General Meeting January 26, 2015 SCMA 10am-12pm @HealthierSC #Healthie ierSC He Healt lthierSC. C.org
Agenda 9.30-10.00am – Networking time • 10.00am – Progress in key health outcomes • 10.30am – Public Health depends of each of us. How can the Alliance help achieve the Public Health vision for SC? • 15 min- Presentation by DHEC Director, Catherine Heigel • 25 min- Q&A and open discussion • 11.10am – Aligning efforts to accelerate access to care • Advocacy Team meeting update • Assessment of consensus • 11.40am – Alignment plans • What changes is your organization planning to do to support the achievement of Alliance Goals? 12.00pm – 12.30pm – Networking time @HealthierSC #Healthie ierSC Healt He lthierSC. C.org
makin ing we are a dif ifference Infant t mort ortality, pr prem emature de death th, pr preventable hos hospitalizati tions, SC improved in 30 SC 30 He Healt lth Ind Indicators in n di diabetes, hea heart t di disease, hi high sch chool graduati tion, lac ack of of hea health 2015 America’s Health Rankings insu nsurance, occupational fatalities, dru drug de death ths, excessive drinking, child immunizati child tion, ph physical ina nactivi vity, smoking, income, tee een bi birt rth rate, prim primary ry car are ph physici cians, , cancer deaths, salmonella, chlamydia, violent crime, disparity in health status by education, unemployment, underemployment, air pollution, pertussis…. In In the 2015 2015 Com Commonwealth Fun und Health Sys ystems Dash Dashboard , , our our state improved or or stayed the same same in n 35 35 of of the 36 36 cor ore indicators. we need to focus now on accelerating the pace of f im improvement Inequit ities ar are weig ighing us down… …so Alliance Members and Partners are working together to fix it… Join Join us! us!
Recent South Carolina Wins (2014 data) Healthy Babies 12% 338 5% 58 Fewer babies born Reduction in Low- Fewer baby deaths Reduction in Infant with Low-Birthweight Birthweight Rate Mortality Rate. Met t 2020 Alliance Goa oal. Healthy Children 17 7.1% 2,372 Position improvement in Improvement in Asthma Fewer Pediatric ED visits America’s Health Rankings Medication Ratio due to Primary Care for Childhood Preventable Conditions. Immunizations
Recent South Carolina Wins (2014 data) Healthy Min inds People with existing behavioral We consolidated in a health conditions spent 4,272 public, online map, all statewide drop-boxes for prescription drugs. fewer days hospitalized due to primary care preventable conditions. Healthy Bodies 136,624 4,276 12% Fewer uninsured Reduction in proportion of Fewer hospitalizations due to Primary Care Preventable people who needed a doctor but Conditions. couldn’t see one due to cost. Met 20 2020 20 All Alliance Goa oal.
Progress since last meeting
New sin ince la last meeting • Slide packages for 1, 5, 20, and 60 minute presentations about the Alliance Common Agenda for Health Improvement are available for members upon request. • All members have received now a draft memo to share information about the Alliance and organizational alignment with own stakeholders. • Twitter account surpassed 100 followers on Dec 10, day of the formal launch of the Alliance. • Health Equity Team has defined the webinar topics for the first semester in 2016. • 2015 income and expenses, and 2016 budged emailed to all in December. • 23 Members have already renewed membership in 2016. • The Duke Endowment and Spartanburg Regional Health System have made additional contributions for a total of $15,000. @HealthierSC #Healthie ierSC Healt He lthierSC. C.org
Meet DHEC Director, , Catherine Heigel • Public Health is everybody’s job. • How can the Alliance help achieve the Public Health Vision for South Carolina? @HealthierSC #Healthie ierSC He Healt lthierSC. C.org
Ali ligning coll llaborative efforts for a Healthier SC (D (Draft 1.0 .0) Local coa oalitions + + Mul ulti-stakeholder r State str St trategy y pl plans and and End End goal Prior rioriti ties Organizati tions + + statewide coa oaliti tions rep eports rts Ind ndivi viduals Healthy Healthy Moms Healthy Birth Outcomes Initiative Babies Plan Babies Call to Action for Health Equity Child Health Needs Alliance for a Healthier SC Child Health Outcomes Healthy Assessment and Health Equity Coalition (Upcoming) implementation Plan (Title V) Children Healthier Behavioral Health SC for ALL Behavioral Health Taskforce Implementation Team Healthy at a lower report and Prescription Drug Gov. Prescription Drug Abuse Abuse Prevention report Minds cost Prevention Council SCaleDown Obesity Action Plan Healthy HEaRT, PCMH Alliance, Bodies Access to care related plans TeleHealth Alliance, PART, HOP Coalition, Asthma, Quality Imp. related plans Diabetes, Heart health coalitions Health in All Policies @HealthierSC #Healthie ierSC He Healt lthierSC. C.org
Accelerating access to care • Individuals have diverse needs and assets • Access to health insurance does not necessarily translate into access to care • But not having healthcare coverage that fits the individual needs limits the ability of individuals to access the healthcare services they need @HealthierSC #Healthie ierSC He Healt lthierSC. C.org
Building common ground • Access to appropriate health insurance coverage is a critical strategy as we build a healthier SC. • We recognize that Medicaid expansion is a controversial subject in SC, and the Alliance is not prepared to adopt a unified position at this time. In the meantime, however, there are several ways the Alliance could help increase access to insurance for the low income uninsured. @HealthierSC #Healthie ierSC He Healt lthierSC. C.org
Who are the 604,0 ,000 Uninsured • Strategy 1? 187,2 ,200 Marketplace subsidy eligible (100%-400%FPL) • Strategy 2? 102,7 ,700 Medicaid Eligible • Strategy 3? 120,8 ,800 are in the coverage gap (Below 100%FPL but not eligible for Medicaid) 72,50 ,500 who declined Employment Sponsored Insurance and • Strategy 4? therefore are not eligible for financial assistance 66,00 ,000 who are not eligible for financial assistance due to • Strategy 5? immigration status 54,40 ,400 who are not eligible for financial assistance due to income • Strategy 6? (more than 400%FPL) @HealthierSC #Healthie ierSC Healt He lthierSC. C.org
Who are the 604K uninsured in in SC? • Connect to Marketplace subsidies for gol old 187,2 ,200 Marketplace subsidy eligible (100%-400%FPL) and silver plans and Short Term 102,7 ,700* Medicaid Eligible (This number may not • Connect to Medicaid include yet the children automatically enrolled in 2015) 120,8 ,800 are in the coverage gap • Alternatives to Medicaid expansion (Below 100%FPL but not eligible for Medicaid) Middle/ • Health Insurance Premium Payment Program 72,50 ,500 who declined Employment Sponsored Insurance Long • Business conversation about affordability of and therefore are not eligible for financial assistance premium AND deductible for low-income Term employees and families 66,00 ,000 who are not eligible for financial assistance due to immigration status • Federal requirements will likely decrease this 54,40 ,400 who are not eligible for financial assistance due to income (more than 400%FPL) number through increased tax penalties *Medicaid eligible number does not account for the children automatically enrolled in 2015. @HealthierSC #Healthie ierSC Healt He lthierSC. C.org
Consensus statement for your consideration Fulfilling the Alliance’s vision of a Healthier South Carolina for ALL requires a set of closely aligned strategies on multiple fronts. One of the critical strategies is making sure every person has the health insurance they need in order to access care timely and easily. @HealthierSC #Healthie ierSC He Healt lthierSC. C.org
Short-term Strategy • str trive to connect people wit ith coverage for physical and behavioral health services, wit ith affordable deductibles and co co-pays. • Maximize the number of currently eligible low-income uninsured that enroll in Medicaid (102,000) or Marketplace Insurance with subsidies (190,000) for gold and silver plans. This could potentially cut in half the number of uninsured in South Carolina. • Continue to work on access to care strategies for the low income uninsured who are not currently eligible for subsidized health insurance coverage. @HealthierSC #Healthie ierSC Healt He lthierSC. C.org
Middle/Long term Strategy • Develo lop and im imple lement strategie ies to guarantee access to care and coverage for th the rem emain inin ing lo low- inc income unin insured in in th the state (1 (190,000-250,000 peo eople le). • Low-income uninsured in the coverage gap (below 100% FPL) • Low-income uninsured who declined Employer Sponsored Insurance and therefore are not eligible for marketplace subsidies or Medicaid • Low-income uninsured who are ineligible for subsidies due to immigration status @HealthierSC #Healthie ierSC Healt He lthierSC. C.org
Alignment time • What changes is your organization planning to make to support the achievement of Alliance Goals? @HealthierSC #Healthie ierSC He Healt lthierSC. C.org
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