More than a year after the state launched the Pathways to Coverage program, offering Medicaid in exchange for work or other state-approved activities, advocates say the program is too difficult…
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The following opinion piece by Georgians for a Healthy Future’s Executive Director Cindy Zeldin originally appeared in today’s Atlanta Journal-Constitution.
Large majorities of young adults say they need and value health insurance, yet people in this age group are far more likely to be uninsured than children, seniors or older adults. Thirty-five percent of Georgians between 18 and 34 are uninsured. How can something so important be so elusive?
Until now, the health insurance of millenials had largely been neglected by public policy, leaving them with few options that provided adequate benefits at an affordable cost.
Most Americans get health insurance as a workplace benefit. They get a substantial employer contribution and receive these benefits on a pre-tax basis. Today’s young adults, however, are entering the job market in a tough economy. They are less likely to land jobs with health insurance. They often cobble together internships and part-time work to gain experience and make ends meet. For too many young adults, there simply has been no viable pathway to coverage.
The tide is turning. An estimated 3.1 million young adults nationwide — and 123,000 here in Georgia — have gained coverage as a direct result of an Affordable Care Act provision that allows parents to keep their children on policies up to age 26. This popular and effective public policy change was just a first step. The new health insurance exchanges will provide options for young adults who previously had nowhere to go.
These plans provide decent benefits and, in many cases, access to tax credits to make them affordable. The tax credits, available to individuals with annual incomes between $11,490 and $45,960, can be taken either at the time health insurance is purchased or at tax time. Some moderate-income individuals also can get help with out-of-pocket expenses.
For millenials who had been underwhelmed with the health insurance options available to them in the past, this is a breath of fresh air. For example, maternity coverage had been nearly impossible to secure in the Georgia non-group market for young couples ready to start a family. Now, this important benefit will be available.
While it is true some young adults enrolled in old plans may see higher premiums, many of those old plans didn’t provide adequate protection. Further, young adults who had a pre-existing chronic helath condition were locked out of the market entirely, a practice insurance companies must discontinue.
The private insurance plans available through the exchanges won’t meet the needs of all young adults in Georgia. Those who have incomes that place them below the poverty line will likely remain uninsured unless Georgia expands its Medicaid program.
Most young adults want what Americans of all ages want: the peace of mind that comes with knowing that an unexpected cancer diagnosis or accident doesn’t equal financial ruin, and that they have access to basic medical services. The new coverage options are finally leveling the playing field for this generation. It’s about time.
This year’s Health Care Unscrambled will feature a lively discussion with five Georgia policymakers: State Representatives Pat Gardner (D-District 57), Buzz Brockway (R-District 102), and Karen Bennett (D-District 94); State Senator Chuck Hufstetler (R-District 52), and Trey Sivley of the Georgia Department of Insurance. Please bring your health policy questions and don’t forget to register for what has become an annual legislative tradition for Georgia’s health advocacy community!
With the changing healthcare landscape, there are new words and phrases that the average consumer is unfamiliar with. Navigators….Certified application counselors (CACs)….and even Marketplace. As consumers try to gather as much information as they can to make informed health care decisions, Georgians for a Healthy Future will continue to demystify the changes and provide you the information you need to make the right decision for you and your family. (more…)
On Tuesday, October 1, 2013, Georgia’s Health Insurance Marketplace opened for business–www.healthcare.gov. So, what’s next? Six months during which uninsured Georgians can learn about their health care options and take advantage of new programs to help them access affordable coverage, often for the first time. Open enrollment runs from October 1, 2013 to March 31, 2014 and during this period the work of outreach and education to communities across our state will never be more important. (more…)
By Em Elliott, Jeff Graham, and Amanda Ptashkin
Georgia Equality and Georgians for a Healthy Future have been working together within the larger Cover Georgia coalition to educate and advocate on the issue of Medicaid in Georgia. Under the Affordable Care Act, states have the option to create a new category of eligibility for Medicaid to cover low-income individuals and families, financed almost entirely with federal dollars. Implementing this expansion is the only viable way to cover Georgia’s low-income uninsured, and it will pump resources into our state’s healthcare delivery system. Many other states are also advocating for expansion and Community Catalyst, a national health care reform advocacy organization, came to us with some questions around advocacy, lessons on collaborative partnerships, and the way this issue effects the LGBTQ community.
Today, the U.S. Department of Health and Human Services (HHS) awarded health insurance navigator grants to 105 organizations in states with federally facilitated or partnership exchanges to conduct outreach and facilitate enrollment into qualified health plans when open enrollment begins in October. Georgians for a Healthy Future is excited to announce that we are part of a consortium of 15 partners, led by Seedco, a national non-profit organization that advances economic opportunity for people, businesses, and communities in need, that received one of two grants awarded for Georgia. We look forward to playing an active role in connecting Georgia consumers to the new health care coverage opportunities available to them.
Georgians for a Healthy Future will support the consortium’s success by drawing upon our strengths as a consumer health care advocacy leader, experience building and managing coalitions, and knowledge of the Affordable Care Act. In particular, we will work to ensure that the consortium’s activities are coordinated with a wide array of organizations in Georgia that share the goal of maximizing health insurance enrollment in our state. Through our Connecting Georgians to Coverage initiative, we have already held several webinars and meetings for organizations planning to participate in outreach and enrollment in Georgia. To learn more about our work to date in this area, click here. If your organization is planning to engage in outreach and enrollment, either as a navigator, certified application counselor organization, or champion for coverage and if you would like to coordinate your efforts with ours, please email Amanda Ptashkin at aptashkin@healthyfuturega.org.
Here is a full list of our navigator consortium members who will work collaboratively with Seedco and with other organizations and stakeholders to connect Georgia’s uninsured to health care coverage:
- Boat People SOS
- Center for Black Women’s Wellness
- Emory-Grady Urban Health Initiative
- Georgia Equality & The Health Initiative
- Georgia Refugee Health and Mental Health
- Georgia Watch
- Georgians for a Healthy Future
- Healthy Mothers Healthy Babies Coalition of Georgia
- Jewish Family & Career Services
- Latin American Association
- Mental Health America of Georgia
- Parent to Parent
- Quality Med-Care Inc.
- Spring Creek Health Cooperative
We look forward to working with Seedco and this strong and diverse coalition over the next year!
Please join Georgians for a Healthy Future at our first ever benefit concert at Variety Playhouse in Little Five Points with headliner Paul Thorn on September 7, 2013. The opening act will be Jackson County Line.
You can purchase your tickets through www.ticketmaster.com or by clicking here. We hope that you’ll join us for this entertaining evening of music and camaraderie.
WHEN: Saturday September 7, 2013, 8pm
WHERE: Variety Playhouse, Atlanta, GA, 1099 Euclid Avenue, Atlanta, GA 30307
During the 2013 Legislative Session, our state policymakers passed HR 107, which created a joint study committee on Medicaid reform. The purpose of the committee is to evaluate the state’s Medicaid program, examine best practices in other states, and plan for the future of the program. Many health care advocates monitored the legislation closely during the past Legislative Session because of the important role that Medicaid plays in providing health care services to our state’s most vulnerable citizens. The first meeting date for the study commission has been announced and will be held on August 28th from 10am – 12pm. The location for the meeting has not yet been announced, but more information about the committee is available here.
Open enrollment for the new health insurance marketplace begins on October 1st–a mere 53 days from today. Over the past several months, Georgians for a Healthy Future has been working with community-based organizations, health care focused nonprofits, and other stakeholders to discuss plans for coordinating outreach and enrollment efforts in preparation for the new marketplace. Thanks to your robust participation, we have already had several productive conversations to get this effort underway. Last week, we held a webinar to share the latest information available on national and state plans around outreach and enrollment.
During the 2013 Georgia Legislative Session, our state’s policymakers enacted HB 198 into law, which requires state training, licensure, background checks, and continuing education for navigators. Georgians for a Healthy Future has some concerns about this law and the potential hurdles it sets up for community-focused nonprofits already facing an uphill battle to reach, educate, and facilitate enrollment for consumers who haven’t historically had insurance. As such, we reached out to the Georgia Department of Insurance with suggestions to make the implementation of the law less burdensome for navigators, and some of our input was incorporated.
The proposed rule was presented at a hearing held by the Department of Insurance on July 30th. The regulation implementing HB 198 is available here. Georgians for a Healthy Future was also featured in two recent news articles in the Atlanta Journal-Constitution about the navigator program, available here and here. Additionally, the Center for Public Integrity just released an article focusing on various state licensure laws as they affect navigators. That article can be found here. We will continue to monitor this process with an eye towards ensuring navigators and assisters aren’t impeded from carrying out their important work.
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