APPLYING HCHCP EXPERIENCE AND COSTS TO GALVESTON COUNTY

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APPLYING HCHCP EXPERIENCE AND COSTS TO GALVESTON
COUNTY
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HILLSBOROUGH COUNTY HEALTH CARE PLAN
(HCHCP) ACTUAL EXPERIENCE
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ACTUAL HEALTHCARE PLAN MEMBERSHIP AND
EXPENDITURES
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PROJECTED vs ACTUAL EXPENDITURES
MILLIONS
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COSTS OF SERVICES TO THE LOW INCOME POPULATION OF
GALVESTON COUNTY
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IMPROVED HEALTH CARE ACCESS RESULTS IN CHANGES IN
DIRECT HEALTH CARE COSTS
INDIRECT HEALTH CARE COSTS

Decreased total and less acute incidents. Ø
Prevention / early detection. Ø Life style
change. Ø Improved health. More appropriate
utilization. Ø Patient management. Ø Disease
management. Ø Appropriate follow-up.
Extended life expectancy. Decreased
morbidity. Increased productivity. Decreased
need to support the sick or injured. Improved
quality of life.
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CURRENT COSTS OF INADEQUATE HEALTH CARE SERVICES
FOR THE LOW-INCOME OF GALVESTON COUNTY
CURRENT DIRECT COMMUNITY COSTS 5.6 M TAX
SUPPORTED SERVICE. 27.0 M HOSPL.BAD DEBT
FROM ER AND RESULTING SERVICES. ???? OTHER
PROVIDER LOSSES. INDIRECT COMMUNITY COSTS
???? IMPACT OF LOST PRODUCTIVITY, MORBIDITY,
MORTALITY. ???? OTHER GOVT. AND
COMMUNITY SUPPORT PROGRAMS.
???? IMPACT ON QUALITY OF LIFE.
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BENEFITS OF COMMUNITY INVESTMENT IN FULL SCHIP
ENROLLMENT IN GALVESTON COUNTY
FULL SCHIP ENROLLMENT If 15,000 Uninsured
children added to SCHIP _at_ 700 / Child per Year
provider payments () 11.25 M New Provider
Payments / Year from State and Federal Sources.
() Conservative payout experience in other
locations.
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GALVESTON COUNTY CAUSES OF DEATH AND HILLSBOROUGH
COUNTY HEALTH PLAN SUCCESS
LEADING CAUSES OF DEATH 1. Diseases of the
Heart 2. Cancers 3. Cardiovascular
disease. 4. COPD 5. Unintentional injury
6. Diabetes 7. Suicide 8. HIV 9.
Pneumonia / flu 10. Liver disease

• HCHCP ADDRESSED THESE DISEASES THRU
• Access to care.
• Shift from acute care to early
• detection and prevention.
• Disease management
• - General
• - Specific programs.
• Access to outpatient care.

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GALVESTON AND HILLSBOROUGH COUNTIES -- SIMILAR
SOCIO- DEMOGRAPHICS

• Approx. 1 M people
• Mixed Urban / Rural
• 15 Black / 17 Hispanic
• 17 live in poverty
• Trade / service economy.

• Approx. 1/4 M people
• Mixed Urban / Rural
• 18 Black / 17 Hispanic
• 15 live in poverty
• Moving from industry and
• mining economy to lower
• wage trade / service
• economy.

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APPLYING HCHCP EXPERIENCE TO ESTIMATE GALVESTON
COSTS
80 M FOR ALL SERVICES FOR COUNTY WITH 1M
PEOPLE
20 M / YR FOR 1/4 M PEOPLE WITH SIMILAR
PROFILE