Massachusetts Health Reform: Massachusetts Health Reform: What We’ ’ve Accomplished So Far ve Accomplished So Far What We Nancy Turnbull Nancy Turnbull May 14, 2007 May 14, 2007 Massachusetts Health Policy Forum
April 2006 April 2006 Chapter 58 Chapter 58 is signed! is signed!
May 2006 June 2006 May 2006 June 2006 Connector Board Connector Board and and Executive Director Executive Director Connector Connector appointed appointed Holds First Holds First Board Board Vermont Passes Vermont Passes Health Care Reform Health Care Reform Meeting Meeting Legislation Legislation Catamoun t Health Let the state coverage Let the state coverage competition continue! competition continue!
July 2006 July 2006 MassHealth benefit benefit MassHealth Waiver approved by Waiver approved by and eligibility and eligibility the federal the federal restorations and restorations and government: : government expansions expansions The good news: The good news: -20,000 kids 20,000 kids - $1.2 billion is preserved $1.2 billion is preserved -Enrollment caps lifted Enrollment caps lifted - -600,000 adults get 600,000 adults get - The bad news: The bad news: back dental care, back dental care, Only two years until it Only two years until it eyeglasses, dentures eyeglasses, dentures needs to be renewed needs to be renewed and other benefits and other benefits (Only one year now) (Only one year now)
August 2006 August 2006 Commonwealth Commonwealth Care benefit Care benefit packages packages approved by approved by Connector board Connector board Coverage update: 24,000 increase in MassHealth membership since July 1 st
September 2006 September 2006 Final regulations Commonwealth Final regulations Commonwealth defining “ “fair and fair and defining Care premiums Care premiums reasonable” ” reasonable approved by approved by contribution by contribution by Connector board Connector board employers employers Individual % FPL 2-person Family First meeting of First meeting of Premium the Quality and the Quality and <100% $ - $ - $ - Cost Council Cost Council 100-150% $ 18 $ 36 $36-48 150-200% $ 40 $ 80 $ 116 200-250% $ 70 $ 140 $ 200 250-300% $ 106 $ 212 $ 296
October 2006 October 2006 First phase of First phase of Commonwealth Commonwealth Care: <100% FPL Care: <100% FPL October 2. 2006 October 2. 2006 Coverage update: 50,000 increase in MassHealth and Commonwealth Care enrollment since July 1st
November 2006 November 2006 Deval Patrick Patrick Deval elected Governor elected Governor Speaker DiMasi DiMasi Speaker honored for his honored for his leadership on leadership on health reform health reform
December 2006 December 2006 Small group/nongroup merger report Free rider surcharge regulations issued First meeting of Advisory Committee to the Quality and Cost Council DPH begins infection control program Coverage update: 75,000 increase in MassHealth and Commonwealth Care enrollment since July 1st
January 2007 January 2007 Commonwealth Commonwealth Expanded eligibility for Expanded eligibility for Care starts for Care starts for dependents goes into dependents goes into effect effect 100- -300% FPL 300% FPL 100 GBIO issues First Connector meeting GBIO issues First Connector meeting chaired by Secretary chaired by Secretary report: Mandating Health report: Mandating Health Kirwan Kirwan Care Insurance: What is Care Insurance: What is Carriers admonished to Truly Affordable for Carriers admonished to Truly Affordable for Massachusetts Families ? ? “sharpen their pencils “ sharpen their pencils” ” Massachusetts Families on Commonwealth on Commonwealth Choice rates Choice rates Gov. Schwarzenegger files comprehensive health reform plan for Secretary Bigby Bigby chairs chairs Secretary California her first Quality and Cost her first Quality and Cost Council meeting Council meeting
February 2007 February 2007 Business community begins major education Business community begins major education campaign for employers campaign for employers Coverage update: 88,000 increase in MassHealth and Commonwealth Care enrollment since July 1st
March 2007 March 2007 Board adopts standards for Board adopts standards for Minimum Creditable Coverage Minimum Creditable Coverage Seal of approval given to Seal of approval given to Commonwealth Choice plans Commonwealth Choice plans
April 2007 April 2007 Chapter 28 is one year Chapter 28 is one year Connector Connector old! old! approves approves affordability affordability schedule schedule Health Care for All, Health Care for All, Mass. League of Community Mass. League of Community SINGLES COUPLES FAMILIES WITH CHILDREN Health Centers, Health Centers, Monthly Monthly Monthly Annual Income Premium Annual Income Premium Annual Income Premium Massachusetts Hospital Massachusetts Hospital $0 - $15,315 $0 $0 - $20,535 $0 $0 - $25,755 $0 $15,316 - $20,420 $35 $20,536 - $27,380 $70 $25,756 – $34,340 $70 Association Association $20,421 – $25,525 $70 $27,381 - $34,225 $140 $34,341 - $42,925 $140 $25,526 – $30,630 $105 $34,225 - $41,070 $210 $42,926 - $51,510 $210 implement website: implement website: $30,631 - $35k $150 $41,071 - $50k $270 $51,511 - $70k $320 $35,001 - $40k $200 $50,001 - $60k $360 $70,001 - $90k $500 www.gethealthcoverage.net www.gethealthcoverage.net $40,001 - $50k $300 $60,001 - $80k $500 $90,001 - $110k $720 Over $50k Affordable Over $80k Affordable Over $110 k Affordable
May 2007 May 2007 Commonwealth Choice Commonwealth Choice plans hit the market plans hit the market
Progress Since April 2006 Progress Since April 2006 122,000 increase in increase in 122,000 MassHealth and and MassHealth Commonwealth Care Commonwealth Care membership membership
Challenges Ahead Challenges Ahead • Education, outreach and enrollment Education, outreach and enrollment • • Building and sustaining public support Building and sustaining public support • • Ensuring access for the newly insured Ensuring access for the newly insured • • Keeping a strong safety net for those who will Keeping a strong safety net for those who will • remain uninsured remain uninsured • Continued federal support at waiver renewal Continued federal support at waiver renewal • time time • Moderating health care cost trends Moderating health care cost trends •
The Nation is Watching Health The Nation is Watching Health Reform in Massachusetts! Reform in Massachusetts!
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