Rene S. Cabral-Daniels, J.D., M.P.H.

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Virginia State Planning Grant Community Outreach
Briefing October 14, 2004

• Rene S. Cabral-Daniels, J.D., M.P.H.
• Director
• Office of Health Policy and Planning
• P.J. Maddox, Ed.D.
• Dir. Office of Research
• George Mason University

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Overview of Objectives Virginia State Planning
Grant (SPG)

• Summarize data, studies, and literature on the
  causes and consequences of non-insurance in
  Virginia.

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Virginia SPG Objectives

1. Acquire best available data and synthesize new
   data from Virginia surveys on the costs and
   causes of employed non-insured Examine costs to
   the safety net, state and local governments, and
   society in general.

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Virginia SPG Objectives

1. Provide Oversight for the Coordinated State
   Coverage Survey (SHADAC -Subcontractor).

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Virginia SPG Objectives

1. Develop estimates of Virginia employer-based
   health coverage, by business sector.

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Virginia SPG Objectives

1. Identify feasible options for expanding health
   insurance coverage (using Virginia data and
   lessons learned from other states) and Recommend
   1-2 for consideration in VA.

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Virginia SPG Objectives

1. Assess the impact of recommended approaches.

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Virginia SPG Final Deliverables

• Develop a business plan for Virginia recommended
  coverage options including impact projections.
• Submit recommendations to the Governor through
  Secretary of Health and Human Resources.

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Virginia SPG Responsibility Partnerships
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Virginia SPG Responsibility Oversight
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Commonwealth of Virginia SPG Work Groups

• Data Workgroup
• Leadership for collaboration and coordination
  with other SPG Workgroups and contractors, state
  and local stakeholders, and others to identify,
  collect, and analyze information
• Provides secondary data analysis for Model
  Development Workgroup to support workgroup
  decision support and model development.

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Virginia SPG Work Groups

• Model Development Workgroup
• Summarizes public/private coverage options and
  identifies coverage gaps.
• Identifies, assesses, and refines options based
  on review of data and input from others.
• Recommends options -- one or more feasible
  coverage expansion models to the SPG Leadership
  Team.

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Virginia SPG Work Groups

• Community Outreach Workgroup
• Ensures participation of employed uninsured
  Virginians and community leaders statewide.
• Supports access and communication with
  prospective populations and regions.
• Disseminates state and regional strategies using
  appropriate and effective information.
• Provides input to Model Development Workgroup on
  feasibility/utility of coverage expansion options
  under consideration.

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Virginia SPG Work Groups

• Business Taskforce Workgroup
• Facilitates statewide communication between SPG
  Workgroups/efforts and the Virginia business
  community.
• Connects business communities to support data
  collection and information dissemination/feedback.
  
• Ensures employer access and input for informing
  SPG Model Development Workgroup about the
  feasibility of coverage expansion options.

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Support, Collaboration and Coalition Building

• SPG Community-based Strategy Leadership Team,
  Workgroups, and Regional Taskforces.
• Technical Assistance/Analytic Support GMU
  provides research with SHADAC and AHRQ.
• Governors Initiatives Cover the Uninsured Week
  and Annual Conferences on Covering the Uninsured.
• Lieutenant Governor Commission on Small Business
  Health Insurance Costs.

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• Governor's Conference Attended by over 300
  business leaders, consumers, providers, and
  others.
• Insurance Coverage Experts included national,
  state, and local speakers.
• Disseminated Data and Information to raise
  awareness of uninsurance issues in Virginia.

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• Provided lessons learned about approaches to
  improve coverage.
• Recruited individuals interested in participating
  in the SPG process and workgroups.
• Motivated employers and individuals to take
  action.
• Quality Rated by participants a 3.4 out of 4.0
  possible points.

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Virginia SPG WebsiteInsureMoreVirginians.org
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SPG Website serves as the Virginia web portal and
knowledge center on health insurance matters
Knowledge Center, Work Groups, Regional Data and
Planning

• SPG Website and Work Groups Ensure Community
  Support and Participation in Planning and
  Dissemination

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Analysis of Best Available VA Data (Individual
Business)

• National Surveys BRFSS, MEPS-IC, CPS Other
  State SPG data collection findings
• Virginia Specific Information Economic, Business
  and Health Delivery System
• VEC Occupation Forecasts and Employment
• Regional Health Planning Associations Trends in
  Utilization and Health Service Delivery

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Data Collection and Analysis Activities

1. Comprehensive Review of Literature
2. Compilation of Available Sources of Virginia Data
   Inventory/Compendium
3. Analysis of Best available Data Knowledge Center
4. Fielded Household Survey
5. Employer and Business Key Informant Interview
   and Decision Model Drafted
6. Finalized expanded VA MEPS-IC Survey

Source Urban Institute and Kaiser Commission on
Medicaid and the uninsured. Estimates on pooled
March 2002 and 2003 CPS.
Source BRFSS 2002
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Virginia SPG Framework Building Health Planning
Regions
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Analyses Technical Support White Papers/Briefs
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Analyses Technical Support White Papers/Briefs
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Status of SPG Workgroup Activities

• Data Workgroup Underway agenda, minutes,
  supporting documents and work products on SPG web
• Business Workgroup Engagement began with
  planning Gov Conf and its follow-up
• Model Development Workgroup meeting Nov 1
• Community Development Workgroup Kick-off meeting
  October 14, 2004 and members identified.

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Data Workgroup 2004 Virginia Household Survey

• SPG Data Workgroup (w/ SHADAC)
• Developed VA Household survey
• Developed sampling frame to support sub-state
  analysis
• Household Interviews in process since July (Sept
  completion)
• Two community over-samples underway
• Preliminary Data Report Expected November 2004
  (n 3,840/4000)

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Data Workgroup Virginia MEPS-IC 2005

• AHRQ scheduled for Spring 2005
• Expanded Virginia survey will support sub-state
  analyses (region and sector)
• 2005 MEPS-IC receipt of VA. Sub-state data SPG
  use of extant data (see Knowledge Center)

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Virginia SPG Continuation Grant (SPG II)

• HRSA continuation funding to
• Implement community-based planning and outreach
  in five SPG project regions.
• Provide research and technical assistance through
  to regional public-private task force
• Participatory approach leverages local leaders
  and resources to support decision-making.
• Community-based planning to align coverage
  expansion options with identified population need
  and delivery system capacity.

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SPG Progress YTD

• SPG Webpage Locus of Virginia Health Care
  Coverage Expansion Information, Data, Activities
  and Resources on Health Insurance Coverage in
  Virginia for SPG and others
• Work groups Milestones/targets
• Analysis of extant data
• Household Survey underway
• MEPS-IC expanded survey and sub-state analysis
  planned
• Employer Key Informant interview drafted
• Interim Report in Process (Due to HRSA November
  15)
• HRSA SPG II Grant Proposal Award Announcement

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We invite your questions!