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Medicaid Matters: The impact of coverage for Georgians

Medicaid provides health care coverage to almost two million Georgians, including 1.3 million children across the state and 500,000 seniors and people with disabilities. It’s comprehensive coverage provides needed health care services that would otherwise be unaffordable to low-income Georgia families and individuals in communities across the state. Because Medicaid is so fundamental to Georgians and Georgia’s health care system, GHF is highlighting it in two new resources!

The Medicaid Matters to Georgia storybook shares the real health care stories of Georgia children and families. Georgians from across the state share the important role that Medicaid plays in their lives. Hear directly from Sherry, Travis, Oliver, and others about their experiences. Oppositely, Mary, Susie, and other uninsured Georgians share how Medicaid coverage could improve their lives if state policy makers closed Georgia’s coverage gap.

 

 

Our new Medicaid Matters for Georgia fact sheet is updated with what you need know about Medicaid. This one-page fact sheet outlines who is eligible for Medicaid in Georgia, what health services and supports are covered, and why Medicaid is a good investment for Georgia.

 

GHF’s new resources bring attention to the difference Medicaid makes in the lives of Georgians every day and the potential it has to serve those who are currently uninsured. We hope these new resources help policymakers, advocates, and consumers from across the state better understand the importance of ensuring all Georgians have access to quality, affordable healthcare. We invite you to read and share both with your friends, colleagues, and partners.

 


Georgians for a Healthy Future is partnering with community groups across the state to host Georgia Voices for Medicaid events. If you are interested in learning more about Georgia’s Medicaid program, who it covers, how it benefits the state, and how you can be a strong health care advocate, you should attend! Check out our events page to see if we have any Georgia Voices for Medicaid events happening near you or contact Alyssa Green at agreen@healthyfuturega.org if you would like to schedule one in your community.


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Get to know our 2018 Consumer Health Impact Awardees!

Linda Smith Lowe Health Advocacy Award: Sylvia Caley

Community Impact Award: CaringWorks

Powerhouse Policymaker Award: Commissioner Frank Berry

Power House Policymaker Award: Representative Bob Trammel


Sylvia Caley, JD, MBA, RN recently retired as a clinical professor at Georgia State University College of Law teaching law students and other professional graduate students enrolled in the HeLP Legal Services Clinic. In addition, she teaches Health Legislation and Advocacy, a year-long course in which law students work with community partners to address health-related legislative and regulatory issues affecting the community. She was an adjunct clinical assistant professor at Morehouse School of Medicine, Department of Pediatrics. She is the director of the Health Law Partnership (HeLP), an interdisciplinary community collaboration among Children’s Healthcare of Atlanta, the Atlanta Legal Aid Society, and the College of Law. She is a member of the Ethics Committees at Grady Health System and Children’s Healthcare of Atlanta and also is a member of the Public Policy Committee at Children’s. She also is a member of the Advisory Committee on Organ Transplantation, U. S. Department of Health & Human Services. Her research interests focus on using interdisciplinary and holistic approaches to address the socio-economic and environmental issues affecting the health and well-being of children, specifically the lives of low-income, chronically ill, and disabled children. For her years of service and leadership in Georgia, we are proud to honor Sylvia with the Linda Smith Lowe Health Advocacy Award.


CaringWorks, Inc. was founded in 2002 with a mission to reduce homelessness and empower the marginalized by providing access to housing and services that foster dignity, self-sufficiency and well-being. It was built on the single idea that every citizen, no matter their social or economic standing, should have the chance to improve their quality of life. CaringWorks specializes in providing housing, mental health services, substance use disorder treatment, and an array of related social supports to individuals and families who are experiencing homelessness.

In the 15 years since it’s founding, CaringWorks has grown into one of the largest supportive housing providers in the greater Atlanta area. In 2018, the agency will impact over 900 extremely low-income men, women and children who are facing homelessness, over 90% of whom are expected to achieve permanent, sustainable housing. It collaborates with partners throughout the city of Atlanta, Fulton, DeKalb, Rockdale, Henry and Newton counties to serve the individuals considered to be the most vulnerable and at-risk of injury, illness, or death. For their service, commitment, and impact, we are proud to honor CaringWorks with the Community Impact Award.


Frank W. Berry is the Commissioner for the Georgia Department of Community Health (DCH). In this role, he leads the $14 billion agency responsible for health care purchasing, planning and regulation, and improving the health outcomes of Georgians. The agency administers Georgia Medicaid and the State Health Benefit Plan (SHBP), and provides access to health care coverage for approximately one in four Georgians. In addition to Medicaid and SHBP, he also oversees Healthcare Facility Regulation Division, Office of Health Planning (which implements the Certificate of Need program), and the State Office of Rural Health.

Prior to joining DCH, Berry served as the Commissioner of the Georgia Department of Behavioral Health and Developmental Disabilities for four and a half years, and has more than 30 years of public service experience. He was previously the Chief Executive Officer of View Point Health Community Service Board. Berry serves as the Chairman for the ABLE Board and is a member of the First Lady’s Children’s Cabinet. Commissioner Berry has demonstrated his dedication to bettering health care in Georgia we are proud to recognize him as a 2018 Powerhouse Policymaker.


Bob Trammell practices law at the Trammell Firm, which he founded in Luthersville, Georgia in 2003. He is truly a son of the 132nd district; his law office is located in the former home of his grandparents. Bob started his legal career as a law clerk in the United States District Court for the Northern District of Georgia. He subsequently practiced law at King and Spalding before returning home to start his own firm. Since 2011, Bob has served as the county attorney for Meriwether County. He is also a member of the Meriwether County Chamber of Commerce and the Meriwether County Bar Association.

Education has always been a priority for Bob, particularly because both of his parents are retired educators. Bob is a 1996 summa cum laude graduate of the University of Georgia, where he was a Foundation Fellow majoring in English and Political Science. He obtained his law degree from the University of Virginia School of Law in Charlottesville, Virginia in 1999. Bob believes strongly that education is essential to preparing Georgia’s workforce for the jobs of today and the jobs of the future. Investment in science, technology, engineering, and math programs is the key to creating job opportunities for all Georgians.

Bob and his wife Jenny reside in Luthersville where they are busy raising daughters Mary, three years old, and Virginia, who will be two in September. Jenny, a graduate of the University of Georgia, works as a pharmacist with CVS-Caremark in LaGrange. Bob and Jenny can think of no other place that they would want to raise their family. Bob believes in making Georgia the best place to work, learn, and live for not only his family, but for all Georgians.  For his steadfast commitment to improving the lives of all Georgians, we are honored to recognize him as a 2018 Powerhouse Policymaker.

 

We hope you’ll join us tomorrow, on September 6th as we recognize our amazing awardees! RSVP


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Eight questions for health care voters to ask of Georgia candidates

Georgians across the state are being asked to decide how they will cast their votes in November for positions such as Governor, Insurance Commissioner, state senator and state representative. The decisions made by voters about these elected positions will directly impact critical consumer health issues in Georgia like access to health care, affordability of health insurance, the opioid crisis, and the sustainability of the rural health care system.

As candidates crisscross the state or their districts asking for support, voters will consider their stances on a number of important issues including health care. To help voters make their decisions, we put together this list of questions for voters to ask of candidates about five timely and pressing consumer health care issues.

These questions can be used at town halls and candidate forums or posed to candidates via social media or in one-on-one conversations.

Closing the coverage gap
  • Over 240,000 Georgians make too little to receive financial help to buy private health insurance but do not qualify for Medicaid, meaning they fall into the Medicaid coverage gap. Many of the families who fall in the gap are hard-working people who work in industries that make up the backbone of our state: trucking, food service, and childcare. Do you support using federal funds to close the Medicaid coverage gap and offer affordable health coverage to these 240,000 Georgians while boosting the Georgia’s economy? Please explain.
  • A 2016 Department of Health and Human Services study showed that marketplace premiums were on average 7 percent lower in states that extended Medicaid to low-income residents. Do you support closing the Medicaid coverage gap as one method to reduce health care costs and lower the uninsurance rate for consumers in Georgia? Please explain.
Georgia’s health insurance marketplace
  • Health insurance premiums for Georgia consumers will rise by as much as 15 percent in 2019 due to the repeal of the individual mandate by Congress and the elimination of cost-sharing reductions, among other things. If elected, what improvements would you make to our health care system to ensure your constituents have access to high quality, comprehensive and affordable health insurance?
  • The federal government has expanded insurance companies’ ability to sell short-term plans that do not cover key services like mental health treatment or prescription drugs. These plans will increase health care costs and roll back consumer protections that many families in our state depend on. How do you think Georgia should regulate these plans?
Opioid/substance use crisis
  • In 2016, about three Georgians died each day from drug overdoses and thousands of Georgians live with substance use disorders regularly. To slow this crisis, a broad spectrum of strategies will be needed from prevention and early intervention to expanded access to treatment. If elected, what would you do to address the state’s substance use crisis?
 Communities left behind
  • Seven rural hospitals in Georgia have closed since 2010. Rural hospitals are often the largest employer in the area and are the economic engines that help to support local small businesses (like the flower shop or pharmacy). If elected, what will you do ensure that rural communities have adequate access to quality, affordable health care?
  • People of color in Georgia have shorter life expectancies, higher rates of chronic disease, and are more likely to be uninsured and live in medically underserved areas. The causes of these outcomes are complex and linked to reduced access to quality education, fewer economic opportunities, discrimination, and other social and economic factors. As (Governor/Insurance Commissioner/other position title), how would you address the health disparities experienced by people of color in Georgia?
Defending health care gains
  • Over the past two years Congress has repeatedly attempted to repeal the AffordableCare Act (ACA) and slash federal Medicaid funding that our state relies on, despite the fact that 74 percent of the public view the Medicaid program favorably. If elected, will you support/continue to support the program in the face of threats? Please explain.

 


Did you ask one of these questions to a candidate? Let us know! We want to know which questions were most helpful and how candidates are responding. Email Michelle Conde at mconde@healthyfuturega.org with your feedback.

 

 

*Georgians for a Healthy Future is a non-partisan, 501(c)3 organization. We do not endorse or support any candidates or political party.


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GHF co-hosts Georgia Voices for Medicaid training with Athens-Clarke County Library

Georgians for a Healthy Future hosted another Georgia Voices for Medicaid training on Friday, August 10th in partnership with the Athens Clarke County Library. The Georgia Voices for Medicaid trainings are designed to give participants the knowledge and skills they need to advocate for timely, important health care issues impacting Georgians.

At last week’s training, participants learned that Georgia’s Medicaid program provides health insurance for half of Georgia’s children, and that it also covers low-income people with disabilities, seniors, and pregnant women. In Clarke and Barrow counties, 15,830 and 10,845 residents respectively are covered through Medicaid. Alyssa Green, GHF’s Outreach & Education Manager, shared testimonials from several Georgians who are covered by Medicaid to demonstrate the real benefits of coverage to training participants. Alyssa also introduced ways that participants can advocate for the health care issues that matter most to them, like protecting and improving the Medicaid program or bringing down health care costs.

The training concluded with an invitation for attendees to continue their health care advocacy work with GHF’s new Georgia Health Action Network (GHAN) program. GHAN is a volunteer-led program that fosters and supports grassroots health advocates who work alongside GHF to reach a day when all Georgians have access to the quality, affordable health care they need to live healthy lives and contribute to the health of their communities.

If you were unable to attend this Georgia Voices for Medicaid event, check out our upcoming trainings or contact Alyssa at agreen@healthyfuturega.org or 404-567-5016, ext. 2 to schedule a training in your community. You can also contact Alyssa learn more about GHF’s new Georgia Health Action Network.


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GHF co-hosts Georgia Voices for Medicaid training with Central Outreach & Advocacy Center

Georgians for a Healthy Future hosted its Georgia Voices for Medicaid training on Thursday, July 19th in partnership with the Central Outreach & Advocacy Center.  The Georgia Voices for Medicaid trainings are designed to give participants the knowledge and skills they need to advocate for timely, important health care issues impacting Georgians.

At this week’s training, participants learned that Georgia’s Medicaid program provides health insurance for half of Georgia’s children, and that it also covers low-income people with disabilities, seniors, and pregnant women. In Fulton and DeKalb counties—Georgia’s two most populous counties–118,755 and 107,340 residents respectively are covered through Medicaid. Alyssa Green, GHF’s Outreach & Education Manager, shared testimonials from several Georgians who have Medicaid, including the story of a Georgia man who credits Medicaid as the reason he is able to financially support himself and work in his community.

GHF’s Executive Director Laura Colbert introduced ways that participants can advocate for the health care issues that matter most to them, like protecting and improving the Medicaid program or bringing down health care costs. Participants were given the opportunity to practice their advocacy skills by sending an introductory email to their state legislators that communicated what they learned at the training.

The training concluded with an invitation for attendees to continue their health care advocacy work with GHF’s new Georgia Health Action Network (GHAN) program. GHAN is a volunteer-led program that fosters and supports grassroots health advocates who work alongside GHF to reach a day when all Georgians have access to the quality, affordable health care they need to live healthy lives and contribute to the health of their communities.

If you were unable to attend this Georgia Voices for Medicaid training, join us for our next training event in Athens or contact Alyssa at agreen@healthyfuturega.org or 404-567-5016, ext. 2 to schedule a training in your community. You can also contact Alyssa learn more about GHF’s new Georgia Health Action Network.


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Medicaid Matters: Coverage saves lives

Queenesther is a mother of five children living in Albany, GA. She and her children, all under the age of 10, receive health care coverage and care through Medicaid.

Queenesther recently underwent surgery to remove an ectopic pregnancy that was causing severe health issues and could have proved fatal. “Had it not been for Medicaid I wouldn’t have been able to get it removed and who knows what would have happened,” she said, reflecting on the importance of Medicaid for herself and her family. Because she was able to have the ectopic pregnancy removed quickly, Queenesther has been able to focus on caring for her young family and earning her degree.

Queenesther is fortunate compared to many low-income parents because Georgia makes it very difficult for parents to qualify for Medicaid coverage. Because Georgia’s Governor and the state legislature have so far refused to extend health coverage to most low-income parents (and other poor adults), parents must make less than 36% of the federal poverty line ($7656 annually for a family of three) to qualify for insurance through Medicaid. Parents who make between 36% and 100% of the federal poverty line ($9096-$25,100 annually for a family of four) are stuck in the coverage gap with no pathway to affordable coverage.

In Dougherty County, where Queenesther and her family live, 5,472 people, 22% of whom are parents, are stuck in the coverage gap but could be covered if Georgia’s policy makers extended insurance to this group. Like Queenesther, gaining coverage would enable them to better care for their children, pursue an education, and support their families.

For more on how parents and families would benefit from extending health insurance coverage, please revisit the Many Working Parents and Families in Georgia Would Benefit from Extending Medicaid Coverage report from GHF and the Georgetown Center on Children and Families.


Your story is powerful! Stories help to put a human face to health care issues in Georgia. When you share your story, you help others understand the issue, its impact on Georgia, and its importance.

Your health care story is valuable because the reader may be your neighbor, friend, someone in your congregation, or your legislator. It may inspire others to share their stories or to become advocates. It is an opportunity for individuals who receive Medicaid or fall into the coverage gap, their family members, their physicians and concerned Georgia citizens to show that there are real people with real needs who will be impacted by the health policy decisions made by Congress and Georgia’s state leaders.

Share your story here!


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Five reasons Georgia should follow Virginia’s example

Last week, Virginia became the latest state to expand health care coverage to low-income adults when the Virginia legislature voted to close the its coverage gap and Governor Northam signed the new budget. More than 400,000 Virginians are expected to gain coverage as a result, and the state anticipates declines in uncompensated care costs for hospitals, an increase in people receiving needed health services, and greater financial security for those set to gain coverage. The vote comes after years of advocacy and engagement from constituents and advocates who worked to convey to legislators the importance of health coverage and the impact the change would have on the lives of hundreds of thousands of Virginians.

Unlike Virginians, 240,000 hard-working Georgians cannot yet look forward to putting a health insurance card in their pockets. These friends and neighbors make too little to get financial help to buy health insurance and don’t qualify for Medicaid in Georgia, leaving them stuck in the state’s coverage gap.

Georgia remains one of 17 states that is still refusing billions in federal health care dollars to provide health coverage to low-income adults in the state. As in Virginia, Georgia’s Governor and state legislature can choose to close the coverage gap at any time, and here are five reasons they should do so as soon as possible:

  1. Thousands of Georgians would gain health coverage–240,000 Georgians would gain the peace of mind, access to care, and financial protection that insured Georgians have. These Georgians make less than $12,140 a year  or $20,780 for a family of three. Most are working in sectors like retail, child care, construction, and food service, low-paying jobs that do not come with benefits.
  2. Georgia’s rural hospitals are economic anchor institutions–rural communities need their hospitals to provide accessible healthcare, sustain well-paid jobs, and facilitate economic stability. Closing the coverage gap would create at least 12,000 new jobs and $1.3 billion in new activity in Georgia’s rural communities each year.
  3. The resulting job growth is greater than what the state would gain by attracting Amazon’s HQ2–extending health coverage to more Georgians would create 56,000 new jobs across the state, more than the 50,000 jobs that Amazon is promising at its second headquarters. Even better, the new jobs would be scattered across the state rather than concentrated in and around Atlanta.
  4. Georgia’s tax dollars are currently sitting unused in Washington, D.C.–By refusing to extend health insurance to low-income Georgians, the state is missing out on $8 million per day ($3 billion dollars per year). Instead of giving up hard-earned tax dollars, Georgia’s policy makers could bring that money back to the state to help low-income parents, veterans, and workers put health insurance cards in their wallets.
  5. It is the biggest step Georgia can take to slow the substance use crisisOne quarter (25%) of Georgians who fall in the coverage gap are estimated to have a mental illness or substance use disorder. If they were covered by health insurance, treatment and recovery services would be within reach, allowing them to resume full, healthy lives. As a result, 36,000 fewer Georgians each year would experience symptoms of depression and the state could make significant progress in addressing its ongoing substance use crisis.

 

After five years of delay, Virginia’s leaders made the right decision and as a result, 400,000 Virginians will see healthier futures. Now is the time for Georgia’s decision makers to follow suite by putting 240,000 insurance cards in wallets all across the state.

 

Virginia State Capitol Image  – Skip Plitt – C’ville Photography


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GHF adopts new strategic plan ahead of 10-year anniversary

Established in 2008 to provide a unified voice, vision, and leadership for Georgia health care consumers, particularly vulnerable and underserved populations, Georgians for a Healthy Future has provided substantive health policy information to community leaders and organizations, individual consumers, and advocates throughout the state; offered Georgians the tools and information they need to become empowered health care consumers and strong advocates; successfully injected the consumer perspective into hundreds of health care stories in the media; and engaged with policymakers to spark policy change for a healthier Georgia.

Our organization celebrates its ten-year anniversary this year. Prompted by this milestone and the near-completion of a previous strategic plan, our leadership in 2016 launched a new strategic planning effort to chart a path forward for the next phase of our work. The process included an examination of the needs of Georgians with respect to health care and coverage, consideration of the federal and state public policy environments, engagement of organizational partners, stakeholders, and funders, scrutiny of GHF’s financial and non-financial resources, and input from the organization’s board of directors and staff.

The result is a new strategic plan that sets out what we must do to ensure continued progress towards GHF’s mission and vision and to secure the sustainability of our organization through another ten years. Success in these efforts will require the collective energy of all of GHF’s stakeholders—our board of directors and staff, coalition partners, donors, and Georgia consumers.

We are excited to share this plan with you. We hope that you will find inspiration within it to take an active role in helping us achieve the success we have envisioned.

Download GHF’s strategic plan

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Inspired to take action? Volunteer, donate, advocate, or contact Michelle Conde at mconde@healthyfuturega.org.


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Moms need Medicaid

Valerie is a mother of three children living in Lamar County. Medicaid covers all three of Valerie’s children, and they rely on the health coverage it provides for their varying health needs. Valerie sometimes has difficulty accessing the care and information the family needs because they live in a rural area, but acknowledges that Medicaid is a lifeline that makes it possible for her to focus on her family’s other needs. Without health insurance through Medicaid, Valerie would have to pay hefty medical bills to ensure her children receive the care they require.

 

Susie is the sole caretaker of her young granddaughter, but she has a hard time caring for herself because she is stuck in Georgia’s coverage gap. She makes more than $6300 annually, so she doesn’t qualify for Medicaid coverage as a caregiver, and she doesn’t make enough to receive financial help to buy health insurance through the Marketplace. Susie is currently undergoing treatment for cancer but because she lacks health coverage, Susie is only able to receive cancer treatments from a doctor that allows her to make low monthly payments. Susie has other chronic health issues that need to be managed but finds it difficult to receive consistent care without insurance. Because Georgia’s elected officials have not extended Medicaid to cover caregivers like Susie, she struggles to care for herself while working to ensure her young granddaughter receives the care and support she needs to grow up healthy and thrive.

Medicaid provides access to needed health care services for low-income soon-to-be-moms, new mothers, and very low-income parents of minor children. For moms like Valerie, Medicaid makes being a mom a little easier by ensuring that their children have access to the health care services they need to grow and stay healthy. For others, Medicaid would help them get or stay healthy so they can best fulfill the responsibilities of being a mothers or caregivers. Over 150,000 uninsured women like Susie would gain health insurance if Georgia’s decision makers extended Medicaid to cover low-income adults (those making less than $16,000 annually for an individual or $20,780 for a family of three).


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Healthy Minds, Healthy Bodies: FY2019 budget and children’s mental health

Despite several missed opportunities to address consumer health concerns during this year’s state legislative session, the FY2019 budget includes several impactful investments. Last week, Governor Nathan Deal traveled through Georgia and held budget signing ceremonies in Atlanta, Acworth, Blue Ridge, Statesboro, and Tifton for the $26 billion spending plan which will begin on July 1 of this year through June 30, 2019. The infusion of dollars into children’s mental health is especially noteworthy and exciting because of the impact it is expected to have across the state.

Governor Deal has recently made children’s behavioral health one of his top health care priorities and this year included in his proposed budget $20.6 million to fund recommendations from the Governor’s Commission on Children’s Mental Health. During its consideration of the state budget, he legislature ultimately increased the funding dedicated to these recommendations to $21.4 million.

These funded recommendations include behavioral health crisis services, supported employment and education for young adults with behavioral health needs, provider training and telehealth, and opioid abuse prevention for youth. Funding for suicide prevention will in part go towards expanding the capacity of GCAL, the Georgia Crisis and Access Line, which provides 24/7 online and telephone support for people who are seeking services for developmental disabilities, mental health, or substance use issues. Some of the additional funding is also dedicated to the Georgia Apex Program, a school-based mental health program that improves early identification, access to and coordination of needed behavioral health (BH) services for children with BH needs..

In the coming months, we will break down the Commission’s funded priorities and their impact on young Georgians. Look for our Healthy Minds, Healthy Bodies blog mini-series.

Looking for more information on this topic? Georgians for a Healthy Future will be hosting an educational forum later this month during which we will explore the behavioral health needs of Georgia children and youth, Georgia’s publicly-supported behavioral health landscape, and successes and opportunities in the current system of care. Join us in person or via webcast for this exciting and important event!


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Apr 17, 2024
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