Key Goals of Health Reform

1. NATIONAL COUNCIL OF ASIAN PACIFIC ISLANDER PHYSICIANSCouncil of Asian American, Native Hawaiian and Pacific Islander (AANHPI) physicians that advocate for health and well being of their patients and communities.Objectives- Advocate for adequate and equitable public and private funding for initiatives and programs to improve access to, and quality of, linguistically and culturally competent health care service- Advocate for adequate and equitable public and private resources for AANHPI focused research and data collection and dissemination; and - Foster professional development for AANHPI health professionals to enhance representation at leadership and governmental levels of health care policy and service delivery systems.

2. STRUCTURE: PHYSICIAN ORGANIZATIONS & INDIVIDUAL PHYSICIAN MEMBERSBOARD OF DIRECTORS: 22 PHYSICIANSPRESIDENT/CEO: Dr. Ho Luong TranCHAIR: Dr. Dexter LouieTHREE VICE CHAIRS: Dr. Wilson Ko, Dr. Winston Wong, and Dr. Karen KimTREASURER: Dr. Edward Chow SECRETARY: Dr. Jhemon Lee STANDING COMMITTEES:- EXECUTIVE COMMITTEE – GOVERNANCE COMMITTEE- POLICY COMMITTEE – CHAIR: Dr. Winston Wong - FUND DEVELOPMENT – CHAIR: Dr. Daisy Saw- WORKFORCE & LEADERSHIP DEVELOPMENT – CHAIR: Dr. Arthur ChenOFFICES: WASHINGTON D.C. – SAN FRANCISCO – WWW.NCAPIP.ORG

3. Key Goals of Health Reform Improve Access HEALTH Improve Quality Control Cost

4. Key Provisions of the ACA Insurance regulation State Insurance Exchanges Subsidies Medicaid Expansion Individual Mandate and Employer Responsibility Primary Care and Health Care Workforce Prevention Delivery system changes

5. NCAPIP supports theAffordable Care Act (ACA) and additional national and state reforms which address the disparities AANHPIpopulations face in accessing quality care, and which would improve the overall health care system in the U.S. NCAPIP holds the belief that being a physician in America is aprivilege and with this privilege, comes a responsibility to the patients we serve, and we must take an active role in the implementation of the ACA and any national and state reforms.

6. Percentage of U.S. Physicians By Race/Ethnicity • Ref: Year-end AMA Masterfile (2006)

7. BACKGROUND ON ASIAN AMERICAN, NATIVE HAWAIIAN, AND PACIFIC ISLANDER COMMUNITIES2010 U.S. Census: Asian Americans are 5.6% of the U.S. population = 17.3 million persons 1.2 million Native Hawaiians and Pacific Islanders in the U.S 2000 –10: Asian Americans were the fastest growing racial or ethnic population (43%) 2010: Largest Asian Americans populations:Chinese (3.5 million) - Asian Indian (2.9 million) - Filipino (2.6 million) Vietnamese (1.6 million) - Korean (1.5 million) - Japanese (0.8 million)

8. BACKGROUND ON ASIAN AMERICAN, NATIVE HAWAIIAN, AND PACIFIC ISLANDER COMMUNITIESTen states with largest Asian populations in 2010:CA: 5.6 million – NY: 1.6 million – TX: 1.1 million – NJ: 0.8 million – HI: 0.8 million – IL: 0.7 million – Washington: 0.6 million – FL: 0.6 million – VA: 0.5 million - Pennsylvania: 0.4 millionNative Hawaiians and Pacific Islanders are concentrated in HI - CA and Washington

9. IMPACT OF HEALTH REFORM ON ASIAN AMERICAN, NATIVE HAWAIIAN, AND PACIFIC ISLANDER COMMUNITIESBenefit from the implementation of both the Health Information Technology for Economic and Clinical Health (HITECH) Act and the Patient Protection and Affordable Care Act (ACA): 18.1% of Asian Americans and Pacific Islanders are uninsured (16.3% of all Americans), with considerable variances: 25.5% for Koreans, 19.8% for Vietnamese, and 16.7% for NativeHawaiians and Pacific Islanders. 2016: 2.0 million Asian Americans will be eligible for coverage through the expansion of Medicaid eligibility and the creation of Affordable InsuranceExchanges, or newly covered by their employers as a result of the ACA. APIAHF: one in ten Asian Americans - more than one in eight Native Hawaiians andPacific Islanders - More than two in five Bangladeshis and Tongans will gain Medicaid coverage through the ACA

10. NCAPIP RECOMMENDATIONS POST MAY 2012 CONFERENCEHEALTH INSURANCE REFORM/HEALTH CARE REFORMPriority issuesEducation: AANHPI consumers and providers Access to culturallyand linguistically competentproviders Have seat at table for policydecisions, regulations, and legislationRecommendations to federal governmentPublicize benefits of health reform with appropriate outletsCreate AANHPI committee to advise federal government/ensure voice at tableInclude essential AANHPI providers in addition toFQHCsRecommendations to other stakeholdersGet seat at table at state level - collaborate with others - Engage CBOs

11. HEALTH CARE DELIVERY SYSTEM REFORMPriority issuesHealth information technologyPatient-centered medical homesAccountable care organizationsRecommendations to federal governmentONCHIT to focus on disparities reduction - Federal government should use HITECH Act incentive funding to develop one system - to providers for freeRecommendations to otherstakeholdersPCMH evaluations to include AANHPI populations or providersEHR in future practice: privacy/security issues with medical training/supervision of students/residents?Are current/available decision-support algorithms appropriate for AANHPIs

12. COMMUNITY ENGAGEMENTPriority issuesImprove relationship, communication among health care providers and patientsDisaggregate data to understand diversity of AANHPI communitiesIdentify and address health literacy, translation, transportationAccurate information to communities; counter mis-information; engage ethnic mediaAANHPI voices, especially Native Hawaiian and Pacific Islander community representationRecommendations to federal governmentInformation about health care reform available in plain language, translated Include (enhanced) National Standards for Culturally and Linguistically Appropriate Standards as requirements in all federal funding announcements for applications for funding

13. THANK YOU FOR YOUR VALUABLE TIME Winston Wong, M.D., M.S.Vice ChairNCAPIP