Indiana Collaborative for Healthier Rural Communities

1. Indiana Collaborative for Healthier Rural Communities Jim Miller, Project Director Indiana Rural Health Association October 1, 2008

2. Indiana Collaborative for Healthier Rural Communities • RWJF Grant History • Fall 2007: ICHRC established. • Winter 2008: $50,000 planning grant awarded; ICHRC structure established. • Spring 2008: Implementation grant response submitted; RWJF awards $155,000 grant. • Summer 2008: ICHRC campaigns underway; public policy goals developed.

3. Indiana Collaborative for Healthier Rural Communities • Tobacco Policy Change initiative • Protect rural Hoosiers from dangers of secondhand smoke in workplaces • Develop, utilize local coalitions to affect tobacco policy change through local ordinances in 6 targeted rural communities • Penultimate goal: enact statewide smokefree workplace law

4. Indiana Collaborative for Healthier Rural Communities • Status of tobacco policy change campaigns in targeted rural communities • Bedford • Brazil • Crawfordsville • Decatur • Richmond • Williamsport • Criteria for selecting six rural communities

5. Indiana Collaborative for Healthier Rural Communities • ICHRC Project Sustainability • Develop strategies beyond 2009 • Identify sources for funding and public policy support • Continued support from the Indiana Tobacco Prevention & Cessation Agency • Short- vs. Long-term funding for ICHRC

6. Indiana Collaborative for Healthier Rural Communities • Public Policy initiative: • Increase access to healthcare to uninsured Hoosiers in rural parts of the state through Healthy Indiana Plan • Engage local coalitions to build infrastructure for public policy change

7. Indiana Collaborative for Healthier Rural Communities • 2 Goals to achieve Public Policy initiative: • Increase the number of healthcare providers and panel size in rural counties accepting HIP patients. • Identify and reduce barriers for the purpose of increasing caretakers or parent enrollment in HIP in rural counties.

8. Indiana Collaborative for Healthier Rural Communities • Healthy Indiana Plan • Available to adults 19-64 • Uninsured for at least 6 months • Not eligible for employer-sponsored insurance • Not eligible for Medicare or Medicaid • Parents with dependent children • 22%-200% of FPL ($3872-$35,200 for family of 3) • Non-parent adult • 0-200% of FPL ($0-$20,800 for individual) • High-risk patients managed through ESP

9. Indiana Collaborative for Healthier Rural Communities • Coverage modeled after Medicaid • Hospital, physician, prescription, home health, mental health, limited rehab services • Exceptions: no dental, vision or long-term care • Anthem, MDwise manage care plans • High-Deductible coverage -- $1,100 • POWER Account • Version of Health Saving Account • Preventive care – Up to $500 annually

10. Indiana Collaborative for Healthier Rural Communities • Current HIP Statistics (9/8/08) • 24,143 fully enrolled in HIP • 14,737 adult individuals • 9,406 caretakers/parents • 17,705 enrolled in Anthem • 6,213 enrolled in MDwise • 225 enrolled ESP (high-risk) qualified • Fair distribution of enrollees in rural, urban areas • 2,921 physicians enrolled in HIP • Most (3:1) contracted with Anthem

11. Indiana Collaborative for Healthier Rural Communities Jim Miller, IRHA Project Director (317) 769-4857 jmiller@indianarha.org