1 The Cover All Kids Coalition: A Statewide Public/Private Initiative Janny Dwyer Brust, MN Council of Health Plans Donna Zimmerman, HealthPartners Carol Berg, UCare Minnesota Katie Linde, Blue Cross Blue Shield/Blue Plus of Minnesota

2 Goals To assure that all children and adolescents in Minnesota have: Health care coverage Preventive health care services

3 Uninsured Children in Minnesota Est. 58,000 (4.5%) are uninsured Children’s parents: 88% employed 59% married 74% have high school diploma or some college/technical school

4 Percentage of children without health insurance coverage, by race and ethnicity: Minnesota % 10.9% 15.6% 4.5% Source: Minnesota Health Insurance and Access Survey, 2001

5 Child Uninsurance Rates by Region MDH, Health Economics Program, 2001 Health Access Survey *significant difference from State rate at 95% level 5.7% 6.5% 5.7% 5.4% 5.8% 3.2% 4.0%

Source: MDH, Health Economics Program (2001); U of MN Health Access Survey 6 Source of Health Care Coverage (Children: Birth – Under 18 Years) Minnesota

7 Are Children Getting Preventive Health Care Services? 70 – 85% receive well child visits in their first 15 months 62 – 85% receive child immunizations However: We have difficulties documenting services Little consensus on what those services should be or their timing

8 Barriers to Getting Health Care Coverage Parents: –Lack of knowledge of available health care coverage –Cultural and Language barriers System: –Affordability –Complicated enrollment process and verifications –Eligibility barriers –Lack of continuity of coverage

9 Barriers to Getting Preventive Health Care Services Parents: –Lack of knowledge of the importance of regular check ups –Lack of knowledge of where to go for services –Cultural and language barriers –Transportation and clinic hours not convenient System: –Affordability of insurance coverage –Lack of uniform preventive services guidelines, training and record keeping

10 Why Form A Coalition? No one system can solve these problems alone: –It takes: Health Systems Government Community Organizations Individuals

11 Steering Committee Membership Chairs Minnesota Medical Association, President Children’s Defense Fund, Director Minnesota Council of Health Plans, Executive Director Members Minnesota Department of HealthUniversity of Minnesota Minnesota Department of Human ServicesLocal Public Health Governor’s OfficeMDH-Office of Rural Health & Primary Care Neighborhood Health Care NetworkThe Urban Coalition Minnesota Hospital & Healthcare PartnershipAffiliated Community Medical Centers Minnesota Nurses AssociationMinnesota Community Action Association American Academy of PediatricsLegal Services Advocacy Project

12 Cover All Kids Work Groups  Access to Preventive Services  Best Practices  Documentation and Referrals  Eliminate Disparities  Evaluation, Assessment and Research  Health Care Coverage  Public Awareness

13 Recent Accomplishments Legislation Identifying preventive services common to all guidelines Monitoring goals Presentations

14 Accomplishments Web –Public: –Coalition members Toll free number –

15 State Fair August 23 – September 3, 2001

16 Challenges Communications/coordination Funding/Resources Prioritization Variable progress by work groups Political/philosophical tensions

17 Next Steps All Coalition meeting Prioritizing work Commitments from partners Funding for staffing