The Cover All Kids Coalition: A Statewide Public/Private Initiative

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 2001 15.6% 10.9% 4.5% 3.5% Source: Minnesota Health Insurance and Access Survey, 2001

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

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

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 Health University of Minnesota Minnesota Department of Human Services Local Public Health Governor’s Office MDH-Office of Rural Health & Primary Care Neighborhood Health Care Network The Urban Coalition Minnesota Hospital & Healthcare Partnership Affiliated Community Medical Centers Minnesota Nurses Association Minnesota Community Action Association American Academy of Pediatrics Legal Services Advocacy Project

12. Cover All KidsWork 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: www.coverallkids.org • Coalition members • Toll free number • 1-866-489-4899

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