UNIVERSAL ACCESS TO CARE WORK GROUP 2018 LPRO : L EGISLATIVE P OLICY - - PowerPoint PPT Presentation

▶
universal access to care work group 2018
SMART_READER_LITE
LIVE PREVIEW

UNIVERSAL ACCESS TO CARE WORK GROUP 2018 LPRO : L EGISLATIVE P OLICY - - PowerPoint PPT Presentation

Jan 03, 2023 212 likes •474 views

February 23 rd , 2018 LPRO : L EGISLATIVE P OLICY AND R ESEARCH O FFICE UNIVERSAL ACCESS TO CARE WORK GROUP 2018 LPRO : L EGISLATIVE P OLICY AND R ESEARCH O FFICE AGENDA 2:30-2:35 PM Welcome, Opening Remarks 2:35-3:30 PM RAND Study (2017)

slide-1
SLIDE 1

UNIVERSAL ACCESS TO CARE WORK GROUP 2018

LPRO: LEGISLATIVE POLICY AND RESEARCH OFFICE

February 23rd, 2018

slide-2
SLIDE 2

AGENDA

2:30-2:35 PM Welcome, Opening Remarks 2:35-3:30 PM RAND Study (2017) 3:30-3:30 PM Work Group Discussion 3:50-4:00 PM Public Comment Opportunity LPRO: LEGISLATIVE POLICY AND RESEARCH OFFICE

slide-3
SLIDE 3

3

Ge tty/ o o yo o

F ina nc ing He a lth Ca re in Ore g o n: F

  • ur Po lic y Optio ns

Cha pin White , Christine E ib ne r, Jo di L iu, Ca rte r Pric e , No ra L e ib o witz, Gre tc he n Mo rle y, Je a ne ne Smith, T ina E dlund, Ja c k Me ye r

slide-4
SLIDE 4

4

Ore g o n is a mo ng the le a ding sta te s in pursuing he a lth c a re re fo rm

slide-5
SLIDE 5

5

Ore g o n HB 3260 c a lle d fo r a na lysis o f fo ur po lic y o ptio ns

slide-6
SLIDE 6

RAND a nd HMA use d q ua lita tive a nd q ua ntita tive me tho ds in the a na lysis

6

slide-7
SLIDE 7

We e va lua te d e a c h o ptio n o n multiple c rite ria

7

slide-8
SLIDE 8

8

Spe c ific a tio ns a nd K e y Re sults

slide-9
SLIDE 9

9

slide-10
SLIDE 10

Pro po rtio n o f Ore g o nia ns c o ve re d wo uld va ry b y fina nc ing o ptio n

10

Pro po rtio n o f Ore g o nia ns Co ve re d

SI NGL E PAYE R HCI P PUBL I C OPT I ON ST AT US QUO

Sing le Pa ye r HCI P Pub lic Optio n (No ng ro up) Priva te No ng ro up Co ve ra g e Me dic a id Me dic a re , F E HB, VHA, I HS E mplo ye r-spo nso re d Gro up Co ve ra g e Uninsure d

slide-11
SLIDE 11

Po lic y o ptio ns c o mb ine diffe re nt fina nc ing so urc e s

11

SI NGL E PAYE R HCI P PUBL I C OPT I ON F e de ra l funding Ne w sta te pa yro ll ta x I nc re a se in sta te inc o me ta x Re duc e pro vide r pa yme nt ra te s Ne w sta te sa le s ta x

slide-12
SLIDE 12

12

Pe rc e nt o f Po pula tio n 100% 100% 96% 95% Co ve re d

slide-13
SLIDE 13

13

slide-14
SLIDE 14

14

slide-15
SLIDE 15

15

slide-16
SLIDE 16

16

T he Bo tto m L ine

slide-17
SLIDE 17

I mple me nting a ny o ptio n re q uire s ke e n a wa re ne ss

  • f b e ne fits a nd tra de -o ffs

17

slide-18
SLIDE 18

Que stio ns?

18

slide-19
SLIDE 19

WORK GROUP TASKS

a) Identify incremental state-level policy changes to make it easier for individuals

to access and maintain coverage, whether through their employer or through existing or new publicly funded programs. b) Describe potential changes to employer-sponsored coverage and commercial plans, including the extent to which existing coverage mechanisms are compatible with a universal coverage system. Determine what mechanisms, if any, are needed to minimize disruption to the current health care system. c) Explore whether new governance models are needed to achieve universal access, including major components and functions of any such model. d) Explore long-term sustainable funding sources that can raise sufficient revenue to finance universal access, including local, state and federal funding availability. e) Investigate the federal waivers and permissions that would be required for Oregon to maximize federal funding for the provision of health care services.

LPRO: LEGISLATIVE POLICY AND RESEARCH OFFICE

slide-20
SLIDE 20

January 9th 2018 Meeting

  • History of House Bill 3260 (2013)
  • History of changes in health care delivery in Oregon
  • Cost trends in health care
  • Rate of insured, uninsured, and under insured
  • Current insurance coverage approaches: public and private including employer-

sponsored coverage

  • Understanding of health care financing in other OECD counties
  • Affordability of health coverage and access to comprehensive health care

services (public and privately funded health coverage)

  • Distinction between health insurance status and access to health care and
  • Long-term sustainable funding for universal health care coverage for all Oregon

residents

LPRO: LEGISLATIVE POLICY AND RESEARCH OFFICE

slide-21
SLIDE 21

ROADMAP 2018

21

Timeline

January Review Charter ACA in Oregon Solicit Input and Member Orientation February RAND Oregon Study Workgroup Discussion April Health Care Financing & Delivery in Oregon Proposals from Other States September 2018 Finalize and submit report to Health Policy Committees March Health Coverage post-ACA Cost Drivers and Barriers May International Lessons for Oregon Administrative Complexities and Related Costs Tools to Contain Health Care Costs June – August

LPRO: LEGISLATIVE POLICY AND RESEARCH OFFICE

Alternative Financing Models Federal Feasibility Considerations and Challenges Governance Models and Consumer Choice

slide-22
SLIDE 22

MEMBER COMMENTS AND NEXT STEPS

LPRO: LEGISLATIVE POLICY AND RESEARCH OFFICE

slide-23
SLIDE 23

NEXT STEPS

At the Oregon Nurses Association Offices (18765 SW Boones Ferry Rd # 200, Tualatin, OR 97062):

  • Thursday, March 22nd 8:00-11:00 am
  • Thursday, April 19th, 8:00-11:00 am
  • Wednesday, May 23rd, 8:00-11:00 am
  • Thursday, June 21st, 8:00-11:00 am
  • Thursday, July 19th, 8:00-11:00 am
  • Thursday, August 23rd, 8:00-11:00am

LPRO: LEGISLATIVE POLICY AND RESEARCH OFFICE

slide-24
SLIDE 24

PUBLIC COMMENT

LPRO: LEGISLATIVE POLICY AND RESEARCH OFFICE