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Health care access and Medicaid in Ohio


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Ohio's Medicaid program made health care available to more people than ever before in 2014, but there's more work to be done.

The slides include an update on enrollment and health care access in Ohio, what's next for Ohio's Medicaid program, why personal stories are critical in our efforts to support health care access, and how you can get involved to keep Ohio’s families and communities healthy in the coming months.

Published in: Government & Nonprofit
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Health care access and Medicaid in Ohio

  1. 1. Health Care Access and Medicaid in Ohio
  3. 3. a statewide coalition of over 470 organizations working together to promote health and human service budget and policy solutions so that all Ohioans live better lives. Advocates for Ohio’s Future is…
  4. 4. Click here to endorse our mission or go to Join our coalition to advocate for strong families and communities.
  5. 5. We’re Moving! On October 10 AOF is moving to: 37 West Broad Street, Suite 1100 Columbus, OH 43215 Although we are moving, our phone number and email address will remain the same. We will continue to share office space with the Public Children Services Association of Ohio (PCSAO) in our new location.
  6. 6. • Help you take action for strong families and communities in many issue areas • Inform & Share Resources • What’s happening at the state level? AOF’s NEW Monthly Webinar Series
  7. 7. Col Owens - Co-Chair of Advocates for Ohio’s Future and Senior Attorney at Legal Aid of Southwest Ohio Julie Di Rossi King - COO of the Ohio Association of Community Health Centers
  8. 8. MEDICAID EXPANSION 2013 • High AOF priority for 2013 budget • AOF leadership played key roles in statewide coalition work and in regional coalitions
  9. 9. MEDICAID EXPANSION 2013  Expansion through Controlling Board action  Controlling Board action sunsets June 30, 2015
  10. 10. Health Care Access and Medicaid in Ohio Julie DiRossi-King, COO Ohio Association of Community Health Centers October 9, 2014
  11. 11. ACCESS – QUALITY - VALUE Our Missions 10/2/2014 11 OACHC  To ensure access to high-quality affordable health care for all Ohioans through the growth and development of Ohio's Community Health Centers. Health Center  To provide comprehensive, culturally competent, quality primary health care services to medically underserved communities and vulnerable populations.
  12. 12. ACCESS – QUALITY - VALUE Ohio Association of Community Health Centers (OACHC) Professional trade association representing Ohio’s Federally Qualified Health Center (FQHC) and Look- Alike (FQHC LA) networks (commonly referred to as CHCs)  43 FQHCs and FQHC LAs in Ohio  Healthcare home and family doctor for more than 550,000 Ohioans annually, representing over 2M patient visits  Providing high-quality, affordable, primary and preventive health care and care management services regardless of insurance status or ability to pay  Over 205 locations in 55 of Ohio’s 88 counties 12 10/2/2014
  13. 13. ACCESS – QUALITY - VALUE Medicaid Extension – Background Info  In 2013, approximately 1.5 million uninsured Ohioans  Oct. 2013 - under the leadership of Governor Kasich coupled with actions of the Controlling Board, Ohio extended Medicaid eligibility for adults up to 138% FPL ($27,000 for a family of three) effective January 2014 through June 30, 2015 10/2/2014 13
  14. 14. ACCESS – QUALITY - VALUE 10/2/2014 14
  15. 15. ACCESS – QUALITY - VALUE Medicaid Extension – Background (cont’d)  Dec. 2013 - opened for enrollment (coverage effective Jan 1 2014)  In the first six months (through June 30, 2014), more than 592,390 Ohioans were connected to Medicaid coverage, including 338,707 individuals who were "newly eligible". 10/3/2014 15
  16. 16. ACCESS – QUALITY - VALUE Medicaid Group 8 Enrollment *Health Policy Institute of Ohio 10/3/2014 16
  17. 17. ACCESS – QUALITY - VALUE Ohio Marketplace Enrollment *Health Policy Institute of Ohio 10/3/2014 17
  18. 18. ACCESS – QUALITY - VALUE Medicaid Presumptive Eligibility  PE is used by states to provide immediate access to needed health services while completing the application process for coverage in Medicaid and the Children’s Health Insurance Program (CHIP).  2014 - Ohio delivered PE functionality to allow hospitals and FQHCs to enroll all patients directly into Medicaid 10/2/2014 18
  19. 19. ACCESS – QUALITY - VALUE Ohio Enrollment Coalitions  Ohio Network for Health Coverage and Enrollment (ONCE) ensures outreach, education and enrollment efforts in Ohio are coordinated and effective  ONCE brings together statewide, regional, and local organizations to foster collaboration and help uninsured Ohioans understand and enroll in new coverage opportunities.  For more information and to join the ONCE network, please visit  Regional Coalitions for local assisters including Cleveland Cincinnati Columbus Dayton and more 10/3/2014 19
  20. 20. ACCESS – QUALITY - VALUE Snapshot of Ohio’s Consumer Assistors  Navigators  At least 75 in Ohio  Certified Application Counselors (CACs)  Approximately 450 in Ohio  300 providing services at 130 of the 200+ FQHC sites (providing over 115K consumer assists thru 6.30.14)  County Department of Job and Family Services  Ohio’s Managed Care Plans 10/3/2014 20
  21. 21. ACCESS – QUALITY - VALUE Role of FQHC CACs  CHCs will raise the awareness of affordable insurance options and provide in-person eligibility and enrollment assistance to current uninsured patients and the community by: Hire new staff Train existing staff Conduct in-reach, community outreach and education Help consumers understand coverage options Help consumers determine eligibility Help consumers enroll in the Marketplace, Medicaid, or CHIP  Nationally, CHC assisters accounted for 26% of all assisters in year 1 10/3/2014 21
  22. 22. Eligible but not yet Enrolled  Uninsurance rate for Ohio adults between the ages of 18 and 64 fell from 17 percent last year to 11 percent in May 2014, leaving 800K Ohioans w/o health coverage  Hard to Reach Populations – “trusted messengers” needed for:  Communities of color  Ethnic and refugee communities  Rural communities  LGBTQ communities  Veterans  Homeless 10/9/2014 ACCESS – QUALITY - VALUE 22
  23. 23. Common Health Behaviors of Newly- Enrolled but Long-term Uninsured  High rates of untreated multiple chronic health conditions, mental illness, substance abuse, etc.  Inappropriately use the ER for primary care (non-emergency needs)  Uncertain how to navigate the health care landscape 10/9/2014 ACCESS – QUALITY - VALUE 23
  24. 24. From Coverage to Care  Medicaid managed care plans, community organizations, and FQHCs and other providers are teaching newly insured to use healthcare appropriately  Increase consumer health literacy  Insurance terminology (deductibles co-pays, renewal, etc.)  What’s covered  How to find a provider  How to be an active health care consumer  When to seek emergency care 10/9/2014 ACCESS – QUALITY - VALUE 24
  25. 25. ACCESS – QUALITY - VALUE Ohio’s Medicaid Program Moving Forward  Expect Gov. Kasich will include funding for the continuation of the extension of Medicaid in his SFY 2016-17 budget  However it is unclear exactly what it will look like once introduced and as it moves through both legislative chambers 10/3/2014 25
  26. 26. ACCESS – QUALITY - VALUE 10/2/2014 26 Thank You! For additional information please visit the OACHC website at OACHC 4150 Indianola Avenue Columbus, Ohio 43214 614.884.3101 Julie DiRossi-King Chief Operating Officer
  27. 27. Looking Forward to 2015 State Budget Col Owens
  28. 28. 2015 BUDGET: MAINTAIN PRESENT MEDICAID PROGRAM • Controlling Board action sunsets June 30, 2015, closure of next budget session • Controlling Board not a viable option for re-approval • Likely 400,000 newly eligible enrollees by 2015 • Hopefully harder to take health care away from people than not give it to begin with
  29. 29. GRASSROOTS WORK WITH LEGISLATORS • Regional Coalitions reconvening, educating grassroots activists regarding new situation • Need for documentation of successes of Medicaid in 2014, i.e., development of stories • Need for regional activists to meet with, educate legislators on successes and benefits • Need for maximum media coverage of benefits of 2014 program
  30. 30. GOAL: MAINTAIN, NOT EXPAND, MEDICAID • Do not use phrase “Medicaid expansion” in 2015 budget advocacy • Instead, focus on maintaining the program we presently have, – “health care access” or “Medicaid program” as a whole • As alternatives to taking Medicaid down, may be proposals to “reform” it. Examples – Arkansas model, buy all into insurance – Indiana model, put all into HSA’s
  31. 31. Our Challenge: Share the Success of Healthcare in Ohio Will Petrik
  32. 32. WHY SHOULD WE USE STORY TELLING FOR ADVOCACY? • They put a human face on issues surrounding Medicaid • Personal stories have a greater impact on lawmakers than numbers alone • Help to show that the impact of Medicaid expansion is wide and deep. The impacts are statewide and affect: • Individuals • Communities • Families • Businesses
  33. 33. WHAT DOES A STORY LOOK LIKE? • A brief essay • A short video • Legislative testimony • A story in the media Click here to check out examples of Medicaid stories.
  34. 34. TIPS FOR COLLECTING STORIES: LISTEN AND ASK GOOD QUESTIONS! • Before questions - provide details that help readers understand that not having access to health care could happen to anyone, which will help the reader relate to the challenges the storyteller faced. • What was your health situation prior to having Medicaid/coverage? • What was your employment prior to having Medicaid/Coverage? • Were there other causes for not having health coverage or having insufficient health coverage (i.e. a major life change)?
  35. 35. EXAMPLE QUESTIONS CONTINUED • After questions - provide details about how the storyteller’s situation changed after gaining Medicaid/coverage. • Has your health situation changed since having Medicaid/coverage? If so, how? • Did your financial situation change after you obtained Medicaid/coverage? • What difference has having coverage made in your life?
  36. 36. WHO MAKES A GOOD STORYTELLER? • Consumers - emphasis on how coverage has benefitted them • Employers • Veterans • Social Workers • Primary Care Providers • Criminal Justice System • Churches • Dental/Dentists • Behavioral Health Providers • Child Welfare • Navigators/Certified Application Counselors/other enrollment specialists
  37. 37.  Akron: Contact Tracy Carter at, 234-312-5257 or Thomas Turner at, 330-489-1421  Cincinnati/Southwest Ohio: Contact Col Owens at, 513-362- 2841  Next meeting: October 16 at 10 a.m. at Interact for Health, Rookwood Tower 3805 Edwards Road, Cincinnati, OH 45209. RSVP to Col Owens.  Columbus: Cathy Levine at, 614-456-0060 ext. 222  Next meeting: October 21 at 3 p.m. at the Ohio Hospital Association, in the PNC Building, 155 East Broad Street, Columbus, OH 43215. RSVP to Cathy Levine.  Dayton: Contact Jessica Mead at or 614-255-4615 37 JOIN YOUR LOCAL MEDICAID ADVOCACY COALITION
  38. 38. JOIN YOUR LOCAL MEDICAID ADVOCACY COALITION  Northeast Ohio: Contact Loren Anthes at or Marcia Levine at  Next meeting: Tomorrow at 9AM. The call-in number is 1-605-475-5950. The passcode is: 9409397.  Southeast Ohio: Contact Julie DiRossi-King at, 614-884- 3101 ext. 226  Next meeting: October 15, 11 a.m. The call-in number is 1-800-250-2600 followed by code 2204999#. RSVP to Julie DiRossi-King.  Toledo: Contact Tim Schneider at, 419-469- 3710 or Barb Petee at, 419-469-3894 38
  39. 39. TAKE ACTION: ENSURE MEDICAID FUNDING CONTINUES 1. Submit one health care story to OhioSPEAKS by the end of November 2. Join your regional Medicaid advocacy coalition
  40. 40. Q&A • Unmute using the phone icon on top center of your computer screen or by pressing *6 on phone • Type your question into the chat bar
  41. 41. COMING UP NEXT Webinar on Thursday, November 13 10-11:00 A.M. Adult Protective Services: Building a statewide system that protects older Ohioans Stay tuned for the release of health care videos from Advocates for Ohio’s Future
  42. 42. Advocates for Ohio’s Future 37 West Broad St., Suite 1100 Columbus, OH 43215 Will Petrik | 614-602-2464 Gail Clendenin | 614-602-2463