The Cover All Kids Coalition: A Statewide Public/Private Initiative
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Transcript of The Cover All Kids Coalition: A Statewide Public/Private Initiative
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The Cover All Kids Coalition: A Statewide Public/Private Initiative
Janny Dwyer Brust, MN Council of Health Plans
Donna Zimmerman, HealthPartners
Carol Berg, UCare Minnesota
Katie Linde, Blue Cross Blue Shield/Blue Plus of Minnesota
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Goals
• To assure that all children and adolescents in Minnesota have:
• Health care coverage
• Preventive health care services
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Uninsured Children in Minnesota
Est. 58,000 (4.5%) are uninsured
• Children’s parents:• 88% employed• 59% married• 74% have high school diploma or some
college/technical school
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Percentage of children without health insurance coverage,
by race and ethnicity: Minnesota 2001
White Black Hispanic/Latino StatewideAverage
3.5%
10.9%
15.6%
4.5%
Source: Minnesota Health Insurance and Access Survey, 2001
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Child Uninsurance Rates by Region
MDH, Health Economics Program, 2001 Health Access Survey
*significant difference from State rate at 95% level
5.7%
6.5%
5.7%5.4%
5.8%
3.2%
4.0%
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Source: MDH, Health Economics Program (2001); U of MN Health Access Survey 6
Private Insurance77.9%
Other Public0.2%
MNCare3.7%
MA13.7%
Uninsured4.5%
Source of Health Care Coverage
(Children: Birth – Under 18 Years)
Minnesota - 2001
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Are Children Getting Preventive Health Care
Services?• 70 – 85% receive well child visits in their first 15 months
• 62 – 85% receive child immunizations
However:• We have difficulties documenting services
• Little consensus on what those services should be or their timing
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Barriers to Getting Health Care Coverage
• Parents:– Lack of knowledge of available health care coverage
– Cultural and Language barriers
• System:– Affordability
– Complicated enrollment process and verifications
– Eligibility barriers
– Lack of continuity of coverage
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Barriers to Getting Preventive Health Care Services
• Parents:– Lack of knowledge of the importance of regular check ups
– Lack of knowledge of where to go for services
– Cultural and language barriers
– Transportation and clinic hours not convenient
• System:– Affordability of insurance coverage
– Lack of uniform preventive services guidelines, training and record keeping
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Why Form A Coalition?
• No one system can solve these problems alone:– It takes:
• Health Systems
• Government
• Community Organizations
• Individuals
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Steering Committee MembershipChairs
Minnesota Medical Association, President
Children’s Defense Fund , Director
Minnesota Council of Health Plans , Executive Director
Members
Minnesota Department of Health University of Minnesota
Minnesota Department of Human Services Local Public Health
Governor’s Office MDH-Office of Rural Health & Primary Care
Neighborhood Health Care Network The Urban Coalition
Minnesota Hospital & Healthcare Partnership Affiliated Community Medical Centers
Minnesota Nurses Association Minnesota Community Action Association
American Academy of Pediatrics Legal Services Advocacy Project
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Cover All KidsWork Groups
Access to Preventive Services
Best Practices
Documentation and Referrals
Eliminate Disparities
Evaluation, Assessment and Research
Health Care Coverage
Public Awareness
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Recent Accomplishments
• Legislation
• Identifying preventive services common to all guidelines
• Monitoring goals
• Presentations
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Accomplishments• Web
– Public: www.coverallkids.org
– Coalition members
• Toll free number– 1-866-489-4899
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State Fair
August 23 – September 3, 2001
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Challenges
• Communications/coordination
• Funding/Resources
• Prioritization
• Variable progress by work groups
• Political/philosophical tensions
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Next Steps
• All Coalition meeting
• Prioritizing work
• Commitments from partners
• Funding for staffing