COLORADO INDIGENT CARE POPULATION STUDY Alignment of public and - PowerPoint PPT Presentation

COLORADO INDIGENT CARE POPULATION STUDY Alignment of public and private payers of Health Care is vital in order to advance delivery system transformation and improve population health for all Coloradans. Presented by: John Bartholomew, HCPF’s Chief Financial Officer 1

CICP Study Recommendations The Commission should consider the following: Ø Increasing the FPL level in the CICP. Ø Lowering the CICP copayments for hospital services. Ø Recruiting CICP-eligible providers in areas of the state that may have gaps in care. 2

CICP Study Findings Ø At certain income levels individuals will pay less overall if a silver plan with CSR is chosen. Ø The West and Grand Junction rating regions, premium and out-of-pocket costs exceed average APCD costs by 25% to 45%, respectively. Ø Costs for outpatient hospital services are more than 100% higher in the West rating region as compared to Boulder and Denver. Ø Cost in the West rating region are 20% higher than the statewide average. 3

COLORADANS WHO MAY NEED HEALTH COVERAGE ASSISTANCE [CELLRANGE], [VALUE] [CELLRANGE], [VALUE] Uninsured, Undocumented Workers [CELLRANGE], [VALUE] [CELLRANGE], [VALUE] [CELLRANGE], [VALUE] Uninsured, Under 250% FPL, Eligible for Medicaid, CHP+, CICP , APTC and/or CSR [CELLRANGE], [VALUE] Uninsured, Between 250% and 400%, Eligible for APTC Uninsured, Above 400% FPL Underinsured, Purchased individual insurance 82.7%, [VALUE] Underinsured, Purchased group insurance Adequate insurance 4

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Alignment of public and private payers of Health Care is vital in order to advance delivery system transformation and improve population health for all Coloradans. Thank you 8