03.31.2015

Cheri Tomlinson, Vice President of Grants and Research

MIHS Adopts a Culture of Coverage:

Helping Individuals Access Health Care by Enrolling in Arizona Medicaid or the Health Insurance Marketplace

One of the largest burn centers in the U.S.

MIHS trains 400 physicians and provides more

T H E O N LY P U B L I C T E A C H I N G H O S P I TA L & H E A LT H C A R E S Y S T E M

than 3,000 clinical rotations each year

390,000 adult and pediatric visits at our family health centers and comprehensive healthcare center in 2013

In 2013, more than 47,000 people visited one of our four Family Learning Centers

We have

30 interpreters

providing interpretation services

for more than

50 languages

64.78%Patients admitted to MIHS received

government sponsored care

(AHCCCS and Medicare)

81.49%of babies born in FY2013 partially reimbursed by

AHCCCS

Last year…

MIHS treated 3,629 patients needing acute psychiatric care and provided 5,000+ hours of outpatient counseling services at no or little cost.

122

c l i n i c s

h o s p i t a l s

History

1990 2014• 190 unduplicated patients• 6 staff (4.0 FTE)• $70,000 of HRSA

Demonstration Project funding

• 3,187 unduplicated patients

• 36 staff (32.8 FTE)• $3.1 million in Ryan

White HIV/AIDS Program funding (Parts A, C, & D)

McDowell providers collectively have 186 years of

experience including 111 years providing care to people

living with HIV/AIDS.

Ryan White HIV/AIDS Program

• MIHS is the oldest Ryan White HIV/AIDS Program Grantee in Arizona.– 1991: Awarded Part C

(formerly Title III) for the first time.

– 1994: Awarded Part A (formerly Title I) as a sub-recipient for the first time.

– 1998: Awarded Part D (formerly Title IV) for the first time.

5

Maricopa County, AZ = most uninsured county in the U.S. at

In Maricopa county alone,

120,071Enrolled in the Marketplace

228,758Enrolled in AHCCCS

166,131Enrolled in the Marketplace

as of January 16, 2015

107,310Enrolled in the Marketplace as of 1/16/2015675,000

6th

PRE-ACA YEAR 1 ACA YEAR 2 ACA

AFFORDABLE CARE ACT TIMELINE

Source: ASPE.hhs.gov Source: enrollamerica.org

SUMMARY

Category OngoingFinal

StatusTotal

New 16 268 284Renewal 1 205 306

TOTAL 17 473 590

Inform Key Steps

• Planning council to develop 5 simple, consistent and coordinated key messages for use across the EMA to market and inform clients of upcoming ACA changes

• All RW Providers tasked with encouraging clients to learn about and enroll in ACA coverage– If agencies did not enroll, then

they would refer the client to an enrolling agency

Inform Toolkit Buckets

McDowell HCC(602) 344-6550Outcomes and Highlights Year one of Affordable Care Act

McDowell HCC (602) 344-6550Outcomes and Highlights Year one of Affordable Care Act

DATA DRIVEN PROCESSSome of MIHS’s key successes and lessons came from measuring these areas:

Volume of Calls

Poor health literacy

Health Literacy Classes

“More than 90 million Americans cannot

adequately understand basic health information” – Former US Surgeon General Richard

H. Carmona, MD, MPH, FACS

Class curriculum

based on the CMS

RoadmapCMS Roadmap

2Classes

UNDERSTANDING HEALTH INSURANCE PREVENTIVE SERVICES

• Why is it important to have coverage?• Top 10 definitions and terms • Explanation of “cost sharing”• How to make a medical appt.• AND MUCH MORE!!!

• Why is prevention important?• What are preventive services?• Adult services• Women services• Child services• AND MORE!!!

All classes and course material available in English and Spanish

Classes held at Family Learning Centers and other facilities accessible to PLWHA and community members who wish to attend.

For future course

information, visit:

grants.mihs.org

90 Minutes

Each

HEALTH LITERACY OUTCOMES

Project Highlights and Attendance

HEALTH LITERACY OUTCOMESOverall Class Evaluation Results

97%

98%

88%

95%

Very Satisfied/Satisfied(Module 1, Module 2, Combined)

Length of Class “About Right”(Module 1, Module 2, Combined)

Would Recommend the Class to Others(Module 1, Module 2, Combined)

Learned How to Make a Dr. Appt. (Module 1, Module 2, Combined)

n=107 n=108

n=105 n=98

MIHS Adopts a Culture of Coverage

• With the onset of health care reform, MIHS chose to transform how health care coverage information was delivered to our customers.

• The report describes an Arizona public hospital and health care system's experience in serving a diverse community in need of health care coverage.

To Learn Morehttp://mihs.org/uploads/sites/1http://mihs.org/uploads/sites/19/MIHSCoverStory.pdf9/MIHSCoverStory.pdf

Acknowledgements

CollaboratorsMIHS is pleased to acknowledge these collaborators and colleagues within our organization as indispensable partners in our “Cover” Story:

Key Stakeholderso RWPA and Planning Councilo RWPBo RWPCo RWPDo ADAPo Phoenix Children’s Hospitalo Care Directionso Southwest Center for HIV

Questions and Answers

Funded in whole or in part by the United States Department of Health and Human

Services, Health Resources and Services Administration, the Ryan White HIV/AIDS

Treatment Extension Act of 2011, the Maricopa County Department of Business

Strategies & Health Care Programs and the Maricopa Integrated Health System.