Effective Coverage Expansions for Uninsured Kids and Their Working Parents: Links to Job-Based Coverage
Transcript of a policy conference on coordinating with employment-based health coverage to cover uninsured working families. Sponsored by the Institute for Health Policy Solutions and The National Governors’ Association under a grant from The David and Lucile Packard Foundation. Crowne Plaza Hotel, Washington, DC, May 18, 2001.
Due to the size of the transcript, a separate file has been prepared for each session. In the agenda / table of contents that follows, click on the session title to access the PDF file containing the proceedings of that session. If you would like to view or print the PDF file containing the cover page, this introduction, and the agenda/table of contents, please click here.{19KB}
Effective Coverage Expansions for Uninsured Kids and Their Working Parents:
Links to Job-Based Coverage
A policy conference on coordinating with employment-based health coverage to cover uninsured working families.
Conference Transcript
Introduction
A growing number of states are moving to cover uninsured modest-income parents and, by covering the whole family under the same plan, more effectively reach their uninsured children. But, because the cost of family coverage is substantially higher, and the incentive to drop employer coverage correspondingly stronger, there is also a heightened interest in expansions that will build on rather than undermine the job-based coverage that most such families have, and that will strengthen rather than compromise continuity of care and provider relationships.
"Effective Coverage Expansions for Uninsured Kids and Working Families: Links to Job-Based Coverage" brought together state and federal policy officials, private-sector leaders and expert analysts to discuss how coverage of parents benefits children, as well as issues and creative opportunities for public-private collaboration to expand health insurance coverage of modest-income uninsured working families and their children through the work place. The May 18, 2001, conference was sponsored by the National Governors’ Association (NGA) and the Institute for Health Policy Solutions (IHPS), with funding from the David and Lucile Packard Foundation.
This document presents a complete, essentially verbatim transcript of the presentations and discussions at the conference. Presenters were offered the opportunity to edit (lightly) their presentations for clarity and accuracy, and several did so. IHPS staff reviewed the entire document, edited (again, very lightly) where necessary to assure clarity, and inserted many, but not all, of the speakers’ slides into the text at the appropriate points.
This meeting was held at a time when the need to extend health coverage to the uninsured is again coming to the forefront of the nation’s policy agenda. The Bush Administration has proposed health insurance tax credits for people who cannot get coverage through their employer, and the Congressional Budget Resolution for fiscal 2002 includes $28 billion for covering the uninsured.
There is broad interest in finding ways to add to rather than merely substitute for existing coverage, and to facilitate rather than impede the ability of parents and their children to enroll as a family in one plan. These proceedings are being made available in the hope that they can inform policies that will successfully extend coverage and continuity of care to the uninsured.
AGENDA / TABLE OF CONTENTS
Opening Remarks [pp.1-10]{43kb}
Ray Scheppach, Executive Director, National Governors’ Association
Rick Curtis, President, Institute for Health Policy Solutions
Oregon’s Plan for Coverage and Continuity of Provider Care for Uninsured Families [pp. 11-28]{728KB}
John Santa, MD, Administrator, Oregon Health Plan.
Kevin Earls, Vice President Finance and Health Policy, Oregon Association of Hospitals and Health Systems (Invited)
Robert DiPrete, Deputy Administrator, Office for Oregon Health Plan Policy and Research
Uninsured Working Parents and Small Employers: Attitudes and Experience [pp. 29-50]{133KB}
Michael Perry, President, Social Policy Research Institute
Kathlyn Mead, CEO, Sharp Health Plan, San Diego
Moderator: Liane Wong, IHPS
A Study of Past Public Insurance Expansions and Crowd-Out of Private Coverage [pp. 51-58]{34KB}
Susan Marquis, Senior Economist, RAND
Moderator: Joan Henneberry, NGA
Hindsight and Foresight: Lessons for Getting It Rite [pp. 59-78]{232KB}
Peter Quattromani, Office of Rhode Island Governor Lincoln Almond
Christine Ferguson, Director, RI Department of Human Services
Sid Goldman, Greylawn Foods, RIteCare Business Advisory Panel
Sandra Ferretti, United Healthcare of New England
The White House Perspective [pp. 79-90]{48KB}
Mark McClellan, M.D., Ph.D., Consultant, Council of Economic Advisors
Coverage Goals and Implementation Experience [pp. 91-116]{138KB}
Anita Smith, Manager, Health Insurance Purchasing Unit, Iowa Department of Human Services
Beth Waldman, Acting Director of Program Implementation, Massachusetts Division of Medical Assistance
Don Schneider, Chief, Coordination of Benefits, Wisconsin Division of Health Care Financing
Kathryn Plant, Deputy Director, New Jersey Division of Medical Assistance and Health Services
Moderator: Ed Neuschler, IHPS
Why and Where There’s Wills and Ways for Strategic Partnerships [pp. 117-137]{82KB}
D. Mark Weinberg, Group President, WellPoint Health Networks
Gerald Shea, Assistant to the President for Government Affairs, AFL-CIO [Marilyn Park substituted for Mr. Shea.]
The Dynamics of Coverage Status [pp. 138-148]{45KB}
Linda Bilheimer, Senior Economist, The Robert Wood Johnson Foundation
Where We’re Going ("from C to C") [pp. 149-165]{62KB}
David Parrella, Director, Connecticut Medical Care Administration
Phil Vogel, Connecticut Business and Industry Association
Sandra Shewry, Executive Director, California Managed Risk Medical Insurance Board and California Healthy Families Program
Moderator: Rafe Forland, IHPS
Closing Remarks [pp. 166-168]{13KB}
Rick Curtis, President, Institute for Health Policy Solutions
Appendix{74KB}: "Some Basic Facts about Children, Working Parents, and Employment-Based Health Insurance," compiled by the Institute for Health Policy Solutions
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