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Health Reform in Kansas Murphy Society University of Kansas School of Medicine October 25, 2012

Health Reform in Kansas Murphy Society University of Kansas School of Medicine October 25, 2012. Suzanne Schrandt, J.D. Kansas Health Institute. Kansas Health Institute.

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Health Reform in Kansas Murphy Society University of Kansas School of Medicine October 25, 2012

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  1. Health Reform in Kansas Murphy SocietyUniversity of Kansas School of MedicineOctober 25, 2012 Suzanne Schrandt, J.D. Kansas Health Institute

  2. Kansas 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.

  3. Health 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

  4. Kansas Compared to U.S. Source: Kaiser Family Foundation, State Health Facts, retrieved October 2012

  5. Health Insurance Coverage Primary Sources of Health Insurance, All Kansans (2010-2011)

  6. Distribution of Kansas Hospitals Source: Kansas Hospital Association, 2011 STAT Report

  7. Kansas Health Institute Source: Kansas Association for the Medically Underserved

  8. Primary Care HPSAsJanuary 2012 Source: KDHE Bureau of Community Health Systems, 2012

  9. Why Health Reform?

  10. Three Primary Components of the ACA

  11. Public Health ACA Public Health Funding March 2010 – September 2012 Source: Kaiser Family Foundation ACA Funds Tracker, September 2012

  12. Cost Containment, Payment and Delivery Reform • Quality Improvement • Payment Adjustments • Delivery Reform • Transparency/Financial Relationships

  13. What’s happening in Kansas? • Kansas • 55 hospitals • Average penalty of .20%

  14. What’s happening in Kansas?

  15. What’s happening in Kansas?

  16. Coverage and Access Primary Sources of Health Insurance, All Kansans (2010-2011)

  17. ACA Coverage Provisions • Access rules • Guaranteed Issue • Pre-existing condition exclusions • Cost impacts • Rating rules • Federal assistance • Navigation • Health insurance exchanges

  18. Employment-Based Coverage in Kansas Private Kansas Employers by Number of Employees Source: KHI Analysis of 2011 Medical Expenditure Panel Survey Data

  19. Uninsured Kansans by ACA Eligibility Category Source: KHI Analysis of 2010-2011 Current Population Survey Data

  20. Medicaid Expansion? Uninsured Kansas Adults, age 19-64, by ACA Eligibility Category Source: KHI Analysis of 2010-2011 Current Population Survey Data

  21. Medicaid Expansion? • Cost concerns • DSH payment reductions • Employer liability?

  22. Coverage Changes Already in Place

  23. Workforce Funding Opportunities • 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

  24. Loan Repayment Changes • 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

  25. Looking Forward • November elections • Sequestration • Health insurance exchange preparation • Medicaid expansion decision • Ongoing legal challenges

  26. Questions?

  27. Kansas Health Institute Information for policy makers. Health for Kansans.

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