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The Cover All Kids Coalition is a statewide public/private initiative dedicated to providing health care coverage and preventive services for all children and adolescents in Minnesota. With a focus on reducing the number of uninsured children and eliminating disparities, the coalition aims to address barriers to healthcare access and promote public awareness. This initiative brings together health systems, government agencies, community organizations, and individuals to work towards the common goal of ensuring the well-being of children.
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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
Goals • To assure that all children and adolescents in Minnesota have: • Health care coverage • Preventive health care services
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
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
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
Source of Health Care Coverage (Children: Birth – Under 18 Years) Minnesota - 2001 Source: MDH, Health Economics Program (2001); U of MN Health Access Survey
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
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
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
Why Form A Coalition? • No one system can solve these problems alone: • It takes: • Health Systems • Government • Community Organizations • Individuals
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
Cover All KidsWork Groups • Access to Preventive Services • Best Practices • Documentation and Referrals • Eliminate Disparities • Evaluation, Assessment and Research • Health Care Coverage • Public Awareness
Recent Accomplishments • Legislation • Identifying preventive services common to all guidelines • Monitoring goals • Presentations
Accomplishments • Web • Public: www.coverallkids.org • Coalition members • Toll free number • 1-866-489-4899
State Fair August 23 – September 3, 2001
Challenges Communications/coordination Funding/Resources Prioritization Variable progress by work groups Political/philosophical tensions
Next Steps • All Coalition meeting • Prioritizing work • Commitments from partners • Funding for staffing