The Cover All Kids Coalition: A Statewide Public/Private Initiative

1
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

2
Goals

• To assure that all children and adolescents in
  Minnesota have
• Health care coverage
• Preventive health care services

3
Uninsured Children in Minnesota

• Est. 58,000 (4.5) are uninsured
• Childrens parents
• 88 employed
• 59 married
• 74 have high school diploma or some
  college/technical school

4
Percentage of children without health insurance
coverage, by race and ethnicity Minnesota 2001
15.6
10.9
4.5
3.5
Source Minnesota Health Insurance and Access
Survey, 2001
5
Child Uninsurance Rates by Region
5.7
6.5
5.7
5.4
4.0
5.8
3.2
MDH, Health Economics Program, 2001 Health Access
Survey
significant difference from State rate at 95
level
6
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

10
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 Membership
• Chairs
• Minnesota Medical Association, President
• Childrens 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
• Governors 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