Lucy Culp Director Campaign Strategy and Management American Heart Association Sabotage in all shapes and sizes 2 Private Insurance Market Cuts to outreach and enrollment assistance Changes to Essential Health Benefits EHB starting in 2020 ID: 759334
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Fighting Back Against Health Reform Sabotage
Lucy Culp
Director, Campaign Strategy and Management
American Heart Association
Slide2Sabotage: in all shapes and sizes
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Slide3Private Insurance Market
Cuts to outreach and enrollment assistanceChanges to Essential Health Benefits (EHB) starting in 2020New guidance on 1332 waiversProliferation of non-compliant plans
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Slide4Plenty of non-compliant plans in the sea
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Short Term, Limited Duration Insurance (STLDI)
Association Health Plans
Healthcare Sharing Ministries
Transitional Plans
Slide5Impact on Consumers and the ACA Marketplaces
Inadequate coveragePreexisting condition exclusions and denialsSerious risk of incurring medical debtHistory of fraud and unpaid claims
Slide6Medicaid Waiver Whack-a-mole
Slide7Barriers to Medicaid Coverage
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CMS Medicaid Director letter opened the door
Work requirements
Additional co-pays and cost sharing
Lock-outs
Eliminating benefits
Eliminating retroactive eligibility
Times limits
Slide8Fighting back!
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Expand Medicaid and fight restrictive waivers
Maintain and strengthen EHB
Expand enrollment in comprehensive coverage and foster market stability:
State reinsurance programs
State-level individual mandates
Limit the spread of short-term plans and other skimpy coverage
Slide9Resources
American Heart Association:
https://www.heart.org/en/about-us/policy-research/advocacy-fact-sheets
Center on Budget and Policy Priorities:
https://www.cbpp.org/topics/health
Community Catalyst:
https://www.communitycatalyst.org/
Georgetown University
Center on Health Insurance Reforms:
https://chir.georgetown.edu/
Center for Children and Families:
https://ccf.georgetown.edu/
Families USA
Medicaid waivers:
https://familiesusa.org/product/restrictive-medicaid-1115-waivers-status-states
Defending Healthcare:
https://familiesusa.org/initiatives/defending-health-care-2018
Contact me at: lucy.culp@heart.org