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Miami-Dade County Mayor’s Healthcare Access Initiative. MAYOR’S HEALTH CARE INITIATIVE Health Care Access Task Force. Alex Penelas. Mayor of Miami-Dade County Florida James Bridges, Steven Marcus, Carlos Saladrigas, .
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Miami-Dade CountyMayor’s Healthcare Access Initiative www.co.miami-dade.fl.us/healthcare2002/
MAYOR’S HEALTH CARE INITIATIVE Health Care Access Task Force Alex Penelas. Mayor of Miami-Dade County Florida James Bridges, Steven Marcus, Carlos Saladrigas, www.co.miami-dade.fl.us/healthcare2002/
MAYOR’S HEALTH CARE INITIATIVE • Create a blueprint for health care access • A public and private partnership • Provide quality, convenient, accessible and affordable health care to uninsured residents of Miami-Dade County www.co.miami-dade.fl.us/healthcare2002/
MAYOR’S HEALTH CARE INITIATIVE • 448,505 uninsured or 1 in 4 county residents • 29.7 % are Hispanics • 25.3 % are AA (black) • 11.4 % are white NH • 103,000 are age 0-17 • 20 % employed FT • 36 % employed PT www.co.miami-dade.fl.us/healthcare2002/
SAFETY NET PROVIDERS • Public Insurance (Medicare, Medicaid, Florida Kid Care) • Jackson Health System and Clinics • Federally Qualified Health Centers • Hospitals (JC, JN, JS and community ones) www.co.miami-dade.fl.us/healthcare2002/
MIAMI-DADE COUNTY PUBLIC HEALTH TRUST • 1972 Decade of Progress County Bond • 1992 half cent sale tax for Jackson Memorial Hospital • 1995 Jackson Health System expansion • 2002 Real Estate 1 % Children’s Trust tax www.co.miami-dade.fl.us/healthcare2002/
HEALTH CARE INITIATIVES In Progress • Aids Insurance Continuation Program • Healthy Start • Community Access Program • Miami-Dade County Health Department • School Nurse Program • NGO Clinics www.co.miami-dade.fl.us/healthcare2002/
HEALTH CARE ACCESS TASK FORCE • 342 businesses and citizens convened • 54 Health Care Access Task Force Members • Define the problem • National best practices • Hold public hearings • Inventory of resources www.co.miami-dade.fl.us/healthcare2002/
HEALTH CARE TASK FORCE Committees and Process • Expanding coverage for the working uninsured • Improving existing delivery services and resources • Exploring coverage alternatives • Governance, planning and organization • Recommendations by January 2003 www.co.miami-dade.fl.us/healthcare2002/
COUNTYWIDE UNINSURED OUTREACH AND COVERAGE • Countywide infrastructure (community coalition of service & coverage providers) • Electronic Eligibility Screening System • CAP Eligibility Specialists at FQHC & JHS • Sustain CAP and W2W Programs (DCF) • Screen every Miami-Dade child in school • “Flex Benefit Plan” for the uninsured www.co.miami-dade.fl.us/healthcare2002/
COVERAGE ALTERNATIVES AND GOVERNANCE Legislative initiative • State Sponsored “High Risk” pool • Expand coverage for Kid Care and parents • Expand coverage for Immigrant children Organization and Costs www.co.miami-dade.fl.us/healthcare2002/
MAYOR’S HEALTH CARE INITIATIVE • Estimated initial annual cost of $90,000,000 US to expand health coverage for uninsured. • Current projected charges for uninsured health services in Miami-Dade County One and a half billion dollars a year. • Expand countywide primary care services • Expand community health promotion and wellness programs www.co.miami-dade.fl.us/healthcare2002/