Covering the Uninsured

1
Covering the Uninsured

• Uninsured in Texas
• The Austin Project
• CHASSIS Software
• Future Developments

2
TACHC and the Uninsured

• TACHC exists to help its members meet the health
  care needs of the uninsured and underserved.
• Major priorities for the Association have been
  to
• Promote the eligibility determination of
  eligible populations on Medicaid and the State
  Children's Health Insurance Program.
• Promote retention of eligible populations on
  Medicaid and the CHIP.
• Eliminate barriers to enrollment in these health
  insurance programs.

3
Uninsured in Texas

• The cost of uncompensated care is a crisis for
  most every healthcare provider in Texas.
• The problem seems to be getting worse.

Is a new approach needed to deal with this
problem?
4
The Austin Project

• Community action to find healthcare coverage
  for the uninsured and lower the cost of
  uncompensated care for those unable to pay
  themselves.
• Immediate no legislative changes
• Proactive take action
• Methodical work as a team
• Measurable understand and improve efforts
• Scalable to entire state

5
The Austin Project

• Screen everyone uninsured for healthcare coverage
• Screen uninsured persons throughout the community
• Match eligible applicants with best available
  program
• Take enrollment applications at the point of
  screening
• Enroll everyone who is eligible
• Provide skilled application assistance
• Share the effort to enroll eligible applicants
  wherever possible.
• Provide Management and Aid Advocacy Efforts
• Know the percentage eligible, percentage filed,
  and percentage enrolled
• Identify efforts for improvement
• Provide data to show the impact of policies on
  economy and community

6
CHASSIS Software

• CHASSIS is new technology used in the Austin
  Project
• Web based software available 24/7
• No infrastructure changes required
• No specialized skills or knowledge required
• HIPAA compliant
• CHASSIS consists of three parts
• Medicaider Screening
• CaseTracker Follow-up
• Program Management

7
CHASSIS Software

• Medicaider Screening
• Finds payment programs such as Medicaid, SSI,
  CHIP, Medicare, County Indigent, Crime Victims,
  and others
• Finds sliding-fee scale programs, charity, and
  volunteer programs such as CHC, Project Access,
  and others
• Finds medical homes
• Reviews over 50 programs in 3 minutes average
• Provides application forms and detailed
  instructions for screener and for applicant

8
CHASSIS Software

• CaseTracker Follow-up
• Applicant information from Medicaider is passed
  automatically to CaseTracker for follow-up
• Caseworkers get applicant call lists with online
  up-to-date information on latest local, state,
  and federal eligibility policies
• Caseworkers record notes, customized actions, and
  detailed Help Topics for solutions to problems.
• Caseworkers have tools to manage caseloads,
  prioritize cases, meet deadlines

9
CHASSIS Software

• Program Management
• Allows management to manage uncompensated care
  costs and reimbursement
• Extensive analysis of interviewer statistics,
  patient data and demographics, employee caseloads
  by clinic or caseworker
• Can measure eligibility vendor performance
• Detailed reporting on almost any combination of
  75 patient attributes (i.e. age, payment source,
  etc.)
• Objective performance reporting of Uncompensated
  Care costs

10
CHASSIS Benefits

• Everyone eligible has a payment source to cover
  medical services.
• Charity care is preserved for those ineligible
  for other programs.
• Qualified referrals made to DHS with better
  motivated applicants
• Earlier applications maximize potential revenues
• Total Uncompensated Care program management
• Community involvement

11
The ICC Experience

• Developing Affordable Access
• to Effective Healthcare in Central
  Texas
• Collaboration of major healthcare providers
• Using Medicaider since 8/2002 and CaseTracker
  since 2/2003
• Over 40,000 interviews by 177 different users
  from 49 different sites finding medical
  assistance programs for 80 with an average
  interview time of 3 minutes.
• ICC has determined that, at this rate, the
  program will yield a return on investment of at
  least six to one over time
• Regional Health Care Delivery System Pilot
• Final Report to Texas Health Human Services
  Commission
• December 31, 2002

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Whos Benefiting

• Insure-A-Kid
• Johns Community Hospital
• Manor ISD (Student Family Support Services)
• Meals on Wheels and More
• Peoples Community Clinic
• Round Rock Health Clinic
• Samaritan Health Ministries
• SafePlace
• Seriff Foundation
• Seton Edgar B Davis
• Seton Healthcare Network Clinics
• Seton Highland Lakes
• Seton Lockhart
• Seton Medical Center
• Seton Northwest
• Texans Care for Children Coalition
• The Salvation Army
• Travis County Medical Society
• TX Association of Community Health Centers

• American Youthworks
• Any Baby Can
• Austin Area Urban League
• Austin ISD (Parent Support Specialists)
• Avance
• Brackenridge Hospital
• Caritas
• Child Inc
• Childrens Hospital of Austin
• Children's Partnership
• City of Austin/Travis County Community Care
• City of Marble Falls Housing Authority
• Communities in Schools - Central Texas
• Combined Community Action, Inc
• Connections Resource Center
• El Buen Samaritano
• Faith Community (East Austin Catholic churches)
• Family Forward
• Foundation Communities

. . . and the list is growing!
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CHASSIS Future Developments

• Automatic inquiry to TMHP for Medicaid Recipient
  Numbers
• Find numbers for billing without human action
• Pharmaceutical Patient Assistance Programs
• Free medicines from manufacturers for qualified
  patients
• Program Eligibility Simulation
• Calculate the economic impact of changes in
  programs and demographics
• Social Services Programs
• Programs for utilities, housing, education, and
  other assistance.
• Additional local County and City Programs

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Visit www.medicaider.com