Health Insurance Exchanges Dave Self, Senior Vice - PowerPoint PPT Presentation

Health ¡Insurance ¡ Exchanges ¡ ¡ ¡ ¡ Dave ¡Self, ¡Senior ¡Vice ¡President ¡& ¡ Idaho ¡Regional ¡Director ¡ Our ¡Mission: ¡Helping ¡people ¡get ¡the ¡ ¡ PacificSource ¡Health ¡Plans ¡ healthcare ¡they ¡need ¡ ¡

Health Insurance Exchanges • Allow comparison of health plans • Consumer access to available subsidies (tax credits) • Can provide administrative mechanism for enrollment • Mandates Tiered Benefit Plans (Bronze, Silver, Gold, Platinum)

Timeline

Idaho Work Group • July, 2012: Governor Otter created work groups on HIX and Medicaid expansion • Late October 2012: HIX work group recommended an Idaho based exchange; and non- profit entity model

Key Dates • November 16, 2012: declare intent of Idaho based, state-federal partnership, or federally facilitated model • (New) December 14, 2012: submit plan, or blueprint, for state based exchange • (New) February 15, 2013: submit application for state- federal partnership exchange • October, 2013: open enrollment begins • January 1, 2014: effective date of coverage for policies purchased through an exchange

State Based Exchange • Designed and built for Idaho • Lightest “footprint” • Minimize administration cost & procedures • Keep HIX related jobs in Idaho • Preserve DOI’s role as market regulator • Maximize responsiveness to Idaho consumers • Broad representation on Idaho HIX board

Partnership Exchange Federal Government designed HIX, limited state participation: • Idaho DOI reduced to: • Market conduct oversight • Collection of information • Consumer Assistance • Administration centralized outside Idaho • State of Idaho still incurs costs of implementation & operation

Federally Facilitated Exchange • Easiest implementation • Administration centralized outside Idaho • Reduced role for Idaho DOI • State of Idaho still incurs costs of implementation & operation • Federal agencies provide HIX oversight

Questions