Transcript Document

Washington Health Benefit Exchange
In-Person Assister (IPA) Program
NORTH PUGET SOUND REGION
Whatcom Alliance for Health Advancement
Lead Organization, North Puget Sound Region
PURPOSE AND OBJECTIVES
Purpose
This section gives an overview of the WA Health Benefit
Exchange (HBE) and the In-Person Assister (IPA) Program
Objectives
Upon completion of this presentation you will:
▪ Understand the structure of the HBE in WA State
▪ See where the role of the IPA fits
▪ Know the IPA regions
2
TOPICS
▪ WA Health Benefit Exchange
▪ Customer Support Options
▪ Lead Organizations
▪ North Sound Networks
▪ Uninsured populations
3
WA HEALTH BENEFIT EXCHANGE
▪ Part of the Affordable Care Act
▪ Separate State agency
▪ On-line “marketplace” for enrolling in/purchasing
health insurance
▪ Washington’s Exchange: WAhealthplanfinder.org
4
WWW.WAHBEXCHANGE.ORG
5
WASHINGTON HEALTHPLANFINDER
QHP Logo
6
CUSTOMER SUPPORT OPTIONS
Agent
Broker
Customer
Support
Center
Website
Partner
In-person
Assister
(Navigator)
SelfDirected
Statewide Marketing and Outreach
HBE (Advertising/Media)
Outreach Partners
Agent
Broker
Customer
Support
Center
In-Person
Assister
(Navigator)
oufdff
Website
Partner
SelfDirected
IPA PROGRAM
State
Regions
Exchange
Lead
Org
Lead Orgs (10)
Lead
Org
Lead Lead
Org Org
Lead
Org
Lead
Org
Networks
IPA Orgs/Partners
9
LEAD ORGANIZATION RESPONSIBILITIES
▪ Build local network of community-based
organizations
▪ Lead outreach and education activities for
network area
▪ Train IPAs within the networks
▪ Financial agent for network partners
▪ Performance monitoring
▪ Reporting
10
*Urban Institute
12
NORTH SOUND REGION UNINSURED
County
Population
Total
Total qualify for
Uninsured (< Medicaid
65 y.o.)*
expansion*
Total qualify Total
for subsidies* Eligible*
Whatcom County
207,200
25,100
7,500
11,900
19,400
Skagit County
120,400
19,600
5,300
8,600
13,900
Island County
80,900
9,600
3,500
3,900
7,400
San Juan County
16,200
2,700
700
1,200
1,900
Snohomish County
734,900
112,400
25,600
49,600
75,200
TOTAL North Puget Sound
5-County Region
1,159,600
169,400
42,600
75,200
117,800
Data is from Washington State Insurance Commissioner Report, May 2012
* WAHA enrollment targets set to 50% eligible population for Whatcom, San Juan, Island and Skagit; 15% for Snohomish
13
Who Needs to Connect to the Exchange?
Underinsured
Self-payers
Self-payers
People in
Transition
Homeless
*Small
Business
Self-Employed
Creatives and
Independents
Functioning
Disabled
Unemployed
Others
Cobra
Enrollees
Early Retirees
Invincibles
Waiting for 65
14