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Cover SC

Cover SC. Expanded Coverage Options For South Carolina. July 2015. Cover SC. Task force formed in November 2014 Reviewed the current costs being invested by the state Healthy Outcomes Plan Healthy Connections Checkup

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Cover SC

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  1. Cover SC Expanded Coverage Options For South Carolina July 2015

  2. Cover SC • Task force formed in November 2014 • Reviewed the current costs being invested by the state • Healthy Outcomes Plan • Healthy Connections Checkup • Began evaluating how hospital tax could be leveraged to expand coverage options • Reviewed the revised Milliman report and compared to November 2012 report • Gave input on proposed Senate bill for a private option

  3. Cover SC Task Force Recommendations • Engage an external consultant with experience in Medicaid expansion in other states • Consider coverage through a private option or expansion • Develop a definitive timetable for implementation of a strategy

  4. Cover SC Task Force Process • Conversations were held with several consultants • Manatt was asked to present to the Task Force • Engaged Manatt effective June 30, 2015

  5. Cover SC Scope of Manatt’s Consulting Engagement • Review coverage systems and features adopted in other “red states” • Evaluate Senate bill, particularly in light of implications of using Medicaid funds to purchase coverage through the Marketplace • Evaluate personal responsibility initiatives such as premiums and cost sharing, health savings accounts and behavior incentives • Review Milliman report factoring in experience in expansion states and identifying unrealized additional savings to the state budget

  6. Cover SC Scope of Manatt’s Consulting Engagement (continued) • Address mechanisms for covering the state match when the federal matching rates drop below 100% in 2017 • Prepare a one to two page paper describing the salient features of a plan for increased insurance coverage to be used by SCHA and member hospitals with Legislators and other key individuals

  7. Cover SC Timetable • Reaffirm SCHA member commitment at July Leadership Meeting and Board Retreat • Finance Council will meet August 5 to review Manatt’s draft and make recommendations • Review with BCBS • Meeting with Manatt representatives at SCHA, August 27, to share their findings and recommendations with Finance Council and other CEOs/CFOs

  8. Cover SC Public Outreach • Reaffirm and increase business association support • SC Chamber • Business Coalition on Health • Local Chambers • Coordinate effort with other relevant groups • Heart Association • Cancer Association • AARP • Religious Organizations

  9. Cover SC Legislative Outreach • Meet with Speaker Lucas (mid August) • Discuss Manatt recommendations with bill sponsors: Lourie, Matthews, Cleary, Campbell (early September) • House and Senate leadership meetings: Leatherman, White, Alexander, M. Smith (September) • Other potential Republican supporters (September – November)

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