florida health insurance study phase ii project overview and progress report roundtable discussion...

8
Florida Health Insurance Study Phase II Project Overview and Progress Report Roundtable Discussion Winter Park Health Foundation, Florida Mel Chang, MPA AHC Administrator Office of Medicaid Research and Policy Bureau of Medicaid Quality Management Agency for Health Care Administration March 3, 2006

Upload: francis-richard

Post on 11-Jan-2016

216 views

Category:

Documents


0 download

TRANSCRIPT

Page 1: Florida Health Insurance Study Phase II Project Overview and Progress Report Roundtable Discussion Winter Park Health Foundation, Florida Mel Chang, MPA

Florida Health Insurance Study Phase II Project Overview and

Progress Report

Roundtable Discussion

Winter Park Health Foundation, Florida

Mel Chang, MPAAHC Administrator

Office of Medicaid Research and PolicyBureau of Medicaid Quality ManagementAgency for Health Care Administration

March 3, 2006

Page 2: Florida Health Insurance Study Phase II Project Overview and Progress Report Roundtable Discussion Winter Park Health Foundation, Florida Mel Chang, MPA

2

Florida Health Insurance Study Phase II Project Overview and

Progress Report Overview

FHIS Phase II is funded by the HRSA State Planning Grant Program.

The project explores the ability of ambulatory care safety-net providers, in particular, community health centers, to organize into ‘health plans’ in order to participate in coverage expansion efforts for low-income, uninsured Floridians as well as to accommodate changes to the Medicaid program.

The overarching goal of the project is to explore the feasibility of developing a health insurance program or option that can be implemented and offered by the ambulatory safety-net.

Page 3: Florida Health Insurance Study Phase II Project Overview and Progress Report Roundtable Discussion Winter Park Health Foundation, Florida Mel Chang, MPA

3

Florida Health Insurance Study Phase II Project Overview and

Progress Report FHIS Phase II Project Objectives 

– To document and describe the characteristics of the ambulatory care safety-net in Florida;

– To understand the kinds of services the ambulatory care safety-net provide to their uninsured patients and identify the gaps in care;

– To assess coverage expansion options available to strengthen the

safety net and improve coverage for the uninsured population; and

– To provide a statewide strategic plan that includes preliminary set of guidelines for community health centers, other ambulatory care safety net providers and stakeholders.

Page 4: Florida Health Insurance Study Phase II Project Overview and Progress Report Roundtable Discussion Winter Park Health Foundation, Florida Mel Chang, MPA

4

Florida Health Insurance Study Phase II Project Overview and

Progress Report FHIS Phase II TasksSpecific tasks include:

– Survey of safety-net ambulatory care providers in selected locations throughout the state in order to assess the infrastructure and capacity;

– Site visits;

– Assessment of consumer interest in health plans offered by ambulatory care providers; and 

– Statewide strategic plan to design and implement a pilot.

Page 5: Florida Health Insurance Study Phase II Project Overview and Progress Report Roundtable Discussion Winter Park Health Foundation, Florida Mel Chang, MPA

5

Major Task:Establish the Florida Health

Insurance Study Phase II Steering Committee

Major Task:Summarize Existing

Information/ Administrative data analysis

Major Task:Key Informant Interviews

Focus GroupsSite Visits

Major Task:Develop Strategic Plan

for a Pilot

Major Task:Report Findings and Link findings to strategic plan development of

pilot

Major Task:CHC and CHD

surveys

FHIS Phase II Project Flow Chart

Page 6: Florida Health Insurance Study Phase II Project Overview and Progress Report Roundtable Discussion Winter Park Health Foundation, Florida Mel Chang, MPA

6

Florida Health Insurance Study Phase II Project Overview and

Progress ReportPrevious Efforts

FHIS 1999;Health Flex Program;Pooled Purchasing initiatives;Locally financed and administered programs for uninsured;Governor’s Task Force and House Select Committee, HB1629;FHIS 2004;Limited Benefit Plans (Chapter 641, Part II).

Page 7: Florida Health Insurance Study Phase II Project Overview and Progress Report Roundtable Discussion Winter Park Health Foundation, Florida Mel Chang, MPA

7

Florida Health Insurance Study Phase II Project Overview and

Progress ReportLead Agency and Collaborating Project Partners

The lead agency is the Agency for Health Care Administration (AHCA);

Current Collaborating Project Partners

University of Florida Center for Medicaid and the Uninsured;Health Management Associates, Inc.; Florida Association of Community Health Centers;Community Health Centers Inc. of Central Florida;Department of Health/County Health Departments; Winter Park Health Foundation .

Page 8: Florida Health Insurance Study Phase II Project Overview and Progress Report Roundtable Discussion Winter Park Health Foundation, Florida Mel Chang, MPA

8

Florida Health Insurance Study Phase II Project Overview and

Progress Report

Project Time Frame:

January 2005 to November 2006

Website:

http://ahca.myflorida.com/Medicaid/quality_management/mrp/Projects/fhis2004/index.shtml