washington health benefit exchange north puget sound region whatcom alliance for health advancement...
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Washington Health Benefit Exchange
NORTH PUGET SOUND REGION
Whatcom Alliance for Health Advancement Lead Organization, North Puget Sound Region
In-Person Assister (IPA) Program
PURPOSE AND OBJECTIVESPurpose
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
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TOPICS▪ WA Health Benefit Exchange
▪ Customer Support Options
▪ Lead Organizations
▪ North Sound Networks
▪ Uninsured populations
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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
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WWW.WAHBEXCHANGE.ORG
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WASHINGTON HEALTHPLANFINDER
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QHP Logo
Draft
Website
Agent Broker
In-person Assister
(Navigator)
Self- DirectedPartner
Customer Support Center
CUSTOMER SUPPORT OPTIONS
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Website
Agent Broker
In-Person Assister
(Navigator)
Self- DirectedPartner
Customer Support Center
Statewide Marketing and OutreachHBE (Advertising/Media) Outreach Partners
IPA PROGRAM
State
Regions
Lead Orgs (10)
Networks
IPA Orgs/Partners
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Exchange
Lead Org
Lead Org
Lead Org
Lead Org
Lead Org
Lead Org
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
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EXPERT SUPPORT IS AVAILABLE
NORTH SOUND REGION UNINSURED
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County Population Total Uninsured (< 65 y.o.)*
Total qualify for Medicaid expansion*
Total qualify for subsidies*
Total 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
Who Needs to Connect to the Exchange?
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Self-Employed
*Small Business
Others
Underinsured
Self-payersSelf-payers
People inTransition
InvinciblesCobraEnrollees
Unemployed
FunctioningDisabled
Early RetireesWaiting for 65
Creatives andIndependents
Homeless