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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.

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Suzanne Schrandt, J.D. Kansas Health Institute


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    1. Health Reform and Public Health in Kansas Kansas Association of Local Health DepartmentsTopeka, KansasJanuary 15, 2013 Suzanne Schrandt, J.D. Kansas Health Institute

    2. 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.

    3. Three Primary Components of the ACA

    4. Cost Containment, Payment and Delivery Reform • Quality Improvement • Payment Adjustments • Delivery Reform • Transparency/Financial Relationships

    5. What’s happening in Kansas?

    6. Accountable Care Organizations (ACOs)

    7. ACA Coverage Provisions • Access • Guaranteed Issue/Pre-existing condition exclusion • Medicaid expansion • Navigation • Health insurance exchanges • Cost • Rating rules • Federal assistance • Responsibility

    8. ACA Coverage Provisions

    9. 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

    10. Coverage Changes Already in Place

    11. Public Health • Prevention and Public Health Trust Fund • Employer wellness programming and premium/cost contribution adjustments • National Prevention and Wellness Strategy

    12. Public Health Spending ACA Public Health Funding March 2010 – January 2013 Source: Kaiser Family Foundation ACA Fund Tracker, January 2013

    13. 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

    14. Workforce Funding Opportunities • Public health workforce loan repayment • Community Health Workforce grants • Rural physician/underserved area

    15. 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

    16. ACA Impact on Public Health System • Greater access needs • Immunizations and other preventive care • Rethinking the role of public health

    17. Access Distribution of Kansas Hospitals, by County Source: Kansas Hospital Association, 2011 STAT Report

    18. Kansas Health Institute

    19. Primary Care HPSAsJanuary 2012 Source: KDHE Bureau of Community Health Systems, 2012

    20. Medicaid Expansion? Uninsured Kansas Adults, age 19-64, by ACA Eligibility Category Source: KHI Analysis of 2010-2011 Current Population Survey Data

    21. Immunizations and other Preventive Services

    22. Essential Health Benefits Health Insurance Coverage, Kansans Under Age 65 (2010-2011) Source: KHI Analysis of CPS and MEPS data, 2010 - 2011

    23. Contraception Mandate

    24. A New Landscape • Outcome-based payments • Collaborative care models • Comparative effectiveness research

    25. Questions?

    26. Kansas Health Institute Information for policy makers. Health for Kansans.