1. MIHS Adopts a Culture of Coverage:
Helping Individuals Access Health Care by Enrolling in
Arizona Medicaid or the Health Insurance Marketplace
Cheri Tomlinson, Vice President of Grants and Research

2. THE ONLY PUBLIC TEACHING HOSPITAL & HEALTHCARE SYSTEM
MIHS trains 400 physicians and provides more
One of the largest burn centers in the U.S.
than 3,000 clinical rotations each year
390,000
adult and pediatric visits at our family health centers and comprehensive healthcare center in 2013
Last year…
MIHS treated 3,629 patients needing acute psychiatric care and provided 5,000+ hours of outpatient counseling services at no or little cost.
We have 30
interpreters
providing interpretation services
for more than 50
languages
64.78%
81.49%
In 2013, more than 47,000 people visited one of our four Family Learning Centers
Patients admitted to MIHS received government sponsored care
(AHCCCS and Medicare) 12
of babies born in FY2013 partially reimbursed by AHCCCS
clinics 2
hospitals

3. History
1990
2014
190 unduplicated patients
6 staff (4.0 FTE)
$70,000 of HRSA Demonstration Project funding
3,187 unduplicated patients
36 staff (32.8 FTE)
$3.1 million in Ryan White HIV/AIDS Program funding (Parts A, C, & D)
McDowell providers collectively have 186 years of experience including 111 years providing care to people living with HIV/AIDS.

4. Ryan White HIV/AIDS Program
MIHS is the oldest Ryan White HIV/AIDS Program Grantee in Arizona.
1991: Awarded Part C (formerly Title III) for the first time.
1994: Awarded Part A (formerly Title I) as a sub-recipient for the first time.
1998: Awarded Part D (formerly Title IV) for the first time.

5. Enrolled in the Marketplace as of January 16, 2015
AFFORDABLE CARE ACT TIMELINE
PRE-ACA
YEAR 1 ACA
YEAR 2 ACA
166,131
Enrolled in the Marketplace as of January 16, 2015
120,071
Enrolled in the Marketplace
In Maricopa county alone,
228,758
107,310
6th
Maricopa County, AZ = most uninsured county in the U.S. at
Enrolled in AHCCCS
675,000
Enrolled in the Marketplace
as of 1/16/2015
Source: ASPE.hhs.gov
Source: enrollamerica.org

6. Summary New 16 268 284 Renewal 1 205 306 17 473 590 Category Ongoing
Final Status
Total
New 16
268
284
Renewal 1
205
306 17
473
590

7. Inform Key Steps
Planning council to develop 5 simple, consistent and coordinated key messages for use across the EMA to market and inform clients of upcoming ACA changes
All RW Providers tasked with encouraging clients to learn about and enroll in ACA coverage
If agencies did not enroll, then they would refer the client to an enrolling agency

8. Inform Toolkit Buckets

9. McDowell HCC (602) 344-6550 Outcomes and Highlights  Year one of Affordable Care Act

10. McDowell HCC (602) 344-6550 Outcomes and Highlights  Year one of Affordable Care Act

11. DATA DRIVEN PROCESS
Some of MIHS’s key successes and lessons came from measuring these areas:
Volume of Calls
Secret Shopper Program
Appointment Availability with Financial Assisters
# of Scheduled Appointments
Special Populations
Call Center Volume
# of Screenings
The team knew that to transform the health care coverage experience, we had to know where we were, where we were headed, and what needed to change. This section shares some of the key measurements that we managed throughout the project, examining data for each strategy, and making adjustments to targeted approaches as needed. The team acknowledged and built upon small wins, maintained a robust communication plan throughout the project and celebrated successes.

12. Poor health literacy

13. – Former US Surgeon General Richard H. Carmona, MD, MPH, FACS
Health Literacy Classes 2
90 Minutes Each
“More than 90 million Americans cannot adequately understand basic health information”
– Former US Surgeon General Richard H. Carmona, MD, MPH, FACS
Class curriculum based on the CMS Roadmap
Classes
CMS Roadmap
UNDERSTANDING HEALTH INSURANCE
PREVENTIVE SERVICES
Why is prevention important?
What are preventive services?
Adult services
Women services
Child services
AND MORE!!!
Why is it important to have coverage?
Top 10 definitions and terms
Explanation of “cost sharing”
How to make a medical appt.
AND MUCH MORE!!!
Classes held at Family Learning Centers and other facilities accessible to PLWHA and community members who wish to attend.
For future course information, visit:
grants.mihs.org
All classes and course material available in English and Spanish

14. HEALTH LITERACY OUTCOMES
Project Highlights and Attendance

15. 88% 97% 98% 95% HEALTH LITERACY OUTCOMES
Overall Class Evaluation Results
Very Satisfied/Satisfied
(Module 1, Module 2, Combined)
Length of Class “About Right”
(Module 1, Module 2, Combined)
n=107
n=108
88%
97%
Would Recommend the Class to Others
(Module 1, Module 2, Combined)
Learned How to Make a Dr. Appt.
(Module 1, Module 2, Combined)
n=105
n=98
98%
95%

16. MIHS Adopts a Culture of Coverage
With the onset of health care reform, MIHS chose to transform how health care coverage information was delivered to our customers.
The report describes an Arizona public hospital and health care system's experience in serving a diverse community in need of health care coverage.
To Learn More

17. Acknowledgements Collaborators Key Stakeholders
MIHS is pleased to acknowledge these collaborators and colleagues within our organization as indispensable partners in our “Cover” Story:
RWPA and Planning Council
RWPB
RWPC
RWPD
ADAP
Phoenix Children’s Hospital
Care Directions
Southwest Center for HIV

18. Questions and Answers
Funded in whole or in part by the United States Department of Health and Human Services, Health Resources and Services Administration, the Ryan White HIV/AIDS Treatment Extension Act of 2011, the Maricopa County Department of Business Strategies & Health Care Programs and the Maricopa Integrated Health System.