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Partnership for Prevention CMS & HRSA

Partnership for Prevention CMS & HRSA. Susie Butler, Director, Division of Provider Affairs Office of External Affairs Centers for Medicare & Medicaid Services. Campaign Objectives for Fall 2007. Define open enrollment & successfully serve those who are enrolling or making a change.

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Partnership for Prevention CMS & HRSA

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  1. Partnership for Prevention CMS & HRSA Susie Butler, Director, Division of Provider Affairs Office of External Affairs Centers for Medicare & Medicaid Services

  2. Campaign Objectives for Fall 2007 • Define open enrollment & successfully serve those who are enrolling or making a change. • Leverage true collaborative partnerships. • Highlight and encourage utilization of Medicare resources. • Increase awareness and Utilization of Preventive benefits

  3. Low-Income Subsidy • Individuals who no longer automatically qualify • No longer have both Medicare and Medicaid • Belong to a Medicare Savings Program (partial dual-eligible) • Receive Supplemental Security Income (SSI) benefits • Encourage these individuals to apply for the extra help with SSA or their Medicaid office.

  4. Preventive Services Medicare-covered preventive services help: • Prevent disease • Diagnose disease early when it is most treatable • Manage disease so complications can be avoided • Realize cost savings

  5. Closing the Prevention “Gap” Not all people with Medicare take full advantage of preventive services – The Prevention “Gap”

  6. Prevention Gap

  7. Preventive Benefits at a Glance 1981 - 1985 1986 - 1990 1991 - 1995 1996 - 2000 2001 - 2005 Glaucoma Screening2002 Pneumococcal1981 Pap Test1990 Mammogram1991 Colorectal1998 Hepatitis B1984 Flu1993 Pelvic Exam1998 Cardiovascular Screening2005 Bone Mass Measurement1998 Diabetes Screening2005 “Welcome to Medicare” Exam2005 Prostate2000 Smoking and Tobacco Use Cessation Counseling2005 Adult Vaccines Cancer Screenings

  8. Spreading the Prevention Message • Partner with organizations to hold local events to promote preventive services • Coordinate with CMS Regional Offices to receive invitations to events and planning sessions • Obtain copy of latest Medicare & You Handbook for direct mailing about preventive services • Develop a preventive services resource guide that would provide state and community resources, including • immunization services (such as health departments and VNAs) • cancer screening and support group information • local diabetes and heart association chapters • smoking cessation

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