J_HCE_2018A 06/04/2018 10:10:15 AM Committee Summary

Representative Lontine welcomed Kevin Patterson, Chief Executive Officer, and Brian Braun, Deputy Director, Connect for Health Colorado, to the table for a presentation on the Connect for Health Colorado FY 2018-2019 budget and 2018 open enrollment.  A document was distributed [Attachment A].

Mr. Patterson discussed plan year 2018 open enrollment statistics including enrollments, customer service improvements, carriers, and geographic distribution.

Mr. Patterson continued to discuss fiscal year 2019 initiatives including creating more intuitive system, improving transparency, expanding focus on rural Colorado, investigating the possible roles of the exchange in working with direct primary care providers, and working with small businesses.

Mr. Braun discussed the fiscal state of the exchange.  He described fiscal projections for fiscal year 2018, 2019, and 2020 and stated that the primary source of revenue comes from carrier fees, grants, and cost reimbursements.

Mr. Braun continued to discuss operating expenses.  These expenses include: technology and operations, customer service, marketing and outreach, and support services.  Mr. Braun noted that there is a projected -0.4 percent change in expenses in the projected budget from FY #2018 to FY #2019.

Mr. Braun discussed projected cash flows, capital expenses and projected cash for FY 2019 and FY 2020.

Mr. Patterson responded to questions concerning subsidies, technological upgrades, customer satisfaction, impacts of federal legislation on Colorado including the individual mandate, and enrollment and premium costs.

Marivel Klueckman, Department of Health Care Policy and Financing (HCPF), came to the table to discuss mixed medical households.  She explained that mixed medical health households are households with members enrolled in Medicaid or CHP+ and other members enrolled in Connect for Health Colorado with financial assistance.  A document was distributed [Attachment B].

Ms. Klueckman discussed income levels of these households and stated that there are approximately 1,157 mixed medical households in Colorado.

Ms. Kleuckman discussed how mixed households fill out an application to determine eligibility for health programs. The Households receive ongoing case management and customer service through their county office.

Kate Harris, Connect for Health Colorado, came to the table to discuss Connect for Health's initiatives concerning mixed eligibility households.

Ms. Klueckman and Mr. Patterson responded to questions concerning the inconsistent definition of household between federal agencies and state agencies, and churning trends.  Steve Erkenbrack, Vice Chair Connect for Health Colorado Board of Directors came to the table to respond to questions from the committee.

Ms. Harris responded to questions concerning CHP+ and the collaboration between Connect for Health and HCPF.

Mr. Klueckman and Mr. Patterson responded to questions concerning mixed eligibility households and the process from the customers standpoint.

Mr. Patterson responded to a question concerning previous problems with fraud and how Connect for Health is working to eliminate it.

Mr. Patterson, Ms. Harris and Ms. Klueckman explained how cost reimbursements work and customer service specific to mixed eligible households.

Committee members made concluding comments.