What is in the health reform law that will help people of color address their specific health needs? Daniel E. Dawes, J.D.
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1 What is in the health reform law that will help people of color address their specific health needs? Daniel E. Dawes, J.D.
2 The Health Reform Law 3 rd Anniversary of the Affordable Care Act Sweeping changes to health care Implemented over the next several years in the following areas: Expanded coverage Data collection & reporting Prevention & wellness Comparative effectiveness research Delivery system reforms Payment system reforms Workforce development Attack fraud and abuse
3
4 Health Insurance Reforms Going Forward 4
5 Health Insurance Benefits Preventive Services Coverage Without Cost-Sharing blood pressure testing, cholesterol measurement, cervical cancer screening, depression screening, mammograms, osteoporosis screening, HIV testing, diabetes screening, newborn sickle cell screenings, colorectal cancer screening, cardiovascular screenings, etc Essential Health Benefits Ambulatory patient services, emergency services, hospitalization, maternity and newborn care, mental/behavioral health and substance use services, prescription drugs, rehabilitative and habilitative services and devices, laboratory services, preventive and wellness services, pediatric services Mental Health Parity and Addiction Equity 5
6
7 2013 Federal Poverty Guidelines Family Size 100% 133% 150% 200% 300% 400% 1 $11,490 $15,282 $17,235 $22,980 $34,470 $45,960 2 $15,510 $20,628 $23,265 $31,020 $46,530 $62,040 3 $19,530 $25,975 $29,295 $39,060 $58,590 $78,120 4 $23,550 $31,322 $35,325 $47,100 $70,650 $94,200
8 Example for a Single Person $0 $11,490 [No Subsidies] (Medicaid) $11,491 - $15,282 [Subsidies] (Medicaid or HIE) $15,283 - $45,960 [Subsidies] (HIE)
9 Example for a Family of Four $0 $23,550 [No Subsidies] (Medicaid) $23,551 - $31,322 [Subsidies] (Medicaid or HIE) $31,323 - $94,200 [Subsidies] (HIE)
10 State Action on Medicaid Expansion Maine Alaska Washington Oregon Nevada California Montana Idaho Wyoming Utah Colorado New Mexico Arizona North Dakota South Dakota Nebraska Kansas Oklahoma Texas Minnesota Michigan (upper peninsula) Iowa Wisconsin Missouri Arkansas Illinois Mississippi Louisiana Michigan Indiana Kentucky Tennessee Alabama Ohio Georgia Vermont New Hampshire New York Pennsylvania New Jersey Delaware West Maryland Virginia LEGEND: Virginia North Carolina South Carolina Florida Massachusets Rhode Island Connecticut Participating Undecided (Leaning Towards Participating) Undecided Undecided (Leaning Towards Not Participating) Hawaii Not Participating ACA Lawsuit Participant
11 Health Insurance Exchange Map Maine Alaska Washington Oregon Nevada California Montana Idaho Wyoming Utah Colorado New Mexico Arizona North Dakota South Dakota Nebraska Kansas Oklahoma Texas Minnesota Michigan (upper peninsula) Iowa Wisconsin Missouri Arkansas Illinois Louisiana Michigan Indiana Kentucky Tennessee Alabama Mississippi Ohio Georgia Vermont New York Pennsylvania New Jersey Delaware West Maryland Virginia Virginia North Carolina South Carolina Florida New Hampshire Massachusets Rhode Island Connecticut LEGEND: Green: Declared state-based exchange Yellow: Planning for partnership exchange Red: Default to federally facilitated exchange Hawaii Oppose to Undecided Undecided to Oppose Undecided to Support UT and MA have exchanges in operation, not necessarily ACA compliant 11
12 Workforce Development Primary Care Health Professionals Behavioral Health Professionals Public & Allied Health Professionals Community Health Workers/Promotoras Cultural Competency Training Interdisciplinary Collaboration 12
13 Healthcare Delivery Improvement PCMH & Community Health Teams Accountable Care Organizations (ACOs) 13
14 ACO model: Six core components Payer Partners Insurers CMS Employers 14 14
15 Healthcare Delivery Improvement Cont. Readmissions Hospital Acquired Conditions (HACs) Special Requirements for Nonprofit Tax Exempt Hospitals 15
16
17 Understanding health disparities: data collection and analysis New Demographic Collection/Reporting Requirements 17
18 Impact of Health Reform 3 Years After Passage Over 3 million young people have gained health insurance coverage under the ACA half of which are racial and ethnic minorities. Over 100 million people have gained preventive services coverage at no cost sharing. And over 62 million individuals who experience mental health challenges will for the first time gain access to mental health and substance use disorder benefits that are on par with medical and surgical benefits. 18
3+ 3+ N = 155, 442 3+ R 2 =.32 < < < 3+ N = 149, 685 3+ R 2 =.27 < < < 3+ N = 99, 752 3+ R 2 =.4 < < < 3+ N = 98, 887 3+ R 2 =.6 < < < 3+ N = 52, 624 3+ R 2 =.28 < < < 3+ N = 36, 281 3+ R 2 =.5 < < < 7+
TABLE 3c: Congressional Districts with Number and Percent of Hispanics* Living in Hard-to-Count (HTC) Census Tracts**
living Alaska 00 47,808 21,213 44.4 Alabama 01 20,661 3,288 15.9 Alabama 02 23,949 6,614 27.6 Alabama 03 20,225 3,247 16.1 Alabama 04 41,412 7,933 19.2 Alabama 05 34,388 11,863 34.5 Alabama 06 34,849 4,074
TABLE 3b: Congressional Districts Ranked by Percent of Hispanics* Living in Hard-to- Count (HTC) Census Tracts**
Rank State District Count (HTC) 1 New York 05 150,499 141,567 94.1 2 New York 08 133,453 109,629 82.1 3 Massachusetts 07 158,518 120,827 76.2 4 Michigan 13 47,921 36,145 75.4 5 Illinois 04 508,677 379,527
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Unemployment Rate (%) Rank State. Unemployment
States Ranked by February 2018 Unemployment Rate Seasonally Adjusted Unemployment Unemployment Unemployment 1 Hawaii 2.1 19 Alabama 3.7 33 Ohio 4.5 2 New Hampshire 2.6 19 Missouri 3.7 33 Rhode Island 4.5
Unemployment Rate (%) Rank State. Unemployment
States Ranked by November 2015 Unemployment Rate Seasonally Adjusted Unemployment Unemployment Unemployment 1 North Dakota 2.7 19 Indiana 4.4 37 Georgia 5.6 2 Nebraska 2.9 20 Ohio 4.5 37 Tennessee 5.6
Unemployment Rate (%) Rank State. Unemployment
States Ranked by April 2017 Unemployment Rate Seasonally Adjusted Unemployment Unemployment Unemployment 1 Colorado 2.3 17 Virginia 3.8 37 California 4.8 2 Hawaii 2.7 20 Massachusetts 3.9 37 West Virginia
Unemployment Rate (%) Rank State. Unemployment
States Ranked by August 2017 Unemployment Rate Seasonally Adjusted Unemployment Unemployment Unemployment 1 North Dakota 2.3 18 Maryland 3.9 36 New York 4.8 2 Colorado 2.4 18 Michigan 3.9 38 Delaware 4.9
Unemployment Rate (%) Rank State. Unemployment
States Ranked by March 2016 Unemployment Rate Seasonally Adjusted Unemployment Unemployment Unemployment 1 South Dakota 2.5 19 Delaware 4.4 37 Georgia 5.5 2 New Hampshire 2.6 19 Massachusetts 4.4 37 North
Unemployment Rate (%) Rank State. Unemployment
States Ranked by September 2017 Unemployment Rate Seasonally Adjusted Unemployment Unemployment Unemployment 1 North Dakota 2.4 17 Indiana 3.8 36 New Jersey 4.7 2 Colorado 2.5 17 Kansas 3.8 38 Pennsylvania
Unemployment Rate (%) Rank State. Unemployment
States Ranked by December 2017 Unemployment Rate Seasonally Adjusted Unemployment Unemployment Unemployment 1 Hawaii 2.0 16 South Dakota 3.5 37 Connecticut 4.6 2 New Hampshire 2.6 20 Arkansas 3.7 37 Delaware
Unemployment Rate (%) Rank State. Unemployment
States Ranked by September 2015 Unemployment Rate Seasonally Adjusted Unemployment Unemployment Unemployment 1 North Dakota 2.8 17 Oklahoma 4.4 37 South Carolina 5.7 2 Nebraska 2.9 20 Indiana 4.5 37 Tennessee
Unemployment Rate (%) Rank State. Unemployment
States Ranked by November 2014 Unemployment Rate Seasonally Adjusted Unemployment Unemployment Unemployment 1 North Dakota 2.7 19 Pennsylvania 5.1 35 New Mexico 6.4 2 Nebraska 3.1 20 Wisconsin 5.2 38 Connecticut
Unemployment Rate (%) Rank State. Unemployment
States Ranked by July 2018 Unemployment Rate Seasonally Adjusted Unemployment Unemployment Unemployment 1 Hawaii 2.1 19 Massachusetts 3.6 37 Kentucky 4.3 2 Iowa 2.6 19 South Carolina 3.6 37 Maryland 4.3
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