Health Care Services Services Overview • Manages the Hillsborough County Health Care Plan, serving more than 20,000 unduplicated members per year • Administers the $10 million Ryan White Grant program , addressing the need for HIV/AIDS-related services • Directs the Trauma Agency for Hillsborough County • Oversees payments for state mandated items relating to Marchman Act, Baker Act and the Health Care Responsibility Act (HCRA) for Hillsborough County
Our ur Value t e to o Hillsbor boroug ough Coun County • Infuses $200 million in Hillsborough County Health Care Plan expenditures into the local community annually • Instilled nearly $1 billion into the local economy over the past 10 years • Through trauma system planning, coordination, and quality management, works with community partners to contain the estimated $3 Billion lifetime medical and lost work cost to Hillsborough County citizens from severe injuries • Works with Opioid Task Force to reduce opioid addiction and overdoses • Provides guidance and resources to residents for a healthy lifestyle through resources like state-of-the-art gyms, group exercise classes, cooking classes, and one-on-one coaching • Implements Hillsborough County Health Care Plan, a health care safety net for residents who do not qualify for other health care coverage • Incorporates wrap-around services for members to treat not just health but all social determinants hindering path to self-sufficiency • Assists individuals in accessing available benefits from Supplemental Security Income and Social Security Disability Insurance
Succe Su cess St Stories es SOAR Success Hillsborough County Health Care Plan Success A Hillsborough County resident was A Hillsborough County resident, involved in a major car accident in 2017 who was a kidney-transplant \ that left her legs, hip, and head severely recipient and suffered from injured. Because of the accident and chronic kidney problems, came to severity of injuries, she lost her job, her Health Care Services for apartment, and her car. She moved into a assistance after he lost his job and relative’s home and lived on the couch his health care coverage. while going through physical therapy and At the time of losing his job and health care coverage, the resident dealing with unexpected infections. was hospitalized for kidney failure. While hospitalized, Health Care The resident was referred to Health Care Services for assistance through its Services assisted the resident with his Health Care Plan application. community partner Florida Hospital Tampa. After enrolling her in the Six days after asking for assistance, Health Care Services was able Health Care Plan, her case manager worked with her and submitted a to complete his enrollment into the Hillsborough County Health Social Security claim for her in August 2018. Care Plan. After being discharged from the hospital, he was able to Because of relationships and procedures put in place by Health Care continue his treatment through Health Care Plan providers and is Services, two months later the resident was eligible for benefits and had now in stable condition. been eligible since February 2017. She received a back pay of $15,888 and Since enrollment in the Health Care Plan, he has been approved for monthly Social Security Disabilities Income benefits of $1,026. With the Social Security Disability. benefits, the residents was able to modify a room at her relative’s house and buy all the necessary medical equipment and supplies to live comfortably. She also now receives in-home nursing assistance and physical therapy.
Key Su Sustainability & & Per erformance ce M Metrics cs 13 Hospitals 4,725 20,148 2 Federally Qualified New Members in 2019 HCHCP Members Health Centers 31 Primary Care Clinics 4 Management Service $200M $448 Organizations In Economic Impact to Per Member, Hillsborough County Per Month Cost 2,500+ Specialist Physicians 3.3 years 90% 12 Good or Excellent Average Membership Behavioral Health Annual Membership on HCHP Providers Satisfaction
Key Su Sustainability & & Per erformance ce M Metrics cs 86% 68 for Supplemental Security Income & Social Security Approval Disability Insurance Claims Days for Approval Rating 9 $7.3M Medicaid/Medicare Reviewed trended Reimbursement Evidence-based measures
Su Succe cess b by the N e Numbers $13M To fight opioid crisis 42 additional beds for mental health services 1,549 Healthy Living Program members 2,208 Households fed with 60,329 Pounds of food with Feeding Tampa Bay Expanded HCHCP eligibility to 138% at or below FPG
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