kliff usc presentation2012
TRANSCRIPT
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J U L Y 2 3 , 2 0 1 2
T H E N A T I O N A L H E A L T H J O U R N A L I S MF E L L O W S H I P
The Affordable Care Actand
What To Write About It
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The ACA = Health Story Goldmine
States play a crucial role in implementing thehealth reform law.
They hold big sway over three key provisions: Health Insurance Exchanges
Medicaid Expansion
Prevention and Public Health
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Health Exchanges
The Affordable Care Act requires every state have anew insurance market in 2014
The goal: an Expedia for health insurance
The big decision: every state will have anexchange, even if they dont want it. Do states set upa health exchange themselves, using federal funds, orleave the task to the federal government?
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Health Exchanges: State of Play
Democratic Governors Republican Governors
Aggressive ImplementersCalifornia
ConnecticutMassachusetts
Oregon
Aggressive OpposersAlaskaFlorida
South Carolina
WisconsinTexas
Passive ImplementersIllinois
West VirginiaDelaware
MinnesotaNew YorkKentucky
Passive OpposersGeorgia
IndianaPennsylvania
Tennessee
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Health Exchanges: Three Key Sources
1. Legislative Sponsors
1. Governors Office
1. Consumer Advocacy Organizations
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Medicaid Expansion
The health reform law originally expanded Medicaideligibility to everyone under 133 percent of theFederal Poverty Line
$14,520 for a single person
$58,040 for a family of 4
Then, the Supreme Court decision happened The Supreme Court ruled that states cannot lose the rest of
their Medicaid funding for not participating in the expansion Translation: The Medicaid expansion is optional.
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Medicaid: State of Play
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Medicaid: Three Story Ideas
Is your state participating? Who are the interestspushing in favor and against?
Cheat sheet: Hospitals and provider groups tend to like theMedicaid expansion.
The economic angle: How much money is on thetable?
The personal angle: Who are the people thisimpacts? How does this effect them?
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Medicaid: Three Key Sources
1. State Medicaid director
2. Public hospitals
3. Health committee legislators
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Prevention and Public Health
The health law is mostly known as an insuranceexpansion. But there are billions of dollars beingspent on prevention programs largely on localprojects.
Communities Putting Prevention to Work Grants
Public health infrastructure grants
Workforce grants
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Prevention & Public Health Three Story Ideas
How are Affordable Care Act dollars being spent inyour states and local communities?
Explanatory journalism can be powerful here
Are those programs working? Whats the evidencesuggest about whether they will or wont besuccessful?
How do local interests feel about the new funds that
have come into the state?
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Prevention & Public Health - Examples
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Prevention & Public Health Three Key Sources
Local health departments
State department of health services
Advocacy groups
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Three Helpful Resources
The Center for Consumer Information and InsuranceOversight: http://cciio.cms.gov
State Refor(u)m, a project of the National Academyof State Health Policy:www.statereforum.org
The NCSL database
KFF ACA Fund Tracker:http://healthreform.kff.org/federal-funds-tracker.aspx
http://cciio.cms.gov/http://www.statereforum.org/http://www.statereforum.org/http://cciio.cms.gov/