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j_hce_2016a_2016-04-13t07:21:10z2 Hearing Summary

Date: 04/13/2016



Final

Update on Strategic Plan and Budgeting Process



COMMITTEE ON HEALTH CARE EXCHANGE


Votes: View--> Action Taken:
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08:09 AM -- Update on Strategic Plan and Budgeting Process



Mr. Patterson provided a handout to the committee (Attachment B). He discussed the planning process timeline as shown on page one of the handout and discussed the board retreat that was held during a regular board meeting. He discussed Option 1, Staying the Course, as detailed on page 3 of the handout (Attachment B). He explained that under this option the exchange's financial resources will be depleted by April 2018.



160413 AttachB.pdf160413 AttachB.pdf



08:20 AM



Mr. Petterson discussed Option 2, Streamlined State Based Marketplace, as detailed on page 4 of the handout (Attachment B). This option continues the full Connect for Health Colorado operations with expenditure reductions to stabilize the budget under current revenue projections. Committee discussion about enrollment assumptions followed.





08:23 AM



Mr. Patterson discussed Option 3, State Based Marketplace with Medicaid Eligibility Platform, as detailed on page 5 of the handout (Attachment B). Under this option the exchange will rely on the Department of Health Care Policy and Financing (HCPF) for eligibility services and will retain control over enrollment and other functions. Discussion about grants for assistance sites and the cost to HCPF of Option 3 followed.





08:31 AM



Mr. Patterson discussed Option 4, State Based Marketplace with Federal Eligibility and Enrollment Platform, as detailed on page 6 of the handout (Attachment B). Under this option, the federally facilitated marketplace provides eligibility and enrollment services for the state exchange while the state maintains eligibility and enrollment for Medicaid and certain other responsibilities.





08:35 AM



Mr. Paterson discussed Option 5, Full Service Federally Facilitated Marketplace, as detailed on page 7 of the handout (Attachment C). Under this option, the federally facilitated marketplace provides all exchange services and the state maintains an eligibility and enrollment system for Medicaid.





08:37 AM



Committee questions and discussion followed about the timeline to make a decision about which option to implement. Mr. Patterson stated that there was currently no timeline to make a final decision, but the exchange is working toward Option 2 by reducing overall cost. Discussion about implementing the provisions of House Bill 16-1148 followed. The committee discussed Option 3 and privatizing the exchange.



08:47 AM



The committee briefly discussed the implications on the exchange if the voters pass Amendment 69 - State Health Care System in November. Referencing page 8 of the handout (Attachment B), the committee discussed the different organizational models of state marketplaces.