Introduction Weill Cornell Community Clinic’s Facilitated Insurance Enrollment Program Alina Kutsenko 1, Joshua D. Salvi 1 1 Weill Cornell Medical College,

Slides:



Advertisements
Similar presentations
Presented By: Leslie Wilson, Birmingham
Advertisements

Clinical Cancer Research in a Fail-safe Hospital: Mitigating Myths Of Mistrust Steven Wolff, M.D., Meharry Medical College.
Health Insurance Exchanges under the Affordable Care Act Deborah Chollet, Ph.D. Senior Fellow.
HEALTH REFORM MONITORING SURVEY hrms.urban.org 3 Trends in Uninsurance for Adults.
2012 PATH Data Reporting Tison Thomas Substance Abuse and Mental Health Services Administration (SAMHSA) Rachael Kenney & Amy SooHoo SAMHSA Homeless and.
Maternal and Child Health Bureau DECEMBER SLAITS Survey on Children with Special Health Care Needs Bonnie Strickland, Ph.D. MCHCOM.COM Webcast December.
Connecting Muslims to Coverage AMHP Where Faith and Healthy Communities Come Together.
Nursing Care Management of Dying Persons in Rural & Urban Areas of Ontario May 19, 2010 Sharon Kaasalainen, RN, PhD.
Health Care Reform Implementation: What does it mean for Community Health Centers? QI/PCMH Roundtable 3/14/2013.
We are funded by generous grants from the California Wellness Foundation, the California Endowment, Blue Shield of California Foundation, California Community.
Affordable Care Act & You: What every consumer should know
Understanding the New Health Insurance Marketplace 0 Presenter Name, Title.
Health Reform and Health Coverage: Changes Ahead for Kids and Families Kim VanPelt St. Luke’s Health Initiatives September 16, 2013.
Kansas Health Insurance Marketplace Navigator Project Funded by a federal cooperative agreement with the Centers for Medicaid and Medicare Services.
Understanding The Affordable Care Act (ACA) Time to learn your…
What is the ACA (“Obamacare”) ? The Patient Protection and Affordable Care Act (ACA) ACA will reform our complex health care system If you are not insured,
Presented by Donald Rickenbaugh Direct Service Supervisor Center for Independence of the Disabled, NY.
ACA AND THE HEALTH INSURANCE MARKETPLACE: THE CURRENT LANDSCAPE IN PA Emily Van Yuga, M.Ed The Health Federation of Philadelphia 1.
Harrisonburg Rockingham Dental Clinic A Non-Profit Fee-for-Service Dental Clinic.
Introduction to Health Insurance Exchanges. Affordable Care Act (ACA) Insurance Reforms – No lifetime limits, annual limits – Pre-existing conditions.
Whitney Griggs Consumer Education Specialist Georgians for a Healthy Future.
Meaningful Use: A Physician Practice View Jason M. Mitchell, MD Assistant Director Center for Health-IT at the AAFP.
Affordable Care Act in Massachusetts Training PFAC Webinar Series Kate Bicego, Health Care For All.
Vermont Health Benefit Exchange: Design Advisory Group Meeting 1 Monday, March 7, 2011.
Overview Health Care Reform Impact: Incorporating the need to directly enroll clients in health insurance and monitor eligibility into a clinic setting.
Delaware Health Insurance Marketplace Project Update September 5, 2013 Delaware Health Care Commission Meeting Dover, DE.
Presented by Deb Polun Director of Government Affairs/Media Relations Community Health Center Association of Connecticut.
INTEGRITY | TEAMWORK | COMMITMENT | RESPECT | EXCELLENCE Chuck Seviour, VP – Revenue Cycle Consulting Three Phases of Modern Day Revenue Cycle Staff Training.
Cherise Fowler, Outreach and Enrollment Coordinator Alaska Primary Care Association
Hot issues in private insurance advocacy Enrollment/navigators Premium rates Health insurance literacy Network adequacy Drug coverage Out of pocket costs.
Trusts and ResourcesHealthy Communities 1 August 2010.
Health Care Reform Through the Cancer Lens State and Private Sector Reforms for Hispanic Healthcare Edward E. Partridge, MD National Board President American.
L.A. C OUNTY ’ S F UTURE U NDER H EALTH C ARE R EFORM Tangerine Brigham Deputy Director, Managed Care Services LOS ANGELES COUNTY DEPARTMENT OF HEALTH.
“Community Health Workers (CHWs) work in association with the local health care system (hospitals, doctors, clinics) in both urban and rural environments.
Delaware Community Health Access Program (CHAP): Evaluation of Referrals and Health Outcomes James M. Gill, MD, MPH Christiana Care Health Services August.
Utah’s Primary Care Network A health insurance access initiative Gene Davis Democratic Whip Utah State Senate.
Health Reform and Older Adults: Opportunities for Funders Kim VanPelt St. Luke’s Health Initiatives October 18, 2013.
National Landscape: Where Have We Been, and Where Are We Headed? Jessica Kendall, MPH Director of the Enrollment Assister Network Kara Nester, MPH Field.
Getting Connected: Can the ACA Improve Access to Health Care in Rural Communities? Russell Senate Office Building October 13, 2010 Clint MacKinney, MD,
What if you were responsible for loss of tax exempt status at your hospital? Facilitator: John Osen, System Director of CBO, Aspirus.
FEDERALLY QUALIFIED HEALTH CENTER. Hamilton Enrolls assists patients to enroll in: Medicaid, CHIP Medicare Part D, Low Income Subsidies, Pace/Pacenet.
Nursing Home INTERACT Pilot Project Thomas P. Meehan, MD, MPH Chief Medical Officer Qualidigm.
CAT AFFORDABLE CARE ACT PRIORITY ACTIVITY WORKGROUP UPDATE CAT Quarterly Meeting August 2015.
Powered by:. What is Physician’s Dispensing? Physician’s Dispensing is when a practice has the ability to fulfill patient prescriptions at the point of.
Patricia Peretz, MPH, Adriana Matiz, MD, Andres Nieto, MPA Center for Community Health Navigation.
Affordable Care Act and Super-Utilizers Lynn Garcia, Kathleen Han, and Aileen Maertens SW 722 October 1, 2014.
Barriers to Health Care for Immigrant Families: Fears of Public Charge May 2005.
Analysis of the 2004 Survey of Safety Net Providers Christy H. Lemak, PhD Allyson G. Hall, PhD Lilliana L. Bell, MHA March 3, 2006.
“INSURING THE UNINSURED” A Medical Student Run Project in a Medical Student Run Free Clinic for Improving Access to Care in an Urban Minority Buffalo,
Adolescent Pregnancy Prevention An Above the Waist Approach © 2013 Carrera Adolescent Pregnancy Prevention Program.
Provider’s Guide to Accessing Women’s Health Care.
Patient’s Guide to Accessing Women’s Health Care.
"Immigrants & the Safety Net: Challenges from Health Care Reform” California Program on Access to Care Presented by: Monica Blanco-Etheridge Latino Coalition.
American Public Health Association Annual Meeting Atlanta 2001 Alabama’s Children’s Health Insurance Program (CHIP): Access to Care for Children With.
CHARITY CARE A REQUIREMENT FOR ASCs IN NEW YORK Debbie Comerford, RN BSN, CNOR, CASC, LHRM Vice President of Operations, ASCOA.
USA ORGANIZATION DIVERSITY FACILITATION TEAM A AET/525 – Facilitating Instruction for Diverse Adult Learners April 21, 2014 Charles Crissey.
The Patchwork System of Public Insurance Coverage for Immigrants Leighton Ku, PhD, MPH AcademyHealth, Orlando, June 2007.
Local Data Collection Strategies for Safety Net Assessment Joel C. Cantor, Sc.D.
David Colman MD Assistant Professor Albany Medical Center Family Medicine Residency Program May 3, 2013.
Welcome to Workforce 3 One U.S. Department of Labor Employment and Training Administration January 23, 2015.
Acknowledgments: Craig Ravesloot, PhD., Tannis Hargrove, MS, The Rural Institute, University of Montana. Introduction, Materials, and Methods In this study.
Texas Association of Community Health Centers Annual Conference HRSA Guidance on Outreach and Enrollment Funding Presented by Lori McCain, CPA, CGMA Chief.
Using student run free clinic as a referral center for the follow-up of uninsured health fair patients Novneet Sahu, Justyna Marcinow, Jeffrey Noll, Matthew.
Creating a Medical Maternity Home With Four Different Addresses Jennifer Frank, MD, FAAFP University of Wisconsin School of Medicine and Public Health.
Affordable Care Act Introduction to Reform and Major Players in NY Rebecca Antar Novick Supervising Attorney, Health Law Unit The Legal Aid Society
The Problem. The Problem The Problem Excerpts from New York Times article June 17, 2008* Excerpts from New York Times article June 17, 2008* I love being.
Project Spotlight ED Care Triage (2biii)
The Weill Cornell Community Clinic Student Advisory Committee:
MHC 6304 Enthusiastic Studysnaptutorial.com
Jewish Family Services
Presentation transcript:

Introduction Weill Cornell Community Clinic’s Facilitated Insurance Enrollment Program Alina Kutsenko 1, Joshua D. Salvi 1 1 Weill Cornell Medical College, New York, NY, USA Methods ResultsDiscussion Future Directions References 40% of uninsured people in New York State are eligible for public insurance programs While efforts have been made to make the enrollment process simpler the following barriers still exist: Immigration related concerns Language barriers Changing income requirements Complex Medicaid eligibility rules With new rules and regulations accompanying the Affordable Care Act, uninsured patients need health care navigators to help them maneuver the enrollment process Medical Students with proper training can assist in screening and enrolling uninsured patients WCCC started its facilitated insurance program in August 2009 Provide patients with written educational information on low cost government sponsored health insurance programs Survey patient satisfaction and knowledge about available government insurance programs Improve follow-up by: Employing medical student screeners as case managers for eligible patients Developing a stronger relationship with certified enrollers Improve data collection to obtain more information about patient demographics Train medical student screeners to transition patients into Medicare 1 Niescierenko, et al. Insuring the Uninsured: A Student-Run Initiative to Improve Access to Care in an Urban Community. Journal of the National Medical Association. 2006, 98 (6): Program Goals To enroll uninsured patients in Medicaid To analyze what proportion of uninsured patients who utilize the Weill Cornell Communty Clinic (WCCC) are eligible for Medicaid To examine the ability of student-run free clinics to serve as effective conduits for transitioning uninsured patients into Medicaid Day 1 Screens patients on their first clinic visit Week 1 Determines patient eligibility Week 1 Calls eligible patients Refers patients to a certified facilitated enroller Ensures patients have proper information for enrollment Month 2 Checks patient enrollment status 6-12 Months Patient is enrolled 150 new patients were screened for Medicaid eligibility between October 2009 and December 2011 In total, 34 patients (23%) were deemed eligible for Medicaid by the team of medical student screeners 17 of these patients were screened and followed-up between January and December patients (77%) were deemed ineligible by the team of medical student screeners A team of medical students is trained at the start of each academic year The team follows the subsequent steps for each new patient: A large number of patients (23%) may qualify for government sponsored insurance programs It is important to provide such patients with support in the complicated enrollment process Medical student screeners are capable of adequately identifying patients eligible for Medicaid (12% false positive rate) Most patients (77%) are disqualified from Medicaid based on their income levels Others (11%) do not qualify based on their immigration status These results support the use of student run free clinics as effective conduits for transitioning uninsured patients into government run insurance programs Acknowledgements I would like to thank the WCCC co-directors, advisors, and board for their support and guidance as well as all the wonderful patients with whom I have had the pleasure to interact