Date: 07/15/2015

Final
Discussion with CHI about Questions Raised at June 5 Meeting

HEALTH CARE EXCHANGE

Votes: View--> Action Taken:
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09:05 AM -- Discussion with CHI about Questions Raised at June 5 Meeting

Jeff Bontrager, Colorado Health Institute, came to the table and began his presentation. He provided a memorandum to the committee (Attachment C) and responded to questions raised at the June 5, 015, committee meeting. Mr. Bontrager discussed how the health exchange could be improved in terms of efficiency, health care coverage, and financial sustainability. He stated that the first step is to identify the problem to be solved, and then consider how a 1332 waiver could be approached. He discussed other potential areas of improvement based on research in Colorado and in other states. For example, Arkansas provides a health insurance option for Medicaid clients and Vermont pursued a single payer option. He then discussed technological issues that states have faced and the sharing of information technology resources between states. Mr. Bontrager highlighted efforts to improve sustainability by increasing revenues and enrollment for the Small Business Health Options Program (SHOP) exchange. He stated that a 1332 waiver is a means to an end, not a goal by itself, and highlighted several key things to consider when Colorado looks at waiver options. He discussed certain requirements and limitations for 1332 waivers.

150715 AttachC.pdf150715 AttachC.pdf