A Celebration of Children’s Health #RIteCareWorks November 14, 2016
Uninsured Children United States & Rhode Island U.S. RI 15 th 12% Best 10% 8.6% 8.0% 7.5% 7.2% 7.1% 8% 6.0% 6% 4.8% 5.6% 5.4% 5.4% 4% 4.5% 4.0% 3.4% 3.3% 2% 0% 2009 2010 2011 2012 2013 2014 2015 Source: US Census Bureau, American Community Survey, 2009-2015. Table R2702. Data are for children under 18 years of age.
How are RI Children Covered? 140,000 123,000 125,000 121,000 117,000 107,000 108,000 113,000 120,000 WORK 100,000 80,000 70,000 66,000 RIte 64,000 62,000 62,000 58,000 56,000 Care 60,000 40,000 22,000 21,000 19,000 19,000 19,000 Combo/ 18,000 18,000 20,000 Other Without 12,000 12,000 12,000 10,000 9,000 Insurance 7,000 7,000 0 2009 2010 2011 2012 2013 2014 2015 Source: Rhode Island KIDS COUNT analysis of the U.S. Census Bureau, American Community Survey, Table B27010, 2009-2015.
Uninsured Children in Rhode Island by Race & Ethnicity 9.0% 7.7% 8.0% 7.1% 7.0% 7.0% 6.0% 5.0% 4.0% 3.0% 2.1% 2.0% 1.6% 1.1% 1.0% NA 0.0% Asian White Other Black or Native White, non- Hispanic African American Hispanic American Source: RI KIDS COUNT analysis of the U.S. Census Bureau, American Community Survey, Table B27001A, B27001B, B27001D, B27001F, B27001H, B27001I, 2015.
HealthSource RI Connecting Children and Families to Coverage Individual Market Commercial Coverage Medicaid Coverage 100,000 92,764 90,548 90,000 80,000 74,369 70,000 57,876 60,547 60,000 50,000 48,602 40,000 30,000 20,000 34,888 30,001 25,767 10,000 0 2014 OE 2015 OE 2016 OE Source: HealthSource RI Open Enrollment Reports, 2014-2016
Rhode Island’s Achievements In Children’s Health We lead the nation in many children’s health outcomes. Teen Deaths (1 st ) Adolescent Cigarette Use (1 st ) Childhood Immunization (1 st ) Infant Mortality (3 rd ) Child Deaths (4 th ) Preventive Dental Care (5 th )
Rhode Island’s Achievements In Children’s Health Teen Births (7 th ) Adolescent Obesity (7 th ) Adolescent Alcohol Drinking (8 th ) Adolescent Overweight (9 th ) Preterm Births (12 th ) Children’s Health Coverage (15 th ) Low Birthweight Infants (15 th )
RIte Care’s National Excellence RIte Care is a Top Quality Performer in all three health domains of child health measures Primary Care Access and Preventive Care Maternal and Perinatal Health Children’s Behavioral Health 2015 Annual Report on the Quality of Care for Children in Medicaid and CHIP. (2016). Rockville, MD: U.S. Department of Health and Human Services. RI ranks in the top quartile in the Medicaid Child Core Set across numerous measures.
RIte Care: Cost-Effective and High-Quality Care RIte Care Health Plans Receive Top Ratings Among Medicaid Health Plans in the U.S. (2 of 15 in U.S. rated 4.5 or higher) 4.5/5.0 Source: 2016 National Committee on Quality Assurance Rankings. 293 Medicaid Health Plans were evaluated and 171 were rated based on clinical performance, member satisfaction, and NCQA Accreditation.
RIte Care Works for Pregnant Women 93% pregnant women received timely prenatal care. Declines in delayed prenatal care have occurred over the past decade among pregnant women with RIte Care. Sources: Rhode Island Department of Health, Maternal and Child Health Database, 2004-2014. Monitoring Quality and Access through the Performance Goal Program. (2016) . RI EOHHS.
RIte Care Works for Babies Low birthweight rates have declined among babies with RIte Care coverage from 8.7% to 8.2% over the past 15 years. Infant mortality rates have remained steady among babies with RIte Care (6.5 to 6.8) over the past decade & remains well below the uninsured rate of 19.1 per 1,000 live births. Source: Rhode Island Department of Health, Center for Health Data and Analysis, Maternal and Child Health Database, 2000-2014.
RIte Care Works for Children Primary Care Visits in 2015 • 94% of infants and toddlers • 93% of preschool and early elementary school-age children • 97% of preteens • 96% of teens Source: Monitoring Quality and Access through the Performance Goal Program. (2016) . Cranston, RI: RI EOHHS.
RIte Care Works for Children Screening and Counseling in 2015 • Lead poisoning screening (83%) • Physical activity counseling (72%) • Nutrition counseling (82%) • Body Mass Index assessed (85%) Source: Monitoring Quality and Access through the Performance Goal Program. (2016) . Cranston, RI: RI EOHHS.
RIte Smiles 10 th Anniversary What is RIte Smiles? • Rhode Island’s managed oral health program for children (born since May 1, 2000) with RIte Care and other Medicaid coverage. • Launched in 2006
RIte Smiles Enrollment RIte Smiles Enrollment Growth 120,000 95,737 children 95,737 100,000 ( 45% of all children 80,000 under age 18 in RI ) are enrolled in 60,000 RIte Smiles in 2016. 40,000 20,000 31,000 0 06 07 08 09 10 11 12 13 14 15 16 Rhode Island Executive Office of Health and Human Services Enrollment Reports, 2006-2016
RIte Smiles Works for Providers Participating Dental Providers Encounters by Provider Site, 400 RIte Smiles, 2014 350 300 26% 250 44% 200 FQHC 359 Private 150 Practice 30% 100 50 90 Hospital- 27 Based 0 2005 2006 2015 N = 42,142 unique enrollee encounters Sources: Rhode Island Executive Office of Health and Human Services Enrollment Reports, 2005-2016. RIte Smiles: Annual external quality review technical report, Reporting Years 2014-2015. (2016). New York, NY: IPRO
RIte Smiles Quality Performance Annual Dental Visit, RIte Smiles 2014 Age Utilization National Benchmark Met/Exceeded 50 th 2-3 42% 50 th 4-6 65% 50 th 7-10 70% 75 th 11-14 66% 75 th 2-14 63% Source: RIte Smiles: Annual external quality review technical report, Reporting Years 2014-2015. (2016). New York, NY: IPRO
Access to Oral Health Care for Children with Medicaid Coverage U.S. RI 60% 48.8% 50% 49.7% 36.0% 40% 33 rd 30% Best 29.3% 20% 10% 0% 00 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 Source: Children’s use of dental care in Medicaid: Federal Fiscal Years 2000 -2012, (2014). Washington, DC: The George Washington University & CMS 416 Form 2000-2015. Includes children ages 1-20, for any dental service.
Access to Oral Health Care for Children with Medicaid Coverage Number of Children Receiving Any Dental Care 70,000 60,289 60,000 50,000 43,062 40,000 32,201 30,000 20,000 10,000 0 00 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 Source: Children’s use of dental care in Medicaid: Federal Fiscal Years 2000 -2012, (2014). Washington, DC: The George Washington University & CMS 416 Form 2000-2015. Includes children ages 1-20, for any dental service.
RIte Care & RIte Smiles Work! • RIte Care has been a national model of comprehensive, cost-effective coverage for 20+ years. • Well-documented, positive, sustained health outcomes. • Affordable investment in the health of Rhode Island’s children and families.
Health Policy Changes are Ahead Key Affordable Care Act Provisions • Medicaid Expansion • HealthSource RI • Essential Health Benefits for children, including dental benefits • Coverage until age 26 on parents’ plan • Medicaid coverage for former foster youth up to age 26 • Pre-existing condition protection • Annual and lifetime limits prohibited • No-cost preventive care • Individual mandate And more….
Our Collective Charge • Advocate for strong reauthorization of CHIP at the federal level. • Continue our strong state leadership and advocacy on health coverage. • Maintain our commitment to connecting families to comprehensive and affordable coverage. • Cover all kids • 97% are covered • 100% is within our reach
Special Thanks
Special Thanks
A Celebration of Children’s Health #RIteCareWorks November 14, 2016
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