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PUBLIC HEALTH FUNDING IN WISCONSIN. PUBLIC HEALTH COUNCIL Dr. Sheri Johnson, State Health Officer Wisconsin Division of Public Health April 13, 2007. US Health Care Costs: $2 Trillion Dollars. Health Care Costs in 10 Years: $4 Trillion Dollars.

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PUBLIC HEALTH FUNDING IN WISCONSIN

PUBLIC HEALTH COUNCIL

Dr. Sheri Johnson, State Health Officer

Wisconsin Division of Public Health

April 13, 2007


Us health care costs 2 trillion dollars l.jpg
US Health Care Costs:$2 Trillion Dollars


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Health Care Costs in 10 Years:$4 Trillion Dollars


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Having a System that Lowers Costs by Helping People be Healthy:

Public Health

PRICELESS


Slide5 l.jpg

*Source: "Burdened by healthcare costs. US Businesses seek a shift." The Christian Science Monitor. February 13, 2007


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Statewide LPHD Expenditures by Source of Funds shift." The Christian Science Monitor. February 13, 2007

*Source: 2004 Statewide Local Public Health Survey. Conducted by Division of Public Health.


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2005-07 Wisconsin Total Budget shift." The Christian Science Monitor. February 13, 2007by State Agency (Total Budget = $26 billion)


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2005-07 DHFS Budget by Expenditure Type shift." The Christian Science Monitor. February 13, 2007(Total Budget = $6.07 billion)


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2005-07 DHFS Total Budget shift." The Christian Science Monitor. February 13, 2007by Division (Total Budget = $6.07 billion)

,


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Division of Public Health shift." The Christian Science Monitor. February 13, 2007SFY 06 by Funding Source

(Total Budget = $157 Million)


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Division of Public Health shift." The Christian Science Monitor. February 13, 2007Allocation of GPR Funds


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Division of Public Health shift." The Christian Science Monitor. February 13, 2007Allocation of Federal Funds


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Division of Public Health shift." The Christian Science Monitor. February 13, 2007Allocation of Program Revenue & Other Funds


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Division of Public Health shift." The Christian Science Monitor. February 13, 2007GPR Funding Trends

$ 5.3

$ 4.6

$ 4.8*

$5.3**

$ 4.3

49.45

FTE

41.58

FTE

46.03

FTE

45.03

FTE

34.41

FTE

*Bureau of Health Information and Policy added to DPH **Additional $554,400 GPR for Statewide Trauma System - all $ contracted to Partners


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Examples of shift." The Christian Science Monitor. February 13, 2007Federal Grant Funding


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Public Health Preparedness shift." The Christian Science Monitor. February 13, 2007Grant funding


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Public Health Preparedness Funding 2002-07 shift." The Christian Science Monitor. February 13, 2007


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Division of Public Health shift." The Christian Science Monitor. February 13, 2007Grant Funding

107 Grants

101 Grants

86 Grants

86 Grants

69 Grants


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Public Health shift." The Christian Science Monitor. February 13, 2007Return on Investment


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Obesity Epidemic in WI shift." The Christian Science Monitor. February 13, 2007

  • 22% Adults eating at least 5 servings of fruits & vegetables per day

  • 55% Adults meeting minimum activity level 

  • 61% overweight or obese

*Source: Behaviorial Risk Factor Surveillance Survey, 2005. Centers for Disease Control and Prevention


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Cost of Treating Obesity shift." The Christian Science Monitor. February 13, 2007

National cost

= $77 billion per year

Wisconsin’s share

= $1.4 billion per year

*Source: "An Ounce of Prevention: What Can Policymakers Do About the Obesity Epidemic?" Wisconsin Public Health & Health Policy Institute. 2003


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Tobacco Use & shift." The Christian Science Monitor. February 13, 2007Secondhand Smoke

Every year in WI,

  • over 8,000 tobacco-related deaths

  • $2.16 billion in direct health care costs

  • Significant lost productivity

*Source: "2006 Burden of Tobacco Report." American Cancer Society


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Public Health is the Answer shift." The Christian Science Monitor. February 13, 2007

Programs and policies to prevent and reduce the number of people who smoke cigarettes and use tobacco are the most effective way to eliminate this burden.

*Source: "2006 Burden of Tobacco Report." American Cancer Society


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Challenges shift." The Christian Science Monitor. February 13, 2007

  • Public Health Spending: WI

    low per capita: $79/person*

  • Health Care Costs: USA

    high per capita: $7,498/person**

*Source: "America's Health Rankings 2006." United Health Foundation **Source: Journal of Health Affairs. Published online 2/21/07


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Good News shift." The Christian Science Monitor. February 13, 2007

  • WI 10th Healthiest State in Nation - 2006

  • Improvement from 13th - 2005

*Source: "America's Health Rankings 2006." United Health Foundation


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Governor’s Proposed shift." The Christian Science Monitor. February 13, 20072007-09 Budget Highlights


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BadgerCarePlus (BC+) shift." The Christian Science Monitor. February 13, 2007

  • Provides access to affordable health care for all children

  • In addition to all children, expands eligibility to other new populations:

    • Youth (aged 18 through 20) aging out of foster care

    • Pregnant women from 185-300% federal poverty level (FPL)

    • Caretaker relatives up to 200% FPL

    • Parents with children in foster care up to 200% FPL

    • Farmers and other self-employed individuals up to 200% FPL, contingent on depreciation calculations


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BadgerCarePlus shift." The Christian Science Monitor. February 13, 2007(continued)

  • Streamlines eligibility

  • Promotes prevention and healthy behavior

  • Establishes benchmark plan for majority of expansion populations

  • Budget neutral: funded through greater use of managed care, administrative savings, and a new co-pay and premium structure

  • Requires federal approval

  • Target implementation date: Jan. 2008


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Public Health shift." The Christian Science Monitor. February 13, 2007

Smoking Prevention and Cessation:

  • Increase tobacco tax by $1.25/pack

  • Additional $20 million/year funding + current $10 million base = $30 million/year

  • To increase smoking prevention and cessation efforts


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Public Health shift." The Christian Science Monitor. February 13, 2007(continued)

  • MA Family Planning Waiver for Males

  • Vital Records Automation

    • Federally mandated

    • Vital Record Fees are increased: fee revenue used to fund automation, increased child abuse and AODA prevention services, increased domestic abuse services, and provide add’l funding to counties

  • AIDS/HIV Program:

    • Fully funds projected caseload in Drug Assistance Program

    • Enroll eligible individuals from AIDS Drug Assistance Program to HIRSP, use savings generated to increase funding to life care services


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Questions? shift." The Christian Science Monitor. February 13, 2007


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