pinellas county, florida adapting to change napc conference april 2011
TRANSCRIPT
HEALTH CARE REFORM
Pinellas County, Florida
Adapting To Change
NAPC Conference April 2011
COUNCIL ACTIVITIES
PLANNING
•Education•Analysis•Technology
SERVICE DELIVERY
•Prevention•Disease Management
PLANNING: Education
HHSCC & St. Petersburg College Public Policy Department Combined Health Care Leadership Meeting (Nov. 2010) Public Forum: Federal Health Care Plan – Fact or
Fiction (Jan 2011) Provider Forum: Federal Health Care Plan – Bottom
Line Impact on Providers
Planned Future Sessions Collaborative Lab: Critical Pathways for Vulnerable
Populations within the context of health care reform. Funder/Provider Workshop: Support for Organizational
Transitions
STATE MEDICAID EXPANSION • * All Pinellas
County Health Plan enrollees will be eligible for the expanded Medicaid
Beginning 2014, eligibility expands
133% FPL• 100% 2014• 100% 2015• 100% 2016• 95% 2017• 94% 2018• 93% 2019• 90% 2020 and Beyond
Federal Match (FMAP)/Expanded
Population
FMAP/Current Eligibility Level
(57.44%)
PLANNING: Analysis
STATE/COUNTY ENROLLMENT PROJECTIONS (At Full Expansion 2016)
* Figures provided by AHCA. Does not reflect changes in Children’s Health Insurance Program enrollment – May add an additional 168,997 Statewide and 7,098 in Pinellas County.
** Projections based on County’s current enrollment as compared to State enrollment.
State* Pinellas County FMAP
Current Medicaid Enrollees(As of 6/30/2010)
2,804,783 118,840 * 57.44%
New Enrollees:
Expansion to 133% FPL 1,207,842 50,729**100% (2014-2016)
95-90% (2017-2020)
Currently Eligible/ Not Enrolled 301,960 12,682** 57.44%
“Crowd Out” 218,027 9,157**100% (2014-2016)
95-90% (2017-2020)
TOTAL NEW ENROLLEES 1,727,829 72,568
PLANNING: Analysis
PLANNING: Analysis
SERVICE DELIVERY: Prevention
Communities Putting Prevention to Work (CPPW)
ObesitySeeking effective, sustainable policies, systems and environmental changes that encourage healthy choices for nutrition and physical activity.
SERVICE DELIVERY: Disease Management
SERVICE DELIVERY: Prevention
American Journal of Public Health, 10.2105/AJPH.2009.185652
Am J Public Health. 2010 Apr;100(4):590-5. Epub 2010 Feb 18. A framework for public health action: the health impact pyramid. Frieden TR. Centers for Disease Control and Prevention, Atlanta, GA 30333, USA. [email protected]
SERVICE DELIVERY: Prevention
Media Campaigns promoting
healthy choices for
Food/drink Public transit Bicycling/walking
Increased Access to:
Healthy food/drink
availability
Safe, attractive, accessible places for activity
Safe routes to school
Local Government
Policies
City planning and zoning
assessments
Signage for neighborhood destinations
Increased signage for
public transportation and bike lanes
Proposed Interventions
SERVICE DELIVERY: Disease Management
Pinellas County Diabetic Equity Project
A collaboration of local health care providers
To provide for the unmet needs of uninsured diabetics in Pinellas
County
• Screen,• Qualify• Assess• Refer• Support
Outreach
• Test• Educate• Disease Manage• Vaccinate• Refer to Specialty
Primary Care Sites
• Volunteer Recruitment• Management Information• Prescription Assistance Program• Medical Devices• Dental
Specialized
Services
Health Department
Health CouncilFQHC
Free ClinicsFQHCHealth
DepartmentHospitals
Private Foundation
SERVICE DELIVERY: Disease Management
EVOLUTION: A Local Health Care System Adapting To Change
ACCESSQUALITY
COST
QUESTIONS
Health and Human Services Coordinating Council for
Pinellas County727-582-7951
Denise M. GroesbeckExecutive Director
Joe BaldwinSenior Researcher/Planner