Over one million community health center patients will remain uninsured and left out of health reform

brainmayflusShared by Sally Graham, Goochland Free Clinic and Family Services :  This article discusses the impact (or lack thereof) of the ACA on FQHC’s in states who don’t expand Medicaid.

http://medicalxpress.com/news/2013-10-million-health-center-patients-uninsured.html

The Impact of ACA on Uninsured

Shared by Peter Prizzio, The Daily Planet:

A new report from the Geiger Gibson/RCHN Community Health Foundation Research Collaborative examines the impact of health reform on community health centers and their patients. “Assessing the Potential Impact of the Affordable Care Act on Uninsured Community Health Center Patients: A Nationwide and State-by-State Analysis,” estimates that more than 5 million health center patients would have gained coverage had all states participated in a sweeping Medicaid expansion.  However, with nearly half of all CHCs located in states that have opted out of the expansion, a million uninsured CHC patients who would have been covered under a nationwide expansion will likely be left without the protection of health insurance.  Further, the health centers in these states stand to lose over $555 million in revenue they would have received had their states expanded Medicaid.

Health centers in these opt-out states, many of which are located in the south, already face especially deep challenges as they continue to care for patients in the nation’s most medically underserved communities.  States that have rejected the Medicaid expansion might reconsider and decide to expand coverage.  In the near-term, however, health centers in these states can be expected to fall further behind those in expansion states, and struggle with more significant growth challenges, more limited service capacity, and more limited ability to invest in those important programs and systems that improve quality and efficiency.

Read the full report here.

Supporting and Transitioning the Health Care Safety Net, the ACA and Equality

Shared by Cynthia Newbille:

Supporting and Transitioning the Health Care Safety Net, The Affordable Care Act & Racial and Ethnic Health Equity Series Report No. 2 by Dennis P. Andrulis, et.al., August 2013, Funded by W.K. Kellogg Foundation and The California Endowment.

The Role of Certified Application Counselors in the Marketplace

A webinar for advocates and stakeholders to learn more about the role of Certified Application Counselors in Virginia’s federally-facilitated Marketplace. Sept., 5, 2013.

Link to webinar: http://www.youtube.com/watch?v=mLMMr0n7nOY

Link to slides:  http://www.vaconsumervoices.org/wp-content/uploads/2013/09/Virginia-CAC-Webinar.pdf

June 12th Virginia Health Reform Initiative (VHRI) Meeting

Yesterday (June 12) there was a meeting of the Virginia Health Reform Initiative (VHRI) Advisory Council. As part of the meeting there were a series of presentations on the Health Insurance Exchange and Medicaid reform . All of this material is available in a rather large (252 page) document in pdf format at the link below. For quick reference, go to pp. 3-12 of the pdf file for a summary of the Medicaid reform plan. Go to pp. 13-168 of the pdf file to see public comments on the Medicaid reform plan. Go to pp. 169+ of the pdf file to see the various slide presentations delivered during the meeting.

http://www.hhr.virginia.gov/Initiatives/HealthReform/MeetingResources/20130610FinalDocument.pdf

Essential Community Providers – Tips to Connect with Marketplace Plans

‘Essential Community Providers – Tips to Connect with Marketplace Plans.’ This fact sheet from NASHP emphasizes that safety net providers must be proactive if they want to be considered as Essential Community Providers by health plans offered Health Insurance Exchanges. Provides a concise overview of key considerations and action steps.

http://www.nashp.org/sites/default/files/ecp.tips.connect.marketplace.plans.pdf

Realizing Health Reform’s Potential: Will the Affordable Care Act Make Health Insurance Affordable?

‘Realizing Health Reform’s Potential: Will the Affordable Care Act Make Health Insurance Affordable?’ This paper by Jonathan Gruber and Ian Perry was published by the Commonwealth Fund in April of 2011, but it is worth revisiting today as we prepare for the implementation of a health insurance exchange for Virginia. The essential finding is that even with subsidies, significant numbers of low-income people with chronic conditions may still have difficulty affording health coverage (including premiums and out-of-pocket costs) offered through the exchange. This has practical implications for the low-income uninsured populations currently served by Collaborative Members.

http://www.commonwealthfund.org/~/media/Files/Publications/Issue%20Brief/2011/Apr/1493_Gruber_will_affordable_care_act_make_hlt_ins_affordable_reform_brief_v2.pdf

How Medicaid Works: A Chartbook for Understanding Virginia’s Medicaid Insurance and the Opportunity to Improve It

The Commonwealth Institute has recently published “How Medicaid Works: A Chartbook for Understanding Virginia’s Medicaid Insurance and the Opportunity to Improve It.” This chartbook provides a concise summary of the cost and benefits of Medicaid expansion in Virginia.  It can be viewed online at:

http://www.thecommonwealthinstitute.org/wp-content/uploads/2013/01/chartbook_2013_v6_rev.pdf