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Strategic Community Health Center Growth Strengthening Ohio’s Safety Net Roundtable HealthPath Foundation of Ohio April 29, 2011 Shawn Frick [email_address] Director, State Growth Strategies
Health Center Focus 2011-15
Obama, Boehner and The Tea Party
Health Reform – Funding Growth Chart 36% of total Trust Fund Pot (3.6B) has been allocated Does not include $1.5B for capital projects
2011 CHC Budget Results Reduced base appropriations to $1.59 billion from $2.19 billion Health Center Trust Fund - $1.0 billion for FY ‘12 Total Funding $2.6 billion for FY ‘12 $600 million taken from Trust Fund to sure up existing appropriations ($2.19 billion) $250 million used for ARRA Funded Health Centers FTCA, Across the board cuts and Supplemental funding to Cooperative Agreements About $60-92 million available for growth in FY ‘11
Health Reform: What Does It Mean For Ohio?  Current Ohio(2009)  Patients by Payer Source (437k) Post-Reform (2015+) Patients By Payer Source (850k??) NOTE: Medicaid and Exchange patients will grow over the next 10 years.  Private Insurance will likely decline. Ohio CHCs must increase Medicare patient population
Access Across Ohio Comprehensive needs analysis of each state indentifying: Priority communities for new health center development  Planned expansions of existing health Coordination: PCA/Existing CHCs/New Entities Demonstrate that PCAs and health centers have a plan and are prepared to address their state’s needs.  Identify PCA T/TA for new/existing Health Centers to: Assure high scoring applications (90+) Drive toward full service health centers Promote and defend the CHC mission
2011-13 Strategies for Growth Focus on Existing Health Centers Must Expand Sites and Services Now Stability is the key Smart Growth to areas without a CHC site Come together as an provider! Must be united and strong Future is dependent upon our business plans Data, data, data Marketing and Market Share Must be a driver in Ohio for the ACO and Exchanges
2011 - Are there Opportunities ??? Time to think and plan!!!!! $60-90 million in expansion funding (NAPs or Expanded Services) NAP applications – viable until December 15, 2011 Facility Improvement Program Opportunity ($750 M) ACA Implementation – All providers will be affected by: Patient Centered Medical Homes Meaningful Use Accountable Care Organizations State Exchanges
Communities interested in Health Center designation should be… Completing 3-5 year strategic plans Where are high needs in your area?  Nearby? What are your capital needs: Facilities Information Technology Workforce Merging with other CHCs? Taking over practices or adding satellites (Look-Alike or Change in Scope)
2011-15  Biggest Challenges ??? More Pressure  Challenges To integrate with other providers (including other CHCs) To coordinate patient care to assure continuity and full sharing of clinical data/information. To coordinate service delivery and match capacity while linking patients with enabling services. Re-engineering our health center operations (data and insurance focused)
Thank You! Any  Questions?

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Strategic Community Health Center Growth - Shawn Frick

  • 1.  
  • 2. Strategic Community Health Center Growth Strengthening Ohio’s Safety Net Roundtable HealthPath Foundation of Ohio April 29, 2011 Shawn Frick [email_address] Director, State Growth Strategies
  • 4. Obama, Boehner and The Tea Party
  • 5. Health Reform – Funding Growth Chart 36% of total Trust Fund Pot (3.6B) has been allocated Does not include $1.5B for capital projects
  • 6. 2011 CHC Budget Results Reduced base appropriations to $1.59 billion from $2.19 billion Health Center Trust Fund - $1.0 billion for FY ‘12 Total Funding $2.6 billion for FY ‘12 $600 million taken from Trust Fund to sure up existing appropriations ($2.19 billion) $250 million used for ARRA Funded Health Centers FTCA, Across the board cuts and Supplemental funding to Cooperative Agreements About $60-92 million available for growth in FY ‘11
  • 7. Health Reform: What Does It Mean For Ohio? Current Ohio(2009) Patients by Payer Source (437k) Post-Reform (2015+) Patients By Payer Source (850k??) NOTE: Medicaid and Exchange patients will grow over the next 10 years. Private Insurance will likely decline. Ohio CHCs must increase Medicare patient population
  • 8. Access Across Ohio Comprehensive needs analysis of each state indentifying: Priority communities for new health center development Planned expansions of existing health Coordination: PCA/Existing CHCs/New Entities Demonstrate that PCAs and health centers have a plan and are prepared to address their state’s needs. Identify PCA T/TA for new/existing Health Centers to: Assure high scoring applications (90+) Drive toward full service health centers Promote and defend the CHC mission
  • 9. 2011-13 Strategies for Growth Focus on Existing Health Centers Must Expand Sites and Services Now Stability is the key Smart Growth to areas without a CHC site Come together as an provider! Must be united and strong Future is dependent upon our business plans Data, data, data Marketing and Market Share Must be a driver in Ohio for the ACO and Exchanges
  • 10. 2011 - Are there Opportunities ??? Time to think and plan!!!!! $60-90 million in expansion funding (NAPs or Expanded Services) NAP applications – viable until December 15, 2011 Facility Improvement Program Opportunity ($750 M) ACA Implementation – All providers will be affected by: Patient Centered Medical Homes Meaningful Use Accountable Care Organizations State Exchanges
  • 11. Communities interested in Health Center designation should be… Completing 3-5 year strategic plans Where are high needs in your area? Nearby? What are your capital needs: Facilities Information Technology Workforce Merging with other CHCs? Taking over practices or adding satellites (Look-Alike or Change in Scope)
  • 12. 2011-15 Biggest Challenges ??? More Pressure Challenges To integrate with other providers (including other CHCs) To coordinate patient care to assure continuity and full sharing of clinical data/information. To coordinate service delivery and match capacity while linking patients with enabling services. Re-engineering our health center operations (data and insurance focused)
  • 13. Thank You! Any Questions?