Brad Shannon

Brad Shannon:
The Politics Blog

Brad Shannon maintains this blog. He is political editor at The Olympian and can be reached at 360-753-1688 or bshannon@theolympian.com.

UPDATE 2: BHP raises rates but won't toss people off health coverage

• Published June 08, 2009

Working people who struggled to pay for health insurance won't be kicked off the state's subsided Basic Health Plan, but some might find the new plan unaffordable after Jan. 1.

The state Health Care Authority announced today in Seattle that it would not force people off the plan. Here’s the salient paragraph in its news release:

The average enrollee pays $36 a month, and the state pays the remaining $209. Under the strategy announced today by Health Care Authority Administrator Steve Hill, the average enrollee will pay $61.60 in 2010. The $150 annual deductible will also increase to $250 on January 1, 2010.

Those changes are supposed to help cut $238 million in program costs that made it a target for lawmakers trying to bridge a $9 billion budget shortfall. Hill also said the agency is moving 5,000 people dual-enrolled in BHP and Medicaid out of BHP, and 3,000 more on the BHP who are eligible for Medicaid will be moved into the other coverage. Tighter auditing to verify eligiblity also is expected to tighten the rolls and avoid actual reductions in program slots, according to Hill.

No doubt some folks will simply find the BHP unaffordable, and I have a call in to the agency to see how many it predicts will find this is the new reality. People with incomes up to 200 percent of the poverty line (that’s about $42,000 for a family of four) qualify.

We'll be checking with other advocates for health-care access to see what they think of this approach. It avoids the direct jettisoning of coverage for 40,000 — part of the surge in the uninsured that state Insurance Commissioner Mike Kreidler predicted this morning in a separate Seattle press conference.

The Health Care Authority also posted some background materials about the plan, saying that it is possible for some of the people on the 30,000-person waiting list to get coverage down the road. Apparently, 3 percent of enrollees have voluntarily left the plan previously, and as slots open up at the new, lower-funded level new people will be added to the rolls.

SECOND UPDATE: Kreidler’s office put out this clarification at 4 p.m.:

The Health Care Authority announced after Commissioner Kreidler’s news conference that it will not disenroll people from the Basic Health plan. We estimate, based on the state budget for the program, that at least 20,000 enrollees will become uninsured this year and another 10,000 by April 2010. In addition, based on unemployment projections for the rest of 2009, we estimate that another 20,000-25,000 people will lose their insurance this year. This still leaves more than 876,000 people living without health insurance in Washington state by the end of the year.

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