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Similar a Georgia Voices for Medicaid Powerpoint - Fulton county
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Georgia Voices for Medicaid Powerpoint - Fulton county
- 1. Georgia Voices for Medicaid Laura Colbert, Executive Director Alyssa Green, Outreach and Education Manager
- 2. Georgians for a Healthy Future
- 3. Agenda • Pathways to healthcare coverage • Why healthcare coverage is important • What is Medicaid? • Medicaid supports…. • The economic case for Medicaid • What’s next for Medicaid? • Becoming a health advocate
- 4. Activity: Pathways to Coverage What are the ways that people in Georgia have access to health insurance?
- 5. Pathways to coverage under the ACA Job-based coverage Individual/non-group (healthcare.gov) Public health insurance coverage Medicare TriCare (Veterans) Kids: PeachCare/Medicaid Medicaid
- 6. Health Insurance Matters HEALTH INSURANCE IMPROVES FINANCIAL HEALTH 1 80 percent less likely to have catastrophic medical bills 2 Less likely to borrow money or fail to pay bills due to medical debt. 3 Nearly twice as many people without health insurance have medical bills or debt compared to people with health insurance. 1 More preventive care 2 Higher rates of “excellent” or “very good” health 3 Reduced mortality $ 1 Uninsured cost their local hospital $900 per year in uncompensated care costs. 2 In 2012, 43 of 109 Georgia counties with a hospital provided funding to their local hospital. HEALTH INSURANCE IMPROVES PHYSICAL HEALTH COMMUNITIES AND THE HEALTH SYSTEM SAVE MONEY
- 7. 1 in 5 of all Georgians 1 in 5 of all poor adults in Georgia* 1 in 2 of all children in Georgia *Poor is defined as ≤100% Federal Poverty Level Source: GBPI calculations based on data from U.S. Census Bureau and Georgia Department of Community Health Medicaid plays an important role in health coverage in Georgia
- 8. 5 The Federal Poverty Line is $12,140 for an individual and 16,460 for a couple.Not eligible Adult without dependent children Parent Aged, Blind, Disabled Breast, Cervical Cancer Nursing home & community care Pregnant women Children (Medicaid & PeachCare) 50%0% 100% 150% 200% 250% Children Eligibility Levels are cumulative Children Ages 6-19 Children Ages 1-5 Children Ages 0-1 PeachCare Source: Georgia Department of Community Health, thresholds rounded Who gets Medicaid in Georgia?
- 9. In Fulton County: -147,562 in Fulton County are on Medicaid •82,001 are children •15,613 are elderly -However, over 135,000 people in Fulton County are uninsured. •More than 69,000 of these people are employed and still are not covered. -Over 14,700 uninsured are children.
- 10. The creation of the coverage gap Employer-based coverage Individual/non-group (healthcare.gov) (Coverage Gap) Public health insurance coverage Medicare Medicaid TriCare (Veterans) Kids: PeachCare/Medicaid
- 11. Georgia’s health insurance coverage gap • 240,000 uninsured Georgians • Ineligible for Medicaid and do not earn enough to get tax credits on healthcare.gov
- 12. Who is in the coverage gap? • 37% white, 36% black, 22% Hispanic • 60% ages 18 to 39 • Working in construction, food service, grocery stores, retail, education & child care, trucking Hard-working Georgians
- 13. Real Georgians Darnell • PT employee at DisabilityLINK Deborah • AARP DisabilityLINK volunteer What does being in the coverage gap look like?
- 14. Medicaid by a Different Name
- 15. Activity What are other names for Medicaid?
- 17. Provide financial assistance to those who chose to seek care at home or in the community, instead of an institutional setting. NOW/COMP: allows seniors or those with disabilities to live independently in the community New Options Waiver (NOW)-for those who need less intensive care and urgent needs Comprehensive Supports Program(COMP)-for those who need out of home residential support and supervision or intensive in-home services Medicaid by a Different Name: Home and Community Based Services Waivers
- 18. Medicaid by a Different Name: ICWP (Independent Care Waiver Program)- helps adult Medicaid recipients with physical disabilities live in the community CCSP (Community Care Services Program)- for frail, older and disabled adults SOURCE (Service Options Using Resources in a Community Environment)- provides non-medical care services Home and Community Based Services Waivers
- 19. GAPP (Georgia Pediatric Program) serves eligible children under 21 years of age who are medically fragile and in need of medically necessary skilled nursing care and/or medically necessary personal care support Katie Beckett Waiver- allows children with disabilities to receive Care regardless of parental income Medicaid by a Different Name: For children
- 20. A Katie Beckett Waiver Story: Marie Myung-Ok Lee The Katie Beckett Waiver has helped many families, including that of writer for the New York Times, Marie Myung-Ok Lee. Her son is able to get the help he needs through this program.
- 21. Medicaid Supports Children • Medicaid covers 1.3 million children in Georgia, while PeachCare builds on this to protect even more children • Medicaid covers 100% of current and former foster children in Georgia (~28,000 children)
- 22. Medicaid Supports Children EPSDT (Early Periodic Screening, Diagnosis, and Testing) • Screenings • Vision services • Dental services • Hearing services • Diagnostic services • Treatment
- 24. Medicaid Supports Children Medicaid helps the Vickers Family
- 25. Medicaid Supports People with Disabilities Medicaid is the primary payer for essential long-term services and supports: • Nursing home care • Home and community based services • Wheelchairs, lifts, supportive housing services
- 26. Medicaid Supports People with Disabilities Medicaid helps people with disabilities find and hold jobs • Skills assessment • Job search and placement • Job training
- 27. Medicaid Supports People with Disabilities
- 28. Activity To join the poll: text HGA071 to 22333
- 36. Medicaid Supports Seniors • 185,404 seniors in Georgia are covered by Medicaid. • Nursing home and long term care for seniors are provided by Medicaid. • Medicaid also provides resources that allow seniors to age in place.
- 37. Medicaid supports pregnant women & newborns • Medicaid provides comprehensive care for women while pregnant, and up to 60 days post- partum • Pre-natal care can help detect serious health complications that are easier and cheaper to fix early on.
- 38. Medicaid supports pregnant women & newborns • Medicaid is a vital resource for expectant mothers. • In Georgia, half of all births are covered by Medicaid
- 39. 85% 86% 53% Medicaid Private Insurance Uninsured Percent reporting a well-child checkup in the last year Medicaid promotes healthy babies at the same rate as private insurance Medicaid supports pregnant women & newborns
- 40. An Economic Case for Medicaid
- 41. Medicaid is a good investment
- 43. Medicaid controls costs 1.1% 4.4% 0.0% 0.5% 1.0% 1.5% 2.0% 2.5% 3.0% 3.5% 4.0% 4.5% 5.0% Medicaid Private Health Insurance Medicaid’s modest growth per enrollee spending since 2007
- 44. 7 . DEC 2002 DEC 2006 DEC 2004 DEC 2008 DEC 2010 DEC 2003 DEC 2007 DEC 2005 DEC 2009 DEC 2011 Impact of 2001 Recession Impact of Great Recession Percent Change in Medicaid Enrollment When economic cycle is down, Medicaid enrollment increases. 15% 10% 5% 0% -5% -10% -15% Medicaid protects Georgians in economic downturns
- 45. What’s Next for Medicaid?
- 46. Georgia can map a route to a strong Medicaid program that works best for our state. Medicaid provides significant flexibility to states in the design of each state’s program. Georgia can create a program that works best for its budget, its health care system, and Georgians. COVERAGE Georgia is in the driver’s seat
- 47. What’s next for Medicaid? Closing Georgia’s coverage gap
- 48. What’s Next for Medicaid? Federal changes: Work Requirements Work Status and Reason for Not Working Among Non-SSI, Nonelderly Medicaid Adults, 2016 Working Full Time 43% Working Part Time 18% Not Working due to Ilness or Disability 14% Not Working due to School Attendance 6% Not Working due to Caregiving 12% Not Working for Other Reason 7%
- 51. Legislator sees need for new law or changes in existing law and decides to introduce bill 1. Legislator goes to Office of Legislative Counsel 2. Legislator files bill 3. Bill is formally introduced during period of first readings 4. Bill is assigned to a standing committee 5. In House only, 2nd reading on next legislative day (but bill is in committee) In Senate, 2nd reading comes after bill is reported favorably from committee
- 52. 6. Bill considered by committee. Author and other legislators may testify. If controversial, public hearings may be held. 7. Bill is reported favorably by committee and returned to Clerk or Secretary. 8. Clerk or Secretary prepares a General Calendar of Bills favorably reported from committee. 9. The Rules Committee of each house meets and from bills on General Calendar prepares a Rules Calendar for the next day’s floor consideration. 10.Presiding officer calls up bills from the Rules Calendar for floor consideration. 11.Once presiding officer calls bill up from Rules Calendar, Clerk or Secretary reads bill’s title (third reading). Bill is now ready for floor debate, amendments, and voting.
- 53. 12. After debate, main question is called and members vote. If bill is approved by a majority of total membership of that house, it is sent to the other house. 13. If second house passes bill, it is returned to house where bill was introduced. If changes are accepted…. If first house rejects changes and second house insists, a conference committee may be appointed. If committee report is accepted by both houses…. 14. Bill is enrolled and sent to Governor (if requested). Otherwise, all enrolled bills sent to Governor following adjournment sine die. 15. Governor may sign bill or do nothing, and bill becomes law. Governor may veto bill, which requires two-thirds of members of each house to override. 16. Act becomes effective the following July 1, unless a different effective date is provided in act.
- 54. Advocacy opportunities within the legislative process 1. Ideas for new law or changes to existing law 2. Committee hearings and votes - Provide testimony - Submit comments 3. Floor debates and votes - Contact your legislators
- 55. Other advocacy opportunities 1. Tell your legislator about the issues that are most important to you 2. Study committees - Provide testimony - Submit comments 3. Share your health care story 4. Ask local media to cover the issue 5. Rally, march, or demonstrate
- 56. During an election year…. • Ask candidates about health care issues • Vote!
- 57. Advocacy opportunities within the legislative process Cover Georgia Day at the Capitol
- 58. Contact your legislators In person Appointment at their office Get coffee with small group “On the ropes” (during legislative session) Phone Email To find out who your legislators are Healthyfuturega.org → “Get Involved” tab → Contact Your Legislator
- 59. How to talk to your legislators Tell them who you are, where you live, and why you are contacting them The “ask”—what do you want your legislator to do? Why is this issue important to you?
- 60. Activity: Find & contact your legislator • Go to: Healthyfuturega.org Hover over “Get Involved” click “Participate” Contact Your Legislator • Enter your contact information • Write a short message about why Medicaid is important to you and to Georgia
- 61. Advocacy Resources • Georgians for a Healthy Future— healthyfuturega.org – Georgia Health Action Network – Consumer Health Advocates Guide – FB & Twitter: @healthyfuturega – Events— healthyfuturega.org/events • Georgia Health News— georgiahealthnews.com • Georgia General Assembly— legis.ga.gov • Georgia Council on Developmental Disabilities
- 62. Join the Georgia Health Advocates Network Invite us to present in your community Vote! Share your health care story Advocacy opportunities
- 63. Wrap Up • What is your biggest take-away from today’s workshop? • What remaining questions do you have about Medicaid? • What is one thing you’re going to do with the information you learned today?
- 64. Thank you! Laura Colbert Executive Director lcolbert@healthyfuturega.org Alyssa Green Outreach & Education manager agreen@healthyfuturega.org 50 Hurt Plaza SE, Suite 806 Atlanta, GA 30303 Phone: 404-567-5016 Fax: 404-935-9885 info@healthyfuturega.org healthyfuturega.org FOLLOW & SHARE
- 65. In Dekalb County: -127,577in Dekalb County are on Medicaid •77,130 are children •11,511 are elderly -However, over 123,000 people in Dekalb County are uninsured. •63, 732of these people are employed and still are not covered. -Over 15,000 uninsured are children.
- 66. Deborah Hermon's Coverage Gap Story