Addressing the Needs of the Uninsured in a Challenging Economic Environment

Slide Presentation by Theresa Sachs

On March 13, 2002, Theresa Sachs made a presentation in a Web-assisted teleconference at Session 2, which was entitled "State and Local Efforts to Close the Gaps between Public and Private Insurance Coverage."

This is the text version of Ms. Sachs' slide presentation. Select to access the PowerPoint® slides (1 MB).

State and Local Efforts to Close the Gaps between Public and Private Insurance Coverage

Theresa Sachs
Technical Director
Centers for Medicare and Medicaid Services

Slide 1

Public Programs and the Uninsured

Medicaid State Plan.
State Children's Health Insurance Program (SCHIP).
Health Reform Demonstrations.

Slide 2

Health Insurance Flexibility and Accountability (HIFA)

Section 1115 approach.
Medicaid/SCHIP.
Coverage expansions.

Slide 3

HIFA Flexibility

Benefits.
Cost-sharing.
Employer-sponsored insurance.

Slide 4

Funding for Expansions

"Pass-through" expansions.
Re-direct (disproportion share hospital) DSH.
Managed care savings.

Slide 5

SCHIP Funding in HIFA (Health Insurance Flexibility & Accountability)

Parents.
Pregnant women.
Childless adults.
Children protected.

Slide 6

HIFA Employer-Sponsored Insurance Flexibility

Wrap-around.
Cost sharing.
Cost effectiveness.

Slide 7

HIFA in Present Environment

Unforeseeable circumstances.
Rising numbers of uninsured.
Great deal of activity.

Slide 8

Approved HIFA Demonstrations

Arizona - childless adults and parents.
California - parents.
SCHIP funding.

Slide 9

Utah Demonstration

Non-HIFA.
Benefit package modifications.
Enrollment fee.
Expansion - primary care.

Slide 10

HIFA Advantages

Guidance.
Application template.
Expedited review.

Internet Citation

State and Local Efforts to Close the Gaps between Public and Private Insurance Coverage. Slide Presentation by Theresa Sachs, at Web-Assisted Teleconference, "Addressing the Needs of the Uninsured in a Challenging Economic Environment." Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/news/ulp/uninsuredtele/session2/sachstxt.htm

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