1. Leading change for a healthier Colorado Colorado’s Medically Underserved Gretchen Hammer March 22, 2012

2. Leading change for a healthier Colorado The Underserved Today 829,000 uninsured in 2011 675,000 underinsured in 2011 –Out of pocket expenses exceed 5% for those under 200% FPL, and 10% for all others Overall, 12% of Coloradans report having no usual source of care Source: Colorado Health Access Survey, www.cohealthaccesssurvey.org

3. Leading change for a healthier Colorado Health Insurance in Colorado Source: Colorado Health Access Survey, www.cohealthaccesssurvey.org

4. Leading change for a healthier Colorado Uninsured Coloradans by Age More than 60% of uninsured Coloradans have been without health insurance for at least a year. Source: Colorado Health Access Survey, www.cohealthaccesssurvey.org

5. Leading change for a healthier Colorado Uninsured Coloradans by Race and Gender Source: Colorado Health Access Survey, www.cohealthaccesssurvey.org

6. Leading change for a healthier Colorado Uninsured by Health Statistics Region

7. Leading change for a healthier Colorado What determines insurance status? Affordability and employment Factors important in choosing a primary health plan include: o Insurance premium cost (80%). o Deductible/co-pay amounts (80%). o Choice of providers in network (75%). Source: Deloitte 2011 Survey of Health Care Consumers

8. Leading change for a healthier Colorado Reasons for lacking insurance in CO Source: Colorado Health Access Survey, www.cohealthaccesssurvey.org

9. Leading change for a healthier Colorado Usual Source of Care

10. Leading change for a healthier Colorado Consumer Perspective 76% of consumers do not have a good sense of how the health care system works! Source: Deloitte 2011 Survey of Health Care Consumers

11. Leading change for a healthier Colorado Health Care Safety Net The Colorado Indigent Care Program is not an insurance program, but provides funding to clinics and hospitals so medical services can be provided at a discount to eligible Colorado residents. In order to apply, interested parties have to see a CICP provider.Colorado Indigent Care ProgramCICP provider The new Colorado Consumer Health Initiative website has a search function that compiles providers by type and zip code.website The Colorado Community Health Network also publishes a map of the community health centers searchable by county of residence. map Mental health needs can be met either by finding a Community Mental Health Center (for anyone) or a Behavioral Health Organization (for Medicaid) in area. For both substance use and mental health needs, LinkingCare has lists of providers around the state.Community Mental Health CenterBehavioral Health OrganizationLinkingCare Low-fee dental clinics offer affordable oral health care statewide. Find local resources at the Colorado Dental Association website.Colorado Dental Association website

12. Leading change for a healthier Colorado Food Security Hunger Free Colorado has a bilingual hotline available for food pantry referral and help with food assistance applications at (toll-free) 855-855-4626.Hunger Free Colorado Colorado PEAK accepts applications for food and cash assistance programs. Interested parties should apply either directly via the PEAK website or ask for assistance in applying by finding an application assistance site in residence zip code.Colorado PEAKPEAK website application assistance site

13. Leading change for a healthier Colorado Other Human Services The 211 Colorado hotline is available for those trying to find any kind of human service resource including rent assistance, shelter, food, child care, and more.211 Colorado hotline Housing Colorado has a great housing-specific resource directory.Housing Colorado Family Voices Colorado has a great resource directory available for a wide variety of resources based on zip code.Family Voices Colorado Energy Outreach Colorado has energy assistance funds and energy efficiency upgrade assistance for limited-income households.Energy Outreach Colorado Connecting Colorado has a searchable database for job-seekers, and Colorado Department of Labor and Employment has a list of workforce centers to help with searching for employment and training services.Connecting ColoradoColorado Department of Labor and Employment

14. Leading change for a healthier Colorado Perspective on Health Information Source: Deloitte 2011 Survey of Health Care Consumers

15. Leading change for a healthier Colorado What does this all mean? We have a lot of work to do.

16. Leading change for a healthier Colorado Areas to Focus  Health and Wellness  Access to Insurance o Colorado Health Benefit Exchange o Public coverage programs  Health Insurance “Value and Effectiveness”  Community Based Delivery System Changes

17. Leading change for a healthier Colorado Gretchen Hammer, Executive Director gretchen.hammer@ccmu.org