Charisma Hooda 1/13/14

Similar documents
Women, Families & the Affordable Care Act: Overview of Preventive Services Requirements. Webinar and Discussion December 4 th 2013

SOUTHERN CALIFORNIA UNITED FOOD & COMMERCIAL WORKERS UNIONS AND DRUG EMPLOYERS TRUST FUNDS 2220 HYPERION AVENUE LOS ANGELES, CALIFORNIA 90027

SOUTHERN CALIFORNIA UNITED FOOD & COMMERCIAL WORKERS UNIONS AND DRUG EMPLOYERS TRUST FUNDS 2220 HYPERION AVENUE LOS ANGELES, CALIFORNIA 90027

SOUTHERN CALIFORNIA UNITED FOOD & COMMERCIAL WORKERS UNIONS AND DRUG EMPLOYERS TRUST FUNDS 2220 HYPERION AVENUE LOS ANGELES, CALIFORNIA 90027

Source: First 5 Sacramento Commission, 2009 Strategic Plan Update For Fiscal Years

THE HEALTH CARE LAW AND SURVIVORS OF DOMESTIC VIOLENCE. Advocating to Ensure Financial Assistance is Available

OHIO MEDICAID ASSESSMENT SURVEY 2012

Frequently Asked Questions: Benefit Changes

Yes. Some of the services this plan doesn t cover are listed on page 4

HCR FAQ. Covered California Individual and Family Coverage. What is Covered California? What is Obamacare? Are they the same?

Presenters Marc J. Smith Mary-Michal Rawling

Line Construction Benefit Fund 2000 Springer Drive, Lombard, IL NOTICE

Profile of Ohio s Medicaid-Enrolled Adults and Those who are Potentially Eligible

Supporting WIC Clients: The Affordable Care Act and WIC Families. National WIC Association Leadership Conference March 2 nd 2014

Help your constituents gain the most from the Affordable Care Act

ACCESS TO HEALTH CARE FOR YOUNG ADULTS: IMPACT & IMPLICATIONS OF THE AFFORDABLE CARE ACT

This is an ERISA plan, and you have certain rights under this plan. Please contact your Employer for additional information.

Testimony Re: Hearing on the Impact of the Repeal of All or Some Aspects of the Affordable Care Act

ObamaCare What Does the Affordable Care Act Mean For You?

UnitedHealthcare s Approach to Women s Preventive Care Services

ACCESS TO CARE FOR THE UNINSURED: AN UPDATE

2018 P4Q Measures STAR. At-risk measures - Plans will be evaluated on their Performance against benchmarks and Performance against self.

SLIDING FEE SCALE APPLICATION FORM

Chapter 12 The Human Population: Growth, Demography, and Carrying Capacity

Maryland Wins With Health Care Reform

ObamaCare 101: An Educational Training on Health Reform. Training Workshop

You don t have to meet deductibles for specific services, but see the chart starting on page 3 for other costs for services this plan covers.

AFFORDABLE CARE ACT FAQ

Health Insurance for Poor People in the Province Of Santa Fe, Argentina: The Power of the Clear Model for All

BENEFITS. Preventive Services. Essential Health Benefits. Exceptions. The Affordable Care Act: A Working Guide for MCH Professionals.

What you need to know

Welcome Virtual Office Hours Using Peer Support to Improve the Accuracy of IPHIS

Women and ACA: Implementation Under Way. Margaret Lynn Yonekura, M.D., FACOG

Opportunities for State Legislators

Sarah Jacobson NC Government Relations Director, American Heart Association

BROAD DEMOGRAPHIC TRENDS IN LDCs

NEW JERSEY. PROGRAM NAME Plan: NJ FamilyCare S-CHIP 1115 Waiver: NJ FamilyCare

$4,800.00/ individual. $9,600.00/family

Commonwealth of Kentucky Overview of Kentucky HEALTH. All information based on Kentucky HEALTH Waiver proposal. Information is subject to change.

ENERGIZE. TAKE CHARGE OF YOUR BENEFITS Choose the medical plan that s right for you START PEDALING! LIGHTING THE WAY TO YOUR GOOD HEALTH Health Plan

1. Receipts of the social protection system in Bulgaria,

Virginia s Health Insurance Programs for Children and Pregnant Women An Overview

MED 146 Deliverable 1.24 Five Year Florida Medicaid Maternal and Child Health Status Indicators Report:

Virginia s State-Sponsored Health Insurance Programs

A primer on ACA The Affordable Care Act Symposium June 7, 2013

Part 5 Eligibility Criteria for Children

FREQUENTLY ASKED QUESTIONS Deferred Action for Childhood Arrivals (DACA) and Restricted Access to Health Care

For: Choice POS II High Deductible Health Plan - Faculty, Managerial & Professional Employees

Health Care Reform: Chapter Three. The U.S. Senate and America s Healthy Future Act

Questions and Answers on Health Reform

CHIP PA Enrollment Services Webinar

Additional Information Provided by Aetna Life Insurance Company

Important Questions Answers Why this Matters:

Kansas Health Policy Authority State of Health Reform in Kansas Kansas Economic Policy Conference October 30, 2008

$250 per member. All covered expenses accumulate separately toward the Network and Out-of-network Coinsurance Maximum.

SMALL AREA ESTIMATES OF HEALTH INSURANCE COVERAGE:

Important Questions Answers Why this Matters:

Willis-Knighton Health System. Financial Assistance Policy and Procedures

America s Uninsured Population

Anthem Blue Cross Your Plan: Premier HMO 15/100% (RX $10/$20/$35) Your Network: California Care HMO

Virginia s Health Insurance Programs for Children and Pregnant Women An Overview

Data Profile of Sagar District

ACCESS TO CARE PUBLIC HEALTH INSURANCE PROGRAMS. Santa Cruz County residents may qualify for a wide variety of public health insurance programs.

PE Process Guide. Qualified Provider Responsibilities

Anthem Blue Cross Your Plan: Custom Anthem HSA /40 Embedded (HSA291) - Actives Your Network: Prudent Buyer PPO

H EALTH CARE REFORM: WHAT IT MEANS FOR YOU AS AN INDIVIDUAL AND AS A MIDWIFE. American College of Nurse Midwives January 13, 2014

Important Questions Answers Why this Matters:

OUT-OF-NETWORK MEMBER PAYS IN-NETWORK MEMBER PAYS. Contract Year Plan Deductibles. services and prescription drugs) Out-of-Pocket Maximum

Anthem Blue Cross Your Plan: Lumenos HSA 2000/ /40 (LHSA2153) Your Network: Prudent Buyer PPO

The Guide to Your Summary of Benefits and Coverage (SBC)

HealthTrust: LUMENOS $2500 Coverage Period: 07/01/ /30/2017

Blue Care Elect With HCCS Boston University Coverage Period: on or after 01/01/2017

Additional Information Provided by Aetna Life Insurance Company

Anthem Blue Cross Your Plan: Classic HMO 20/40/250 Admit /125 OP Your Network: Select HMO

Blue Care Elect $250 Deductible Coverage Period: on or after 07/01/2016 Summary of Benefits and Coverage: What this Plan Covers & What it Costs

Preventive Services in the Affordable Care Act

House Bill 1279 (2009) Maryland Medicaid Program Family Planning Eligibility

Anthem Blue Cross Your Plan: Premier HMO 20/200 admit/100 OP (Essential Formulary $10/$25/$45/30%) Your Network: California Care HMO

STRATEGIC PLAN & LONG TERM FINANCIAL PLAN

Anthem Blue Cross Your Plan: Custom Classic PPO 500/20/20 (RX $5/$10/$25/30%) Your Network: Prudent Buyer PPO

NETWORK CARE. $3,500 Individual $7,000 Family

State of California. Financial Feasibility of a. Basic Health Program. June 28, Prepared with funding from the California HealthCare Foundation

Anthem Blue Cross Your Plan: Modified Value HMO 30/40/30% Your Network: California Care HMO

The Affordable Care Act: Opportunities to Influence Implementation

A Guide to Out-of- Pocket Costs

PLAN DESIGN & BENEFITS

Highmark Blue Cross Blue Shield: PPO Coverage Period: 01/01/ /31/2017

Aetna Select Medical Plan PLAN FEATURES NETWORK OUT-OF-NETWORK. Plan Maximum Out of Pocket Limit excludes precertification penalties.

Regence BlueShield: Choice HSA 1500 Coverage Period: 01/01/ /31/2016

For purposes of this subchapter

$3,000 Individual $6,000 Family All covered expenses accumulate separately toward the Network and Out-of-Network Coinsurance Maximum.

For: Choice POS II - Clerical & Technical and Service & Maintenance Employees Choice POS II (Base Rx) Plan

Highmark Delaware: Shared Cost Blue EPO 1000 Coverage Period: 01/01/ /31/2017

NETWORK CARE. $1,000 Individual $2,000 Family

By: Adelle Simmons and Laura Skopec ASPE

This is an ERISA plan, and you have certain rights under this plan. Please contact your Employer for additional information.

RULES OF TENNESSEE DEPARTMENT OF FINANCE AND ADMINISTRATION DIVISION OF TENNCARE CHAPTER COVERKIDS TABLE OF CONTENTS

MEMBER COST SHARE. 20% after deductible

Adventist Health System Schedule of Benefits for Adventist Health System Effective January 1, 2018

Summary of Benefits and Coverage: What this Plan Covers & What it Costs. Coverage for: Individual + Family Plan Type: PPO

Transcription:

Charisma Hooda 1/13/14

Link the MCAH population to needed medical, mental, social, dental, and community services to promote equity in access to quality services, especially for those who are eligible for Medi-Cal or other publicly provided health care programs 1 Outreach services will be targeted to identify pregnant women, women of reproductive age, infants, children and adolescents and their families who are eligible for Medi-Cal assistance or other publicly provided health care programs and assist them in applying for these benefits

As an health indicator Education Health Literacy Access

Percent of Minors Living in Poverty 60 50 40 30 20 10 0 2006 2007 2008 2009 2010 2011 California 42.4 42.1 41.5 43.4 46.0 47.0 Local 45.9 46.5 48.4 51.5 52.7 54.7 HP2020 0 0 0 0 0 0 Defn: Rate of Persons Ages 0-18 Living in Poverty (0-200%) Data Source: US Census, Small Area Health Insurance Estimates

Percent of Females Living in Poverty 45 40 35 30 25 20 15 10 5 0 2006 2007 2008 2009 2010 2011 California 30.9 29.7 30.5 31.8 34.2 35.3 Local 35.2 35.5 38.1 39.6 40.0 42.1 HP2020 0 0 0 0 0 0 Defn: Rate of Females 18-64 Living in Poverty (0-200%) Data Source: US Census, Small Area Health Insurance Estimates

Unemployment Rate 20 18 16 14 12 10 8 6 4 2 0 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 California 5.3 5.6 7.0 7.2 6.5 5.6 5.2 5.7 7.6 12.0 12.7 12.3 Local 7.5 7.7 9.3 9.9 8.6 8.1 8.1 8.8 10.9 15.8 17.4 17.1 Data Source: US Census

Effects on the Individual Medical Care Prescription Medications Death Risk Financial Strain Effects on the System Emergency Room Care Medical Costs

% of Residents without Health Insurance 18.0% 16.0% 14.0% 12.0% 10.0% 8.0% 6.0% 4.0% 2.0% 0.0% 2001 2003 2005 2007 2009 2011-12 Stanislaus 12.7% 14.3% 11.1% 16.5% 11.1% 14.2% California 14.6% 14.0% 13.5% 13.2% 14.5% 14.7% Data Source: UCLA, California Health Interview Survey, 2001-2011-12

Effects on the Child Usual Source of Care School-related Effects on the Parent Productivity

Percent of Uninsured Minors 16 14 12 10 8 6 4 2 0 2006 2007 2008 2009 2010 2011 California 13.8 12.4 10.4 10.0 9.5 8.6 Local 11.1 10.7 10.4 9.0 7.9 7.8 HP2020 0 0 0 0 0 0 Defn: Rate of Uninsured Persons Ages 0-18 Data Source: US Census, Small Area Health Insurance Estimates

Percent of Uninsured Minors Living in Poverty 25 20 15 10 5 0 2006 2007 2008 2009 2010 2011 California 20.2 18.1 16.0 14.5 13.7 12.1 Local 13.2 14.8 13.6 11.7 9.6 9.2 HP2020 0 0 0 0 0 0 Defn: Rate of Uninsured Persons Ages 0-18 Living in Poverty (0-200%) Data Source: US Census, Small Area Health Insurance Estimates

Percent of Uninsured Minors Not Living in Poverty 10 9 8 7 6 5 4 3 2 1 0 2006 2007 2008 2009 2010 2011 California 9.1 8.3 6.5 6.4 5.9 5.5 Local 9.3 7.1 7.4 6.2 6.1 6.0 HP2020 0 0 0 0 0 0 Defn Rate of Uninsured Ages 0-18 not Living in Poverty (>200%) Data Source: US Census, Small Area Health Insurance Estimates

Effects on the Woman Preventative Services Prescription Medications Affordable Care Act Maternity care Contraceptives Breast Feeding Support Domestic Violence Screening

Percent of Uninsured Females 25 20 15 10 5 0 2006 2007 2008 2009 2010 2011 California 21.8 20.6 20.4 21.5 22.5 22.4 Local 17.5 16.7 20.8 22.4 22.0 23.0 HP2020 0 0 0 0 0 0 Defn: Rate of Uninsured Females Ages 18-64 Data Source: US Census, Small Area Health Insurance Estimates

Percent of Uninsured Females Living in Poverty 45 40 35 30 25 20 15 10 5 0 2006 2007 2008 2009 2010 2011 California 40.7 39.5 37.6 38.7 39.3 38.9 Local 25.3 28.5 33.5 34.6 33.2 35.9 HP2020 0 0 0 0 0 0 Defn: Rate of Uninsured Females Living in Poverty (0-200%) Data Source: US Census, Small Area Health Insurance Estimates

Percent of Uninsured Females not Living in Poverty Data Source: US Census, Small Area Health Insurance Estimates 16 14 12 10 8 6 4 2 0 2006 2007 2008 2009 2010 2011 California 13.3 12.6 12.8 13.5 13.8 13.4 Local 13.3 10.2 13.1 14.4 14.5 13.6 HP2020 0 0 0 0 0 0 Defn: Rate of Uninsured Females Ages 18-64 not Living in Poverty (0-200%)

Benefits Pregnancy complications Infant development Medications Reasons for not Obtaining Care Personal Issues Perceptions Clinic Cultural Competency

% of Mothers with 1st Trimester Prenatal Care 88.0% 86.0% 84.0% 82.0% 80.0% 78.0% 76.0% 74.0% 72.0% 70.0% 85.8% 85.2% 84.4% 83.0% 81.1% 80.7% 81.3% 77.8% 75.6% 77.3% 76.2% 76.5% Stanislaus California 2005 2006 2007 2008 2009 2010 2011 Year Data Source: Birth Statistical Master Files, 2005-2011

% Mothers Receiving APC 90.0% 85.0% 82.5% 80.0% 75.0% 77.4% 77.2% 76.4% 76.1% 74.9% 77.6% 70.0% 65.0% 60.0% 2005 2006 2007 2008 2009 2010 2011 Year Data Source: Birth Statistical Master Files, 2005-2011

High Performance Level Health Net Stanislaus Anthem Blue Cross 88.6% 93.2% 91.5% 2012 Weighted Avg Minimum Performance Level 80.3% 83.8% 70.0% 75.0% 80.0% 85.0% 90.0% 95.0% Percentage of Women Receiving Timely Prenatal Care Data Source: http://www.dhcs.ca.gov/dataandstats/reports/documents/mmcd_qual_rpts/hedis_reports/ca2012_hedis.pdf

Wellbeing of the Baby Breast feeding support Complications Wellbeing of the Mother Common Problems Complications Contraception Support Postpartum Care in the US

Data Source: California Department of Health Care Services; 2012 HEDIS Aggregate Report for Medi-Cal Managed Care

Type of Usual Source of Care No usual source of care 14.2% 14.0% Some other place/no one place 0.8% 0.5% Emergency room/urgent Care 1.1% 2.2% Community Clinic/government/community hospital 23.0% 19.9% Doctor's office/hmo/kaiser 60.9% 63.4% California Stanislaus 0.0% 10.0% 20.0% 30.0% 40.0% 50.0% 60.0% 70.0% Percent of Population Data Source: UCLA, California Health Interview Survey, 2009-2011-2012

Definition Effects Testing Emergency Room Disease Management Strategies to Address the Issue

Health Literacy Level ^ Back to top Proficient Intermediate Basic Below Basic Task Examples Using a table, calculate an employee's share of health insurance costs for a year. Read instructions on a prescription label, and determine what time a person can take the medication. Read a pamphlet, and give two reasons a person with no symptoms should be tested for a disease. Read a set of short instructions, and identify what is permissible to drink before a medical test. Percentage 12% 53% 21% 14%

2024 © financedocbox.com Privacy Policy | Terms of Service | Feedback