REALIGNING THE HEALTH CARE SAFETY NET Health Action 2014: Making the Promise Real
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Transcript of REALIGNING THE HEALTH CARE SAFETY NET Health Action 2014: Making the Promise Real
REALIGNING THE HEALTH
CARE SAFETY NET
Health Action 2014: Making the Promise Real
Presented by: DaShawn Groves, MPH
Assistant Director of State Affairs National Association of Community Health Centers
January 23, 2013
America’s Voice for Community Health Care
The NACHC MissionTo promote the provision of high quality,
comprehensive and affordable health care that is coordinated, culturally and linguistically competent,
and community directed for all medically underserved people.
TODAY’S AGENDA
• Health Centers Today
• ACA Implementation–Health Center Funding–Medicaid –Marketplaces–Outreach and Enrollment
• How you as advocates can help?
Health Center Funding
Health Center Funding Under Current Law
Community Health Center Funding: FY 2010 – FY 2016
The Health Center FY2014 Request
Total Funding of $3.8 billion, breaks down to:
~$1.6 billion in discretionary funding~$2.2 billion in mandatory ACA Funding__________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
= increase of $700 million– No new appropriations needed(Level discretionary + already-appropriated ACA dollars)
What $700 Million can do. . . $95 million in Base Grant Adjustments $245 million for NAPs= 2.1 million new patients $260 million for service expansions and expanded medical
capacity grants for existing health centers. $100 million for quality improvement, networks, other activities.
What purpose does the grant serve today? Enables CHCs to:
• Locate in underserved areas where market won’t support other providers;
• Remain open to all: uninsured, underinsured, patients others can’t or won’t see;
• Provide comprehensive services which improve health and lower system costs.
What role does the grant have in the future? The exact same.
The Health Center Grant
Medicaid
Sequester
Defund ACA
Debt Ceiling
FY2014 Approps
SGR “Doc Fix”
Immigration
Reform
To Expand or Not to Expand?
A Tale of Two Cities
• Massachusetts Experience
–LOTS more patients; existing patients voting with their feet (and staying); continued high #’s of uninsured
• Business as Usual–Disparities amongst
health centers
Marketplaces
Health Centers in Marketplaces
• Contracting issues
• Essential Community Providers (ECP) –“Menendez” amendment; –“all products” clauses
Outreach and Enrollment
Anticipated Additional Outreach and Enrollment Staff Hired through Supplemental HRSA Funding
3
GU
4
VI
5
WY
6
ND
7
DE
DC
9
NV
10
SD
11
VT
13
NE
14
NH
21
HI
21
RI
24
UT
25
AK
25
ID
25
ME
26
IA
27
MT
28
CT
28
MD
29
MN
30
AR
32
KS
38
OK
40
WI
45
AZ 45
SC
47
IN
47
NM
49
OR
50
AL
50
MS
50
PR
51
VA52
KY
53
WV
59
LA
59
MO
61
MA
62
GA
65
CO
69
MI
69
NJ
69
TN
75
OH
76
PA
87
NC
91
WA
132
IL
133
NY
163
FL
193
TX
411
CA
0 to 2121 to 3030 to 5050 to 69
69 to 412
9
Source: www.hrsa.gov/about/news/2013tables/outreachandenrollment/
Estimated Number of Individuals Health Centers will Assist This Year
416
GU
2,582
ND
4,160
WY
5,729
DC
8,699
SD
9,890
DE
10,600
NV
11,500
VI
12,097
NH
13,184
ID
14,341
MT
17,144
UT
17,939
VT
18,421
ME
19,650
RI
21,334
MN
21,516
HI
23,115
NE
23,167
CT
25,088
KS
26,474
WI
27,476
AK
29,313
VA
37,030
IA
40,376
PR
40,731
AR
41,050
SC
42,424
MD
43,908
OK
44,368
MS
48,465
NC
58,525
NM
61,264
WV
61,539
KY
61,638
AZ
62,102
MO
70,066
AL
70,434
TN
71,493
OR
73,201
NJ
74,886
PA
84,439
OH
87,995
IN
93,385
LA
98,062
MI
100,268
GA
110,754
MA137,637
NY
140,817
WA
158,160
FL
181,909
CO
195,745
IL
369,195
TX
575,863
CA
0 to 17,14417,144 to 29,31329,313 to 61,53961,539 to 98,06298,062 to 575,864
Source: www.hrsa.gov/about/news/2013tables/outreachandenrollment/
Outlook
We will continue to SUCCEED and GROW
Value in the quality care we deliver
Value in expanding access and improving health
Value in delivering cost savings PLUS some $20 billion dollars in jobs and economic activity for communities.
202-457-6267
Where Can I Get More Information?
• Our Website:– NACHC.org
• Blog:– Health Centers on the Hill– NACHC Policy Shop
• Washington Update:– Sign up to be a Health Center Advocate
Join the Campaign for America’s Health Centers today!
Thank You!
Any Questions?