RELATED: Opioid crisis persists despite funding burst We recognize the opioid epidemic and crisis that the nation is facing, and that we are facing here in Ohio, and we do see the crisis in the member populations that we serve, said Kelly Kopecky, director of behavioral health at CareSource, which has about 1.3 million Medicaid members in Ohio. About 200,000 CareSource Medicaid members have already been identified as having drug problems or substance abuse disorders, said Kopecky, who noted the number increased exponentially with the expansion of Medicaid in Ohio in 2014 under the ACA. About half of CareSource Medicaid members with drug problems joined CareSource under expansion, Kopecky said. Rising premiums Medicaid expansion now covers more than 700,000 insurance claims people in Ohio, and nearly a quarter-million Ohioans have gained coverage through the ACAs Health Insurance Marketplace the federally operated health insurance exchange for private health plans sold in Ohio under the ACA. The growing number of opioid-related claims among the newly insured population touches everyone with insurance, not just those seeking treatment for opioid addiction, said FAIR Healths Gelburd, who compared health insurance to an Aspen forest, which typically grow from a single seedling. RELATED: No ground zero in opioid fight They look like individual trees, but under the ground all the roots are connected, Gelburd said. The health industry is connected in a similar way. If there is a surge in need for certain services or resources, that impacts every other part of the health care system as well. And it impacts the costs that have to be shared among all the other different stakeholders. The trend can already be seen in rising health insurance premiums for those with private coverage under the ACA. Because many people buying plans on the individual market were sicker and more costly to insure than expected, insurers were forced to raise premiums substantially to cover the unexpected costs. The vast majority of consumers with ACA health plans were protected from the premium increases by federal tax-credit subsidies that were designed to cover most of the cost increase under the ACA.
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