income Bands A-C (0-125%).
29 Results Up to 19 health plans at one time; currently contract with 5 plans Implemented wait list only 3 times in 22-year history to stay with budget Nearly 2/3 of subsidized members are within 100% of FIG Partner with 26 sponsor groups statewide who pay a portion of more than 26,000 members' premiums Partner with more than 175 organizations and community partners statewide Since FY 2000, the number of low-income persons statewide covered by publicly-funded medical plans has increased by 30 percent.
Download ppt "Basic Health Plan Washington State Basic Health Plan Council of State Governments Council of State Governments Preston W. Cody Assistant Administrator,"
Massachusetts Health Care Reform June 6, The healthcare status quo is unsustainable Double-digit, annual increases in insurance premiums Half.
Illinois All Kids Program Illinois Department of Healthcare and Family Services Stephen E. Saunders, MD, MPH Child Health Services Research Meeting June.
COBRA Premium Reduction Under the American Recovery and Reinvestment Act of 2009 (ARRA) Presented by Ray Davis, J.D. Compliance Consultant for National.
A Presentation of the Colorado Health Institute 1576 Sherman Street, Suite 300 Denver, Colorado Hot Issues in.
THE COMMONWEALTH FUND 1 Benefit Design for Public Health Insurance Plan Offered in Insurance Exchange Current Medicare benefits* New Public Health Insurance.
Health Insurance Consumer Health Unit Objectives: - TSWBAT differentiate between types of insurance programs and terms. - TSWBAT analyze which health insurance.