Health Reform and Public Health in Kansas Kansas Association of Local Health Departments Topeka, Kansas January 15, 2013. Suzanne Schrandt, J.D. Kansas Health Institute. Kansas Health Institute.
Health Reform and Public Health in Kansas Kansas Association of Local Health DepartmentsTopeka, KansasJanuary 15, 2013 Suzanne Schrandt, J.D. Kansas Health Institute
Kansas Health Institute The Kansas Health Institute is an independent, nonprofit health policy and research organization that informs policymakers about important issues affecting the health of Kansans. Our mission is to inform policymakers by identifying, producing, analyzing and communicating information that is timely, relevant and objective.
Cost Containment, Payment and Delivery Reform • Quality Improvement • Payment Adjustments • Delivery Reform • Transparency/Financial Relationships
ACA Coverage Provisions • Access • Guaranteed Issue/Pre-existing condition exclusion • Medicaid expansion • Navigation • Health insurance exchanges • Cost • Rating rules • Federal assistance • Responsibility
Largest ACA Impact on Small Group and Individual Market Health Insurance Coverage, Kansans Under Age 65 (2010-2011) Source: KHI Analysis of CPS and MEPS data, 2010 - 2011
Public Health • Prevention and Public Health Trust Fund • Employer wellness programming and premium/cost contribution adjustments • National Prevention and Wellness Strategy
Public Health Spending ACA Public Health Funding March 2010 – January 2013 Source: Kaiser Family Foundation ACA Fund Tracker, January 2013
Public Health Spending in Kansas • Community and State prevention: $639,000 • Tobacco use prevention: $64,000 • Public health workforce: $150,000 • Detection and response capacity: $964,000 • Public health infrastructure: $500,000 • Health care data analysis and planning: $577,000 • Access to Critical Wellness and Preventive Health Services: $3,115,000 Source: CCIIO website, retrieved January 14, 2013
Workforce Funding Opportunities • Public health workforce loan repayment • Community Health Workforce grants • Rural physician/underserved area
ACA Impact on Public Health System Health Outcomes Ranking, by County Source: County Health Rankings and Roadmaps Project, Robert Wood Johnson Foundation and University of Wisconsin Population Health Institute
ACA Impact on Public Health System • Greater access needs • Immunizations and other preventive care • Rethinking the role of public health
Access Distribution of Kansas Hospitals, by County Source: Kansas Hospital Association, 2011 STAT Report
Primary Care HPSAsJanuary 2012 Source: KDHE Bureau of Community Health Systems, 2012
Medicaid Expansion? Uninsured Kansas Adults, age 19-64, by ACA Eligibility Category Source: KHI Analysis of 2010-2011 Current Population Survey Data
Essential Health Benefits Health Insurance Coverage, Kansans Under Age 65 (2010-2011) Source: KHI Analysis of CPS and MEPS data, 2010 - 2011
A New Landscape • Outcome-based payments • Collaborative care models • Comparative effectiveness research
Kansas Health Institute Information for policy makers. Health for Kansans.